Value of contrast enhanced ultrasound in the diagnosis of gallbladder adenomyomatosis

doi:10.3877/cma.j.issn.1672-6448.2016.05.013

Abstract

Abstract:

Objective

To explore the value of contrast enhanced ultrasound in the diagnosis of gallbladder adenomyomatosis.

Methods

Twenty-three patients with pathologic diagnosis of gallbladder adenomyomatosis were included in this study. The features of conventional ultrasound and contrast enhanced ultrasound were observed and the accuracy rates of conventional ultrasound and contrast enhanced ultrasound were compared.

Results

The typical conventional ultrasound features for gallbladder adenomyomatosis included the localized thickness of gallbladder, intramural small anechoic area, and intralumenal echogenic foci with comet tail. The accuracy for conventional ultrasound was 69.6% (16/23). The typical contrast enhanced ultrasound features were the heterogeneous enhancement with scattered small non-enhanced areas on both arterial phase and venous phase. The accuracy of contrast enhanced ultrasound was 95.7% (22/23), which was significantly higher than that of conventional ultrasound (χ²=5.447, P<0.05).

Conclusions

Both conventional ultrasound and contrast enhanced ultrasound had typical features for gallbladder adenomyomatosis. The diagnostic efficiency of contrast enhanced ultrasound was significantly better than that of conventional ultrasound.

Key words: Ultrasonography, Contrast media, Gallbladder diseases

Hui Su, Bo Zhang, Cuiyun Liu, Haodong Zhang, Yan Xiong, Yongjie Liu. Value of contrast enhanced ultrasound in the diagnosis of gallbladder adenomyomatosis[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2016, 13(05): 389-392.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2016.05.013

https://chaosheng.cma-cmc.com.cn/EN/Y2016/V13/I05/389

Figures/Tables 1

References 10

[1]	Pellino G, Sciaudone G, Candilio G, et al. Stepwise approach and surgery for gallbladder adenomyomatosis: a mini-review [J]. Hepatobiliary Pancreat Dis Int, 2013, 12(2): 136-142.
[2]	盛敏, 陈正光, 高萍, 等. 罗-阿氏窦诊断胆囊腺肌增生症的价值 [J]. 实用放射学杂志, 2008, 24(5): 639-641.
[3]	Bang SH, Lee JY, Woo H, et al. Differentiating between adenomyomatosis and gallbladder cancer: revisiting a comparative study of high-resolution ultrasound, multidetector CT, and MR imaging [J]. Korean J Radiol, 2014, 15(2): 226-234.
[4]	Meacock LM, Sellars ME, Sidhu PS. Evaluation of gallbladder and biliary duct disease using microbubble contrast-enhanced ultrasound [J]. Br J Radiol, 2010, 83(991): 615-627.
[5]	Tang SS, Huang LP, Wang Yao, et al. Contrast-enhanced ultrasonography diagnosis of fundal localized type of gallbladder adenomyomatosis [J]. BMC Gastroenterol, 2015, 15: 99.
[6]	Yoon JH, Cha SS, Han SS, et al. Gallbladder adenomyomatosis: imaging findings [J]. Abdominal imaging, 2006, 31(5): 555-563.
[7]	高鹏骥, 张龙辉, 王东, 等. 胆囊腺肌症的诊治:附205例报告 [J]. 中国普通外科杂志, 2015, 24(8): 1155-1158.
[8]	Bang SH, Lee JY, Woo H, et al. Differentiating between adenomyomatosis and gallbladder cancer: revisiting a comparative study of high-resolution ultrasound, multidetector CT, and MRI imaging [J]. Korean J Radiol, 2014, 15(2): 226-234.
[9]	Piscaglia F, Nolsoe C, Dietrich CF, et al. The EFSUMB Guidelines and Recommendations on the Clinical Practice of Contrast Enhanced Ultrasound (CEUS): update 2011 on non-hepatic applications [J]. Ultraschall Med, 2012, 33(1): 33-59.
[10]	徐辉雄, 刘琳娜, 郑曙光, 等. 胆囊超声造影临床应用指南(2012)解读 [J/CD]. 中华医学超声杂志:电子版, 2014, 11(2): 102-104.

[1]	Jianquan Zhang, Jie Cheng, Hongqiong Chen, Lei Yan. Evaluation of ablated thyroid areas using ACR-TIRADS：a survey study [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 966-971.
[2]	Hui Luo, Ye Fang. Application of quality control circles in improving detection rate of thyroid nodules by fine-needle aspiration [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 972-977.
[3]	Zhong Yang, Jingye Shi, Xuedong Deng, Wei Jiang, Linliang Yin, Qi Pan, Hong Liang, Jianfang Ma, Zhenqi Wang, Jun Zhang, Shanshan Dong. Diagnostic value of prenatal ultrasound in fetal 22q11.2 microdeletion syndrome [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 852-858.
[4]	Yanjuan Bao, Xiaohong Yang, Tao Zhang, Sheng Zhao, Li Zhang. Ultrasound diagnosis and clinical analysis of obstructed hemivagina and ipsilateral renal anomaly syndrome [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 859-864.
[5]	Sirui Liu, Chenyang Zhao, Rui Zhang, Yixiu Zhang, Meng Yang. Comprehensive evaluation of hemodynamic parameters at different segments of the uterine artery in pregnant rats using Doppler ultrasonography [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 877-883.
[6]	Jiali Sun, Lin Jin, Cuiqin Shen, Qingqing Chen, Yanping Lin, Zhaojun Li, Dong Xu. Ultrasound-guided robot-assisted percutaneous puncture： an experimental study [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 884-889.
[7]	Xuebing Shi, Yingdong Xie, Ni Xie, Chaoli Xu, Bin Yang, Guo Sun. Acoustic radiation force imaging for evaluating efficacy of radiotherapy in unresectable hepatocellular carcinoma patients with portal vein tumor thrombus [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(08): 778-784.
[8]	Yang Li, Jinyu Cai, Xiaozhi Dang, Wanying Chang, Yan Ju, Yi Gao, Hongping Song. Application value of a deep learning-based model for generating strain elastography images using breast grayscale ultrasound images [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 563-570.
[9]	Wei Hong, Xirong Ye, Zhihong Liu, Yinfeng Yang, Zhihong Lyu. Value of ultrasound radiomics combined with clinicopathological features in predicting complete pathological response to neoadjuvant chemotherapy for breast cancer [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 571-579.
[10]	Ziyang Wang, Wenli Yang, Dongjun Li, Wei Chen, Qi Zhao, Yifeng Li, Rui Cui, Lin Shen, Qian Liu, Chuanchuan Wei. Clinical observation of the eyeball wall with high frequency linear array probe [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 580-584.
[11]	Wenjing Xiang, Yan Xu, Tong Ru, Mingming Zheng, Yan Gu, Chenyan Dai, Xiangyu Zhu, Chenchen Yan. Application of neurosonography in prenatal diagnosis of fetal corpus callosum malformations [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 470-476.
[12]	Ke Hu, Rong Lu. Multi-parameter ultrasound-based diagnostic model for stress urinary incontinence in middle-aged and elderly women [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 477-483.
[13]	Qiong Gao, Zhongxia Sun, Ge Zhang, Min Wang, Zihang Xu, Jiateng Zhang, Tian'an Jiang. Causes and countermeasures of missed diagnosis and misdiagnosis of pancreatic space-occupying lesions by ultrasound [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 517-521.
[14]	Zhongguang Hou, Yunyun Zhan, Yu Bi, Jiajia Wang, Xiabi Wu, Mei Peng. Application of three-dimensional inversion imaging in diagnosis of nature of Breast Imaging Reporting and Data System category 4 breast masses: a preliminary study [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(04): 370-376.
[15]	Jingyu Qian, Mingming Zheng. Interpretation of the Italian guidelines on non-invasive and invasive prenatal diagnosis：executive summary of recommendations for practice the Italian Society for Obstetrics and Gynecology（SIGO） [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2024, 20(05): 486-492.

Please choose a citation manager

Content to export