@article{oai:kanazawa-u.repo.nii.ac.jp:00014029, author = {蒲田, 敏文}, issue = {1}, journal = {胆道 = Tando}, month = {Mar}, note = {近年MDCT(multidetector row CT)とMRIの進歩にはめざましいものがある.これにより胆道癌の画像診断の精度も向上している.MDCTは薄いスライス厚の多相ダイナミックCTが有用である.多方向の再構成画像や3D画像は進展度診断に役立つ.MRIはMRCP(MR cholangiopancreatography)に加えてT1強調像,T2強調像,steady state image,造影ダイナミックMRIなど多彩な撮像法があり,胆道癌の検出のみならず胆汁うっ滞などの二次的変化も描出できる.CTとMRIの特徴を理解し,両者を併用することでより詳細な画像診断が期待できる.Techniques of MDCT (multidetector row CT) and MRI have made great advances recently. Thin slice multiphase contrast enhanced dynamic CT can afford multi-directional reformatted images and 3D volume images which are useful for diagnosis of tumor extension. MRI includes not only MRCP (MR cholangiopancreatography) but also T1-weighted images, T2-weighted images, steady state images, and contrast enhanced dynamic images. MRI (MRCP) can offer detection of biliary carcinomas, degree of tumor extension, and secondary changes such as biliary cholestasis. Combination of MDCT and MRI can make more detailed imaging diagnosis of biliary carcinomas.}, pages = {81--91}, title = {胆道癌における画像診断の最先端: MDCT, MRIを中心に}, volume = {27}, year = {2013} }