Evidence map›Paper›PMID 32932894›Full record

ReviewCancers2020

Pathophysiology and Imaging Findings of Bile Duct Necrosis: A Rare but Serious Complication of Transarterial Therapy for Liver Tumors.

Satoshi Kobayashi, Kazuto Kozaka, Toshifumi Gabata, Osamu Matsui, Wataru Koda, Miho Okuda, Kenichiro Okumura, Takumi Sugiura, Takahiro Ogi

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Percutaneous Interventional Procedures for Bile Duct Injuries.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. [Clinical study on early predictors of concurrent bile duct injury following TACE in patients with liver cancer].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Satoshi KobayashiDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.ORCID 0000-0001-7759-399X
Kazuto KozakaDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Toshifumi GabataDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Osamu MatsuiDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Wataru KodaDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Miho OkudaDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Kenichiro OkumuraDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.ORCID 0000-0001-8131-7584
Takumi SugiuraDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Takahiro OgiDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara Machi, Kanazawa 920-8641, Japan.
Kanazawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bile duct necrosis (BDN) with biloma formation is a type of ischemic bile duct injury that is one of the serious complications associated with transarterial therapies, such as transcatheter chemoembolization therapy (TACE), and radioembolization for hepatocellular carcinoma (HCC) and hepatic arterial infusion chemotherapy (HAIC) for metastatic liver cancer from colorectal carcinoma. In terms of the occurrence of BDN and subsequent biloma formation, ischemic injury to the peribiliary vascular plexus (PBP), the supporting vessel of bile duct epithelium, is thought to be intimately associated. In this paper, we first describe the anatomy, blood supply, and function of the intrahepatic bile duct, and then illustrate the pathophysiology of BDN, and finally present the imaging findings of BDN. Under the process of BDN formation, ischemia of the PBP induces the disruption of the bile duct epithelial protection mechanism that causes coagulation and fibrinoid necrosis of the surrounding tissue by the detergent action of exuded bile acids, and eventually a biloma forms. Once BDN occurs, persistent tissue damage to the surrounding bile duct is induced by imbibed bile acids, and portal vein thrombosis may also be observed. On pre-contrast and contrast-enhanced computed tomography (CT), BDN shows similar findings to intrahepatic bile duct dilatation, and, therefore, it is sometimes misdiagnosed. Differentiation of imaging findings on CT and ultrasound (US)/magnetic resonance (MR) imaging/MR cholangiopancreatography (MRCP) is important for correct diagnosis of BDN.

Indexed as

bile duct necrosischemoembolizationhepatocellular carcinomaperibiliary vascular plexus

Identifiers

PMID32932894
PMCPMC7565329
OpenAlexW3084853548

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.