In Situ Formation of an Artificial Lithium Oxalate-Rich Solid Electrolyte Interphase on 3D Ni Host for Highly Stable Lithium Metal Batteries.

Li metal, with a high theoretical capacity, is considered the most promising anode for next-generation high-energy-density batteries. However, the commercialization of the Li metal anode is limited owing to its high reactivity, significant volume expansion, continuous solid electrolyte interphase (SEI) layer degradation caused by undesirable Li deposition, and uncontrollable dendrite growth. This study demonstrates the in situ construction of a Li2C2O4-enriched SEI layer from NiC2O4 nanowires on three-dimensional Ni foam. The lithiophilic Li2C2O4-enriched SEI layer provides a uniform distribution of the electrical field and sufficient nucleation and deposition sites for Li without dendrite formation. Consequently, the stable Li2C2O4-enriched SEI layer successfully inhibits the formation of lithium dendrites, resulting in reversible Li stripping/plating behavior, maintained over an extended period of 5000 h with a deposition capacity of 1 mAh cm-2 at 1 mA cm-2. Additionally, a high cycling stability is observed in the full cell test with ∼70% capacity retention after 1300 cycles at 3 C. This approach offers a large-scale and facile synthesis process via the in situ precipitation growth of NiC2O4 followed by lithiation to form Li2C2O4. Furthermore, the significant stability of the Li2C2O4-enriched SEI layer aids the design of in situ-constructed SEI layers for highly stable Li metal batteries.

Recycling Microplastics to Fabricate Anodes for Lithium-Ion Batteries: From Removal of Environmental Troubles via Electrocoagulation to Useful Resources.

Electrocoagulation is an evolving technology for the abatement of a broad range of pollutants in wastewater owing to its flexibility, easy setup, and eco-friendly nature. Here, environment-friendly strategies for the separation, retreatment, and utilization of microplastics via electrocoagulation are investigated. The findings show that the flocs generated by forming Fe3 O4 on the surface of polyethylene (PE) particles are easily separated using a magnetic force with high efficiency of 98.4%. In the photodegradation of the obtained flocs, it is confirmed that Fe3 O4 shall be removed for the efficient generation of free radicals, leading to the highly efficient photolysis of PE. The removed Fe3 O4 can be recycled into iron-oxalate compounds, which can be used in battery applications. In addition, it is suggested that heat treatment of Fe3 O4 -PE flocs in an Ar atmosphere leads to forming Fe3 O4 core-carbon shell nanoparticles, which show excellent performance as anodes in lithium-ion batteries. The proposed composite exhibits an excellent capacity of 1123 mAh g-1 at the current density of 0.5 A g-1 after 600 cycles with a negative fading phenomenon. This study offers insight into a new paradigm of recyclable processes, from environmental issues such as microplastics to using energy materials.

Highly Stable Iron- and Carbon-Based Electrodes for Li-Ion Batteries: Negative Fading and Fast Charging within 12 Min.

Lithium-ion batteries (LIBs) with high energy density and safety under fast-charging conditions are highly desirable for electric vehicles. However, owing to the growth of Li dendrites, increased temperature at high charging rates, and low specific capacity in commercially available anodes, they cannot meet the market demand. In this study, a facile one-pot electrochemical self-assembly approach has been developed for constructing hybrid electrodes composed of ultrafine Fe3 O4 particles on reduced graphene oxide (Fe3 O4 @rGO) as anodes for LIBs. The rationally designed Fe3 O4 @rGO electrode containing 36 wt % rGO exhibits an increase in specific capacity as cycling progresses, owing to improvements in the active sites, electrochemical kinetics, and catalytic behavior, leading to a high specific capacity of 833 mAh g-1 and outstanding cycling stability over 2000 cycles with a capacity loss of only 0.127 % per cycle at 5 A g-1 , enabling the full charging of batteries within 12 min. Furthermore, the origin of this abnormal improvement in the specific capacity (called negative fading), which exceeds the theoretical capacity, is investigated. This study opens up new possibilities for the commercial feasibility of Fe3 O4 @rGO anodes in fast-charging LIBs.

Ni0.67Fe0.33 Hydroxide Incorporated with Oxalate for Highly Efficient Oxygen Evolution Reaction.

As the oxygen evolution reaction (OER) imposes a high energy barrier during electrochemical water splitting, designing highly efficient, stable, and cost-effective electrocatalysts for OERs is an ongoing challenge. In this study, we present a facile approach to prepare villi-shaped Ni-Fe hydroxides incorporated with oxalate derived from Ni-Fe oxalate through the in situ precipitation growth and subsequent immersion in an alkaline solution. The electrode with an optimized Ni-Fe ratio improves the OER kinetics, on which the electronic structure of the active site is adjusted based on a mutual effect between the adjacent nickel and iron atoms. The OER performance was significantly better than that of monometallic Ni(OH)2 and pristine Ni foam, with a low overpotential of 277 mV at 100 mA cm-2 and excellent stability. The enhanced OER performance is ascribed to the advanced intrinsic electrocatalytic activity of the electrode as a result of the synergetic effect of optimized Ni-Fe ratio mixing at the atomic level which leads to an increased surface area, a high number of active sites, and a reduced charge transfer resistivity.

In†Situ Precipitation-Induced Growth of Leaf-like CuO Nanostructures on Cu-Ni Alloys for Binder-Free Anodes in Li-Ion Batteries.

CuC2 O4 ⋅x H2 O was facilely prepared on a Cu-Ni alloy substrate by in situ precipitation-induced growth by using a mixture of sodium persulfate, hydrogen peroxide, and oxalic acid. Thermal annealing allowed the conversion of CuC2 O4 ⋅x H2 O to leaf-like CuO nanostructures with a thickness of a few tens of micrometers of sub-sized nanoparticles, which were applied for fabricating binder-free anodes for lithium-ion batteries. Ni was a nucleation site for CuC2 O4 ⋅x H2 O, which was uniformly formed on the entire substrate. The concentration of each component in the mixture solution caused significant morphological changes because of the different elution of copper ions. CuO nanostructures annealed at 550 °C showed large areal and gravimetric capacity with excellent capacity retention of 95.5 % after 200 cycles at a high current density because of their appropriate structural morphology, which not only allowed the formation of a stable solid electrolyte interphase layer but also enabled a reversible reaction during the charge/discharge process.

Binder-free SnO2-TiO2 composite anode with high durability for lithium-ion batteries.

A SnO2-TiO2 electrode was prepared via anodization and subsequent anodic potential shock for a binder-free anode for lithium-ion battery applications. Perpendicularly oriented TiO2 microcones are formed by anodization; SnO2, originating in a Na2SnO3 precursor, is then deposited in the valleys between the microcones and in their hollow cores by anodic potential shock. This sequence is confirmed by SEM and TEM analyses and EDS element mapping. The SnO2-TiO2 binder-free anode is evaluated for its C-rate performance and long-term cyclability in a half-cell measurement apparatus. The SnO2-TiO2 anode exhibits a higher specific capacity than the one with pristine TiO2 microcones and shows excellent capacity recovery during the rate capability test. The SnO2-TiO2 microcone structure shows no deterioration caused by the breakdown of electrode materials over 300 cycles. The charge/discharge capacity is at least double that of the TiO2 microcone material in a long-term cycling evaluation.

Fast-Charging and High Volumetric Capacity Anode Based on Co3 O4 /CuO@TiO2 Composites for Lithium-Ion Batteries.

This paper presents an investigation of anodic TiO2 nanotube arrays (TNAs), with a Co3 O4 /CuO coating, for lithium-ion batteries (LIBs). The coated TNAs are investigated using various analytical techniques, with the results clearly suggesting that the molar ratio of Co3 O4 /CuO in the TiO2 nanotubes substantially influences its battery performance. In particular, a cobalt/copper molar ratio of 2:1 on the TNAs (Co2 Cu1 @TNAs) features the best LIBs anode performance, exhibiting high reversible capacity and enhanced cycling stability. Noticeably, Co2 Cu1 @TNAs achieve excellent rate capability even after quite a high current density of 20.0 A g-1 (≈25 C, where C corresponds to complete discharge in 1 h) and superior volumetric reversible capacity of ≈3330 mA h-1 cm-3 . This value is approximately seven times higher than those of a graphite-based anode. This outstanding performance is attributed to the synergistic effects of Co2 Cu1 @TNAs: 1) the structural advantage of TNAs, with their large amount of free space to accommodate the large volume expansion during Li+ insertion/extraction and 2) the optimized ratio of Co3 O4 and CuO in the composite for improved capacity. In addition, no binder or conductive agent is used, which is partly responsible for the overall improved volumetric capacity and electrochemical performance.

Keratin 19 Expression in Hepatocellular Carcinoma Is Regulated by Fibroblast-Derived HGF via a MET-ERK1/2-AP1 and SP1 Axis.

Keratin (KRT) 19 is a poor prognostic marker for hepatocellular carcinoma (HCC); however, regulatory mechanisms underlying its expression remain unclear. We have previously reported the presence of fibrous tumor stroma in KRT19-positive HCC, suggesting that cross-talk between cancer-associated fibroblasts (CAF) and tumor epithelial cells could regulate KRT19 expression. This was investigated in this study using an in vitro model of paracrine interaction between HCC cell lines (HepG2, SNU423) and hepatic stellate cells (HSC), a major source of hepatic myofibroblasts. HSCs upregulated transcription and translation of KRT19 in HCC cells via paracrine interactions. Mechanistically, hepatocyte growth factor (HGF) from HSCs activated c-MET and the MEK-ERK1/2 pathway, which upregulated KRT19 expression in HCC cells. Furthermore, AP1 (JUN/FOSL1) and SP1, downstream transcriptional activators of ERK1/2, activated KRT19 expression in HCC cells. In clinical specimens of human HCC (n = 339), HGF and KRT19 protein expression correlated with CAF levels. In addition, HGF or MET protein expression was associated with FOSL1 and KRT19 expression and was found to be a poor prognostic factor. Analysis of data from The Cancer Genome Atlas also revealed KRT19 expression was closely associated with CAF and MET-mediated signaling activities. These results provide insights into the molecular background of KRT19-positive HCC that display an aggressive phenotype.Significance: These findings reveal KRT19 expression in hepatocellular carcinoma is regulated by cross-talk between cancer-associated fibroblasts and HCC cells, illuminating new therapeutic targets for this aggressive disease. Cancer Res; 78(7); 1619-31. ©2018 AACR.

Preparation and Application of Porous Materials based on Deep Eutectic Solvents.

Deep eutectic solvents (DESs) are a common successor to ionic liquids (ILs) with similar physicochemical properties. DESs have attracted considerable interest in related chemical research based on the superiority of DESs over ILs and in the preparation of porous materials. In addition, DESs-based materials have been applied widely in chemical research. This review highlights the preparation and properties of DESs. The application of DES in the preparation of silica and polymers is also discussed. The available data and references in this field are reviewed to summarize the applications and developments of DESs. Based on the development of DESs, the exploitation of new DES-based materials is expected to diversify into chemical research.

Transcriptomic and histopathological analysis of cholangiolocellular differentiation trait in intrahepatic cholangiocarcinoma.

BACKGROUND & AIMS: Intrahepatic cholangiocarcinoma (iCCA) is a heterogeneous entity with diverse aetiologies, morphologies and clinical outcomes. Recently, histopathological distinction of cholangiolocellular differentiation (CD) of iCCA has been suggested. However, its genome-wide molecular features and clinical significance remain unclear. METHODS: Based on CD status, we stratified iCCAs into iCCA with CD (n=20) and iCCA without CD (n=102), and performed an integrative analysis using transcriptomic and clinicopathological profiles. RESULTS: iCCA with CD revealed less aggressive histopathological features compared to iCCA without CD, and iCCA with CD showed favourable clinical outcomes of overall survival and time to recurrence than iCCA without CD (P<.05 for all). Transcriptomic profiling revealed that iCCA with CD resembled an inflammation-related subtype, while iCCA without CD resembled a proliferation subtype. In addition, we identified a CD signature that can predict prognostic outcomes of iCCA (CD_UP, n=486 and CD_DOWN, n=308). iCCAs were subgrouped into G1 (positivity for CRP and CDH2, 7%), G3 (positivity for S100P and TFF1, 32%) and G2 (the others, 61%). Prognostic outcomes for overall survival (P=.001) and time to recurrence (P=.017) were the most favourable in G1-iCCAs, intermediate in G2-iCCAs and the worst in G3-iCCAs. Similar result was confirmed in the iCCA set from GSE26566 (n=68). CONCLUSIONS: CD signature was identified to predict the prognosis of iCCA. The combined evaluation of histology of CD and protein expression status of CRP, CDH2, TFF1 and S100P might help subtyping and predicting clinical outcomes of iCCA.

RGO-Coated TiO2 Microcones for High-Rate Lithium-Ion Batteries.

Reduced graphene oxide (RGO)-coated TiO2 microcones have been synthesized via simple anodization and cyclic voltammetry for use in lithium-ion batteries (LIBs). Microcones had a perpendicularly oriented hollow core, an anatase structure, and a high surface area, allowing higher capacity than other nanosized TiO2 structures. TiO2 has low electrical conductivity, leading to the limitation of fast charging and high capacity; however, this was improved by the application of an RGO coating in this work. As anode materials of LIB, the obtained RGO microcone showed a capacity of 157 mAh g-1 at 10C (fully charged within ∼360 s) and sustained 1000 cycles with only 0.02% capacity fading per cycle. The capacity was 1.5 times higher than that of conventional microcone. We speculated that the decrease in the charge-transfer resistance (R ct) played a crucial role in increasing the capacity with fast charging.

Electrodeposition of WO3 nanoparticles into surface mounted metal-organic framework HKUST-1 thin films.

We describe a novel procedure to fabricate WO3@surface-mounted metal-organic framework (SURMOF) hybrid materials by electrodeposition of WO3 nanoparticles into HKUST-1, also termed Cu3(BTC)2 SURMOFs. These materials have been characterized using x-ray diffraction, time-of-flight secondary ion mass spectrometry, scanning electron microscopy, x-ray photoelectron spectroscopy as well as linear sweep voltammetry. The WO3 semiconductor/SURMOF heterostructures were further tested as hybrid electrodes in their performance for hydrogen evolution reaction from water.

Human adipose tissue-derived mesenchymal stem cells alleviate atopic dermatitis via regulation of B lymphocyte maturation.

Mesenchymal stem cell (MSC) has been applied for the therapy of allergic disorders due to its beneficial immunomodulatory abilities. However, the underlying mechanisms for therapeutic efficacy are reported to be diverse according to the source of cell isolation or the route of administration. We sought to investigate the safety and the efficacy of human adipose tissue-derived MSCs (hAT-MSCs) in mouse atopic dermatitis (AD) model and to determine the distribution of cells after intravenous administration. Murine AD model was established by multiple treatment of Dermatophagoides farinae. AD mice were intravenously infused with hAT-MSCs and monitored for clinical symptoms. The administration of hAT-MSCs reduced the gross and histological signatures of AD, as well as serum IgE level. hAT-MSCs were mostly detected in lung and heart of mice within 3 days after administration and were hardly detectable at 2 weeks. All of mice administered with hAT-MSCs survived until sacrifice and did not demonstrate any adverse events. Co-culture experiments revealed that hAT-MSCs significantly inhibited the proliferation and the maturation of B lymphocytes via cyclooxygenase (COX)-2 signaling. Moreover, mast cell (MC) degranulation was suppressed by hAT-MSC. In conclusion, the intravenous infusion of hAT-MSCs can alleviate AD through the regulation of B cell function.

Highly Ordered TiO2 Microcones with High Rate Performance for Enhanced Lithium-Ion Storage.

The perpendicularly oriented anatase TiO2 microcones for Li-ion battery application were synthesized via anodization of a Ti foil in aqueous HF + H3PO4 solution. The TiO2 microcones exhibited a high active surface area with a hollow core depending on applied voltage and reaction time, confirmed by SEM, XRD and TEM with EDS mapping. Li insertion/desertion into TiO2 microcones was evaluated for the first time in half-cell configuration in terms of various current density and long-term cyclability. The electrochemical experiments demonstrated that the as-prepared TiO2 microcones as anode material exhibited 3 times higher capacity as compared with TiO2 nanotubular structures, excellent rate performance (0.054 mAhcm(-2) even at 50 C) and reliable capacity retention during 500 cycles, which was attributed to facile diffusion of Li-ions induced in hollow anatase TiO2 microcones structure with multilayered nanofragment.

ß-Catenin activated hepatocellular adenoma: a report of three cases in Korea.

Hepatocellular adenoma (HCA) is an uncommon benign hepatic tumor, and the use of oral contraceptives is known to contribute to the development of HCA. Recently, a genotype and phenotype classification system for HCA was suggested, and malignant transformation to hepatocellular carcinoma (HCC) was shown to be strongly associated with activating mutations in ß-catenin. Here, we report three cases of HCA in Korean patients: 7-cm, inflammatory and ß-catenin-activated HCA with HCC transformation in a 46-year-old man; 13-cm, ß-catenin-activated HCA with cytological atypia in a 23-year-old woman; and 10-cm, pigmented, inflammatory and ß-catenin-activated HCA in a 36-year-old man. All cases exhibited the nuclear expression of ß-catenin and diffuse cytoplasmic expression of glutamine synthetase upon immunohistochemical staining. All tumors were completely resected, and the patients were followed for 3 to 6 years with no evidence of local recurrence or metastasis.

A fibrous stromal component in hepatocellular carcinoma reveals a cholangiocarcinoma-like gene expression trait and epithelial-mesenchymal transition.

UNLABELLED: Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CC) are the major primary liver cancers in adults. The phenotypic overlap between HCC and CC has been shown to comprise a continuous liver cancer spectrum. As a proof of this concept, a recent study demonstrated a genomic subtype of HCC that expressed CC-like gene expression traits, such as CC-like HCC, which revealed the common genomic trait of stem-cell-like properties and aggressive clinical outcomes. Scirrhous HCC (S-HCC), a rare variant of HCC, is characterized by abundant fibrous stroma and has been known to express several liver stem/progenitor cell markers. This suggests that S-HCC may harbor common intermediate traits between HCC and CC, including stem-cell traits, which are similar to those of CC-like HCC. However, the molecular and pathological characteristics of S-HCC have not been fully evaluated. By performing gene-expression profiling and immunohistochemical evaluation, we compared the morphological and molecular features of S-HCC with those of CC and HCC. S-HCC expresses both CC-like and stem-cell-like genomic traits. In addition, we observed the expression of core epithelial-mesenchymal transition (EMT)-related genes, which may contribute to the aggressive behavior of S-HCC. Overexpression of transforming growth factor beta (TGF-ß) signaling was also found, implying its regulatory role in the pathobiology of S-HCC. CONCLUSION: We suggest that the fibrous stromal component in HCC may contribute to the acquisition of CC-like gene-expression traits in HCC. The expression of stem-cell-like traits and TGF-ß/EMT molecules may play a pivotal role in the aggressive phenotyping of S-HCC. (HEPATOLOGY 2012;55:1776-1786).

Gadoxetic acid-enhanced MRI findings of early hepatocellular carcinoma as defined by new histologic criteria.

PURPOSE: To describe the imaging features of early hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced MRI (Gd-EOB-MRI) in comparison with multidetector computed tomography (MDCT) examinations. MATERIALS AND METHODS: We analyzed imaging findings of 19 pathologically proven early HCC lesions in 15 patients who underwent both MDCT and Gd-EOB-MRI at 3.0 Tesla (T) units before surgery. MRI included in-phase and out-of-phase T1-weighted dual-echo gradient-recalled-echo sequences, dynamic T1-weighted images before and after bolus injection of gadoxetic acid disodium, fat-saturated T2-weighted fast spin-echo sequences, and T1-weighted hepatobiliary phase images 20 min after contrast injection. Two radiologists retrospectively evaluated the signal intensities and enhancement features on MRI and MDCT. RESULTS: None of the lesions displayed arterial enhancement and washout on MDCT. On Gd-EOB-MRI, six (32%) lesions showed T2-hyperintensity, five (26%) lesions showed signal drop on opposed-phase. Three lesions (16%) showed arterial enhancement and washout. Twelve (63%), 13 (68%), and 15 (79%) lesions were hypointense on hepatic venous, equilibrium, and hepatobiliary phase, respectively. CONCLUSION: Most early HCCs did not show arterial enhancement and washout pattern on both MDCT and Gd-EOB-MRI. Gd-EOB-MRI may provide several ancillary findings for diagnosis of early HCC such as decreased hepatobiliary uptake, T2 hyperintensity and signal drop in opposed phase.

Prediction of microvascular invasion of hepatocellular carcinoma: usefulness of peritumoral hypointensity seen on gadoxetate disodium-enhanced hepatobiliary phase images.

PURPOSE: To determine whether peritumoral hypointensity seen on hepatobiliary phase images of preoperative gadoxetate disodium-enhanced magnetic resonance imaging (EOB-MRI) is useful for predicting microvascular invasion of hepatocellular carcinoma (HCC). MATERIALS AND METHODS: This study was approved by the Institutional Review Board. In all, 104 HCC masses in 104 patients who had undergone EOB-MRI and liver surgery within 1 month after EOB-MRI were evaluated. Two radiologists independently recorded the presence of a peritumoral hypointensity on hepatobiliary phase. Interobserver agreement was assessed and consensus records were used. Tumor size was measured. A chi-square test and independent t-test were used for univariate analysis. Multiple logistic regression was performed to determine factors for predicting microvascular invasion. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of peritumoral hypointensity were calculated. RESULTS: Sixty HCCs had microvascular invasion and 44 did not. Interobserver agreement in determining peritumoral hypointensity was excellent (κ = 0.83). By univariate analysis, peritumoral hypointensity and tumor size were significant for predicting microvascular invasion of HCC. On multiple logistic regression analysis, only peritumoral hypointensity was significant in predicting microvascular invasion of HCC (P = 0.013). The sensitivity, specificity, PPV, and NPV of peritumoral hypointensity were 38.3%, 93.2%, 88.5%, and 52.6%, respectively. CONCLUSION: Peritumoral hypointensity on the hepatobiliary phase of EOB-MRI is not sensitive but has high specificity for predicting microvascular invasion of HCC.

UCSF criteria by pre-transplant radiologic study can not assure similar post-transplant results of hepatocellular carcinoma within Milan criteria.

The recurrence of hepatocellular carcinoma (HCC) after transplantation is the main limitation of liver transplantation. Therefore, several selection criteria for liver transplantation in HCC patients have been established. The objective of this study was to verify the clinical validity of selection criteria evaluated by pre-transplant radiologic imaging study. Sixty-nine participants were enrolled for this study between September 2005 and May 2007. We analyzed the post-transplant survival and recurrence rate using radiologic selection criteria and other clinical factors. Grouping by pretransplant criteria for liver transplantation, 16 recipients (23.2%) were above Milan criteria and 7 recipients (10.1%) were above UCSF criteria. Nine recipients (13.0%) were grouped as above Milan/below UCSF. The recipients who met Milan showed 85.8% 1-year survival rates, which was comparable to that of non-HCC (91.6%) (p = 0.767). During the post-transplant follow-up period (1-52 months, 14.81 +/- 12.0 months), 16 recurrences (23.2%) were diagnosed. The 1-year recurrence-free survival rate of recipients who met the Milan criteria was 78.6%, and those that did not meet these criteria was 22.7% (p < 0.0001). With regard to UCSF criteria, these percentages were 72.0% and 14.2%, respectively (p < 0.0001). According to a combined grouping, the 1-year recurrence-free survival rate was 25.4% in the above Milan/below UCSF group. There were significant differences among each of the groups (overall p < 0.0001). The application of UCSF criteria that are defined by pre-transplant radiologic findings as patient selection criteria for liver transplantation is limited.

Differential features of pancreatobiliary- and intestinal-type ampullary carcinomas at MR imaging.

PURPOSE: To define the differential imaging features of pancreatobiliary- and intestinal-type ampullary carcinomas at magnetic resonance (MR) imaging and to correlate these features with pathologic findings. MATERIALS AND METHODS: This retrospective study was approved by the institutional review board; informed consent was waived. Fifty patients with surgically confirmed ampullary carcinoma and preoperative MR results were included. Two radiologists, blinded to histologic type of cancer, evaluated imaging findings in consensus. Univariate and multiple logistic regression analysis were performed to define imaging findings that were useful for differentiation of the two types of carcinomas. RESULTS: On the basis of hematoxylin-eosin and immunohistochemical staining, 35 patients were classified as having pancreatobiliary type; and 15 patients, intestinal type. At MR, all of 15 intestinal carcinomas were nodular, whereas 16 (46%) of 35 pancreatobiliary carcinomas were infiltrative. Intestinal carcinomas were isointense (13 [87%] of 15) to hyperintense (two [13%] of 15), whereas 34% (12 of 35) of pancreatobiliary carcinomas manifested as hypointense compared with the duodenum on T2-weighted MR images (P = .034). Intestinal carcinoma commonly manifested with an oval filling defect at the distal end of the bile duct on MR cholangiopancreatographic (MRCP) images (11 [73%] of 15 vs four [11%] of 35 in pancreatobiliary type) (P < .001). At endoscopy, intestinal carcinoma manifested with an extramural protruding mass (n = 15, 100%) with a papillary surface (n = 11, 73%), whereas pancreatobiliary carcinoma manifested with intramural protruding (n = 5, 28%) or ulcerating (n = 1, 6%) gross morphologic features (P = .047) with a nonpapillary surface (n = 17, 94%) (P < .001). Multiple logistic regression analysis showed that an oval filling defect at the distal end of the bile duct was the only independent finding for differentiating intestinal from pancreatobiliary carcinoma (P = .027). CONCLUSION: An oval filling defect at the distal end of the bile duct on MRCP images and an extramural protruding appearance with a papillary surface at endoscopy are likely to suggest intestinal ampullary carcinoma.