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June 25, 1982

Radiology in Disorders of the Liver, Biliary Tract and Pancreas: With Special Reference to the Use of Angiography in the Diagnosis of Resectable Tumors

JAMA. 1982;247(24):3363-3364. doi:10.1001/jama.1982.03320490059046

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This beautiful radiological atlas illustrates modern diagnostic concepts that are used in the evaluation of hepatobiliary and pancreatic diseases. Tumor screening, done by scintigraphy, ultrasound, and computed tomography, is followed by a combination of percutaneous transhepatic cholangiography (PTC), endoscopic retrograde cholangiopancreatography (ERCP), and high-quality visceral angiography for more definitive diagnosis and staging. From his extensive experience with pancreatic biliary disease, Dr Ariyama reports an unusually high degree of success (over 90%) with retrograde cannulation of the bile duct and the pancreatic duct, all without morbidity, a remarkable feat of technical wizardry. Unfortunately, clinical and technical details are not described in the text, but most can be found from the bibliography.

Useful diagnostic information is given in the presentation of large series of hepatomas and biliary tract malignancies. Ariyama has made an important contribution in the early diagnosis of pancreatic carcinoma by championing the free and early use of ERCP and