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Preoperative evaluation of Klatskin tumor: accuracy of spiral CT in determining vascular invasion as a sign of unresectability (2000)

Cha, J. H. ; Han, J. K. ; Kim, T. K. ; [et al.]

Springer

Abdominal imaging 25 (2000), S. 500-507

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ISSN: 1432-0509

Keywords: Key words: Bile ducts—Bile ducts, CT—Bile ducts, neoplasm.

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Background: To assess the accuracy of spiral computed tomography (CT) in predicting the resectability of Klatskin tumor as determined by vascular invasion. Methods: Twenty-one consecutive patients with Klatskin tumor who had undergone laparotomy were included in this study. The preoperative thin-section (5-mm-thick) spiral CT scans of these patients were assessed for the surgical resectability of tumor by evaluating the vascular invasion. The criterion for vascular invasion indicating unresectability was the tumoral invasion of the proper hepatic artery or main portal vein or simultaneous invasion of one side of the hepatic artery and the other side of the portal vein. Results: All nine patients with tumors thought to be unresectable on the basis of CT findings had tumors that were unresectable at surgery (positive predictive value, 100%). Of 12 patients with tumors thought to be resectable, six had resectable tumors (negative predictive value, 50%). Spiral CT failed to detect small hepatic metastasis (n= 1), lymph node metastasis (n= 1), extensive tumor (n= 2) and variation of bile duct (n= 2), which precluded surgical resection. Conclusion: Spiral CT is a reliable method for detecting vascular invasion and unresectable tumors. However, it has limitations in detecting variations of the bile duct or the intraductal extent of tumor.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1107/s002610000081

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Aqueous dispersion of polyurethane anionomers from H12MDI/IPDI, PCL, BD, and DMPA (1994)

Kim, B. K. ; Kim, T. K. ; Jeong, H. M.

New York, NY [u.a.] : Wiley-Blackwell

Journal of Applied Polymer Science 53 (1994), S. 371-378

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ISSN: 0021-8995

Keywords: Chemistry ; Polymer and Materials Science

Source: Wiley InterScience Backfile Collection 1832-2000

Topics: Chemistry and Pharmacology , Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics

Notes: Polyurethane anionomer dispersions were prepared from hydrogenated diphenylmethane diisocyanate (H12MDI) or isophorone diisocyanate (JPDI), poly(caprolactone) (PCL) diol, 1,4-butane diol (BD), and dimethylolpropionic acid (DMPA). Upon neutralization of the DMPA with triethylamine (TEA), the NCO-terminated polyurethane (PU) ionomers were self-emulsified by adding water, followed by chain extension using triethylenetetramine (TETA) in aqueous media. Polyurethanes from H12MDI showed coarser dispersion and better tensile properties over those from IPDI. Polyurethanes prepared by the one-shot method had better dispersion and tensile properties over those by the two-shot method. When some of the PCL diol was replaced by DMPA or BD, tensile strength increased and ductility decreased due mainly to the increased chain rigidity and intermolecular forces. © 1994 John Wiley & Sons, Inc.

Additional Material: 6 Ill.