Gallbladder reporting and data system (GB-RADS) for risk stratification of gallbladder wall thickening on ultrasonography: an international expert consensus

被引：45

作者：

Gupta, Pankaj ^{[1
]}

Dutta, Usha ^{[2
]}

Rana, Pratyaksha ^{[1
]}

Singhal, Manphool ^{[1
]}

Gulati, Ajay ^{[1
]}

Kalra, Naveen ^{[1
]}

Soundararajan, Raghuraman ^{[1
]}

Kalage, Daneshwari ^{[1
]}

Chhabra, Manika ^{[1
]}

Sharma, Vishal ^{[2
]}

Gupta, Vikas ^{[3
]}

Yadav, Thakur Deen ^{[3
]}

Kaman, Lileshwar ^{[4
]}

Irrinki, Santosh ^{[4
]}

Singh, Harjeet ^{[3
]}

Sakaray, Yashwant ^{[4
]}

Das, Chandan Krishuna ^{[5
]}

Saikia, Uma ^{[6
]}

Nada, Ritambhara ^{[6
]}

Srinivasan, Radhika ^{[7
]}

Sandhu, Manavjit Singh ^{[1
]}

Sharma, Raju ^{[8
]}

Shetty, Nitin ^{[9
]}

Eapen, Anu ^{[10
]}

Kaur, Harmeet ^{[11
]}

Kambadakone, Avinash ^{[12
]}

de Haas, Robbert ^{[13
]}

Kapoor, Vinay K. ^{[14
]}

Barreto, Savio George ^{[15
]}

Sharma, Atul K. ^{[16
]}

Patel, Amol ^{[17
]}

Garg, Pramod ^{[18
]}

Pal, Sujoy K. ^{[19
]}

Goel, Mahesh ^{[20
]}

Patkar, Shraddha ^{[20
]}

Behari, Anu ^{[14
]}

Agarwal, Anil K. ^{[21
,22
]}

Sirohi, Bhawna ^{[23
]}

Javle, Milind ^{[24
]}

Garcea, Giuseppe ^{[25
]}

Nervi, Flavio ^{[26
]}

Adsay, Volkan ^{[27
]}

Roa, Juan Carlos ^{[28
]}

Han, Ho-Seong ^{[29
]}

机构：

[1] Postgrad Inst Med Educ & Res, Dept Radiodiag & Imaging, Chandigarh, India

[2] Postgrad Inst Med Educ & Res, Dept Gastroenterol, Chandigarh, India

[3] Postgrad Inst Med Educ & Res, Dept Surg Gastroenterol, Chandigarh, India

[4] Postgrad Inst Med Educ & Res, Dept Surg, Chandigarh, India

[5] Postgrad Inst Med Educ & Res, Haematol & Med Oncol, Chandigarh, India

[6] Postgrad Inst Med Educ & Res, Dept Histopathol, Chandigarh, India

[7] Postgrad Inst Med Educ & Res, Dept Cytol & Gynecol Pathol, Chandigarh, India

[8] All India Inst Med Educ & Res, Dept Radiol, New Delhi, India

[9] Tata Mem Hosp, Dept Intervent Radiol, Mumbai, Maharashtra, India

[10] Christian Med Coll & Hosp, Dept Radiodiag, Vellore, Tamil Nadu, India

[11] Univ Texas MD Anderson Canc Ctr, Div Diagnost Imaging, Dept Abdominal Imaging, Houston, TX 77030 USA

[12] Harvard Med Sch, Abdominal Imaging, Marthas Vineyard Hosp Imaging, Massachusetts Gen Hosp, Boston, MA 02115 USA

[13] Univ Med Ctr Groningen, Radiol, Groningen, Netherlands

[14] Mahatma Gandhi Med Coll & Hosp, HPB Surg, Jaipur, Rajasthan, India

[15] Flinders Med Ctr, Div Surg & Perioperat Med, Bedford Pk, SA, Australia

[16] All India Inst Med Sci, Dept Med Oncol, New Delhi, India

[17] Indian Naval Hosp Ship, Mumbai, Maharashtra, India

[18] All India Inst Med Sci, Dept Gastroenterol, New Delhi, India

[19] All India Inst Med Sci, Surg Gastroenterol, New Delhi, India

[20] Tata Mem Hosp, Gastrointestinal & HPB Surg, Mumbai, Maharashtra, India

[21] GB Pant Inst Med Educ & Res, GI Surg & Liver Transplant, New Delhi, India

[22] MAM Coll, New Delhi, India

[23] Apollo Proton Canc Ctr, Med Oncol, Chennai, Tamil Nadu, India

[24] Univ Texas MD Anderson Canc Ctr, Dept Gastrointestinal Med Oncol, Houston, TX 77030 USA

[25] Univ Leicester, HPB Surg, Leicester, Leics, England

[26] Pontificia Univ Catolica Chile, Sch Med, Dept Gastroenterol, Santiago, Chile

[27] Koc Univ Hosp, Dept Pathol, Istanbul, Turkey

[28] Pontificia Univ Catolica Chile, Dept Pathol, Santiago, Chile

[29] Seoul Natl Univ, Bundang Hosp, Coll Med, Dept Surg, Seongnam Si, South Korea

来源：

ABDOMINAL RADIOLOGY | 2022年 / 47卷 / 02期

关键词：

Gallbladder cancer; Ultrasound; Method; Scoring; XANTHOGRANULOMATOUS CHOLECYSTITIS; ENDOSCOPIC ULTRASONOGRAPHY; GALL-BLADDER; EARLY-STAGE; DIAGNOSIS; CANCER; ADENOMYOMATOSIS; ULTRASOUND; CARCINOMA; DIFFERENTIATION;

D O I：

10.1007/s00261-021-03360-w

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The Gallbladder Reporting and Data System (GB-RADS) ultrasound (US) risk stratification is proposed to improve consistency in US interpretations, reporting, and assessment of risk of malignancy in gallbladder wall thickening in non-acute setting. It was developed based on a systematic review of the literature and the consensus of an international multidisciplinary committee comprising expert radiologists, gastroenterologists, gastrointestinal surgeons, surgical oncologists, medical oncologists, and pathologists using modified Delphi method. For risk stratification, the GB-RADS system recommends six categories (GB-RADS 0-5) of gallbladder wall thickening with gradually increasing risk of malignancy. GB-RADS is based on gallbladder wall features on US including symmetry and extent (focal vs. circumferential) of involvement, layered appearance, intramural features (including intramural cysts and echogenic foci), and interface with the liver. GB-RADS represents the first collaborative effort at risk stratifying the gallbladder wall thickening. This concept is in line with the other US-based risk stratification systems which have been shown to increase the accuracy of detection of malignant lesions and improve management. [GRAPHICS] .

引用

页码：554 / 565

页数：12

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