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The Capabilities of Multidetector Computed Tomography in Assessing Major Hepatic Vessel Involvement in Perihilar Cholangiocarcinoma

https://doi.org/10.52560/2713-0118-2025-6-80-91

Abstract

Aim. Analysis of domestic and international literature to evaluate the capabilities of multidetector computed tomography (MDCT) in assessing major vascular involvement of the hepatobiliary region in perihilar cholangiocarcinoma (PHC).

Materials and Methods. The literature review included the most cited scientific publications available in open-access databases.

Results. The reviewed studies address the use of various CT criteria and corresponding terminology for evaluating the relationship between PHC and the major vessels of the hepatobiliary region.

Conclusion. MDCT with intravenous contrast remains the method of choice for preoperative assessment of PHC resectability. Despite the use of vascular involvement criteria similar to those applied in pancreatic cancer, considerable variability persists in their interpretation and diagnostic accuracy. Evaluation of major hepatic vessel involvement remains a challenging task, emphasizing the need for further clarification of terminology and standardization of descriptive criteria. 

About the Authors

R. A. Skvortsov
The Loginov Moscow Clinical Scientific Center
Russian Federation


Yu. V. Kulezneva
The Loginov Moscow Clinical Scientific Center
Russian Federation


M. G. Efanov
The Loginov Moscow Clinical Scientific Center
Russian Federation


K. A. Lesko
The Loginov Moscow Clinical Scientific Center
Russian Federation


References

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For citations:


Skvortsov R.A., Kulezneva Yu.V., Efanov M.G., Lesko K.A. The Capabilities of Multidetector Computed Tomography in Assessing Major Hepatic Vessel Involvement in Perihilar Cholangiocarcinoma. Radiology - Practice. 2025;(6):80-91. (In Russ.) https://doi.org/10.52560/2713-0118-2025-6-80-91

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ISSN 2713-0118 (Online)