Diffusion-weighted whole-body magnetic resonance imaging with background body signal suppression/T2 image fusion for the diagnosis of acute cholecystitis

被引：6

作者：

Tomizawa, Minoru ^{[1
]}

Shinozaki, Fuminobu ^{[2
]}

Tanaka, Satomi ^{[2
]}

Sunaoshi, Takafumi ^{[2
]}

Kano, Daisuke ^{[2
]}

Sugiyama, Eriko ^{[2
]}

Shite, Misaki ^{[2
]}

Haga, Ryouta ^{[2
]}

Fukamizu, Yoshiya ^{[2
]}

Fujita, Toshiyuki ^{[2
]}

Kagayama, Satoshi ^{[2
]}

Hasegawa, Rumiko ^{[3
]}

Shirai, Yoshinori ^{[3
]}

Motoyoshi, Yasufumi ^{[4
]}

Sugiyama, Takao ^{[5
]}

Yamamoto, Shigenori ^{[6
]}

Ishige, Naoki ^{[7
]}

机构：

[1] Shimoshizu Hosp, Natl Hosp Org, Dept Gastroenterol, 934-5 Shikawatashi, Yotsukaido, Chiba 2840003, Japan

[2] Shimoshizu Hosp, Natl Hosp Org, Dept Radiol, Yotsukaido, Chiba 2840003, Japan

[3] Shimoshizu Hosp, Natl Hosp Org, Dept Surg, Yotsukaido, Chiba 2840003, Japan

[4] Shimoshizu Hosp, Natl Hosp Org, Dept Neurol, Yotsukaido, Chiba 2840003, Japan

[5] Shimoshizu Hosp, Natl Hosp Org, Dept Rheumatol, Yotsukaido, Chiba 2840003, Japan

[6] Shimoshizu Hosp, Natl Hosp Org, Dept Pediat, Yotsukaido, Chiba 2840003, Japan

[7] Shimoshizu Hosp, Natl Hosp Org, Dept Neurosurg, Yotsukaido, Chiba 2840003, Japan

来源：

EXPERIMENTAL AND THERAPEUTIC MEDICINE | 2017年 / 14卷 / 01期

关键词：

acute cholecystitis; sensitivity; severity; CELL LUNG-CANCER; GALLBLADDER LESIONS; ULTRASONOGRAPHY; DIFFERENTIATION; EFFICACY; PET/CT; MRI;

D O I：

10.3892/etm.2017.4561

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

\Prompt and accurate diagnosis is critical in the treatment of acute cholecystitis. Diffusion-weighted whole-body magnetic resonance imaging with background body signal suppression/T2 image fusion (DWIBS/T2) identifies areas with high signal intensity, corresponding to inflammation. In the present study, the records and images of patients with acute cholecystitis who underwent DWIBS/T2 between January 2013 and March 2014 were retrospectively analyzed. A total of 11 patients with acute cholecystitis were enrolled. In one patient, DWIBS/T2 identified a thickened wall and high signal intensity, with high signal intensity in the pericholecystic space that suggested localized peritonitis. Positive DWIBS/T2 results indicating acute cholecystitis were obtained in 10/11 patients, with a sensitivity of 90.9%. In addition, wall thickening and high signal intensity were absent in DWIBS/T2 images when wall thickening was not detected by computed tomography. Wall thickening and high signal intensity was attenuated when patients with acute cholecystitis were clinically treated. These data suggest that a thickened gallbladder wall and high signal intensity are indicative of acute cholecystitis and that DWIBS/T2 may be a useful technique in evaluating the severity of acute cholecystitis.

引用

页码：730 / 734

页数：5

共 32 条

[1] Predictive factors for the diagnosis of severe acute cholecystitis in an emergency setting [J].

Borzellino, Giuseppe ;

Steccanella, Francesca ;

Mantovani, William ;

Genna, Michele .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (09) :3388-3395

[2] Percutaneous cholecystostomy for acute cholecystitis in patients with high comorbidity and re-evaluation of treatment efficacy [J].

Chang, Ye Rim ;

Ahn, Young-Joon ;

Jang, Jin-Young ;

Kang, Mee Joo ;

Kwon, Wooil ;

Jung, Woo Hyun ;

Kim, Sun-Whe .

SURGERY, 2014, 155 (04) :615-622

[3] Diagnostic accuracy of whole-body MRI/DWI image fusion for detection of malignant tumours: a comparison with PET/CT [J].

Fischer, Michael A. ;

Nanz, Daniel ;

Hany, Thomas ;

Reiner, Caecilia S. ;

Stolzmann, Paul ;

Donati, Olivio F. ;

Breitenstein, Stefan ;

Schneider, Paul ;

Weishaupt, Dominik ;

von Schulthess, Gustav K. ;

Scheffel, Hans .

EUROPEAN RADIOLOGY, 2011, 21 (02) :246-255

[4] Evaluation of the Biliary Tree and Gallbladder With Hepatocellular MR Contrast Agents [J].

Gupta, Rajan T. .

CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY, 2013, 42 (02) :67-76

[5] MR imaging in clinically suspected acute cholecystitis -: A comparison with ultrasonography [J].

Håkansson, K ;

Leander, P ;

Ekberg, O ;

Håkansson, HO .

ACTA RADIOLOGICA, 2000, 41 (04) :322-328

[6] Diagnostic criteria and severity assessment of acute cholecystitis:: Tokyo Guidelines [J].

Hirota, Masahiko ;

Takada, Tadahiro ;

Kawarada, Yoshifumi ;

Nimura, Yuji ;

Miura, Fumihiko ;

Hirata, Koichi ;

Mayumi, Toshihiko ;

Yoshida, Masahiro ;

Strasberg, Steven ;

Pitt, Henry ;

Gadacz, Thomas R. ;

de Santibanes, Eduardo ;

Gouma, Dirk J. ;

Solomkin, Joseph S. ;

Belghiti, Jacques ;

Neuhaus, Horst ;

Buechler, Markus W. ;

Fan, Sheung-Tat ;

Ker, Chen-Guo ;

Padbury, Robert T. ;

Liau, Kui-Hin ;

Hilvano, Serafin C. ;

Belli, Giulio ;

Windsor, John A. ;

Dervenis, Christos .

JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, 2007, 14 (01) :78-82

[7] Gallbladder wall thickening: MR imaging and pathologic correlation with emphasis on layered pattern [J].

Jung, SE ;

Lee, JM ;

Lee, K ;

Rha, SE ;

Choi, BG ;

Kim, EK ;

Hahn, ST .

EUROPEAN RADIOLOGY, 2005, 15 (04) :694-701

[8] A Systematic Review and Meta-Analysis of Diagnostic Performance of Imaging in Acute Cholecystitis [J].

Kiewiet, Jordy J. S. ;

Leeuwenburgh, Marjolein M. N. ;

Bipat, Shandra ;

Bossuyt, Patrick M. M. ;

Stoker, Jaap ;

Boermeester, Marja A. .

RADIOLOGY, 2012, 264 (03) :708-720

[9] Cholecystitis [J].

Knab, Lawrence M. ;

Boller, Anne-Marie ;

Mahvi, David M. .

SURGICAL CLINICS OF NORTH AMERICA, 2014, 94 (02) :455-+

[10] Role of percutaneous transhepatic gallbladder aspiration in the early management of acute cholecystitis [J].

Komatsu, Shohei ;

Tsukamoto, Tadashi ;

Iwasaki, Takeshi ;

Toyokawa, Akihiro ;

Hasegawa, Yasuhisa ;

Tsuchida, Shinobu ;

Takahashi, Tsuyoshi ;

Takebe, Atsushi ;

Wakahara, Tomoyuki ;

Watanabe, Akihiko ;

Sugahara, Atsushi ;

Mukai, Hidekazu .

JOURNAL OF DIGESTIVE DISEASES, 2014, 15 (12) :669-675

← 1 2 3 4 →