Accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis: Review of the literature

被引：53

作者：

Pinto A. ^{[1
]}

Reginelli A. ^{[2
]}

Cagini L. ^{[3
]}

Coppolino F. ^{[4
]}

Ianora A.A.S. ^{[5
]}

Bracale R. ^{[6
]}

Giganti M. ^{[7
]}

Romano L. ^{[1
]}

机构：

[1] Department of Diagnostic Imaging, A. Cardarelli Hospital, Naples

[2] Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Naples

[3] University of Perugia, Thoracic Surgery Unit, Perugia

[4] University of Palermo, Department of Radiology, Palermo

[5] University of Bari, Diagnostic Imaging Section, Bari

[6] Department of Health Science, University of Molise, Campobasso

[7] University of Ferrara, Dipartimento di Scienze Chirurgiche, Ferrara

来源：

Critical Ultrasound Journal | / 5卷 / Suppl 1期

关键词：

Acute calculous cholecystitis ultrasonography; Cholescintigraphy; Computed tomography; Magnetic resonance cholangiopancreatography;

D O I：

10.1186/2036-7902-5-S1-S11

中图分类号：

学科分类号：

摘要：

Background: To evaluate the accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis in comparison with other imaging modalities. Methods: The authors performed a search of the Medline/ PubMed (National Library of Medicine, Bethesda, Maryland) for original research and review publications examining the accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis. The search design utilized a single or combination of the following terms: (1) acute cholecystitis, (2) ultrasonography, (3) computed tomography, (4) magnetic resonance cholangiopancreatography and (5) cholescintigraphy. This review was restricted to human studies and to Englishlanguage literature. Four authors reviewed all the titles and subsequent the abstract of 198 articles that appeared appropriate. Other articles were recognized by reviewing the reference lists of significant papers. Finally, the full text of 31 papers was reviewed. Results: Sonography is still used as the initial imaging technique for evaluating patients with suspected acute calculous cholecystitis because of its high sensitivity at the detection of GB stones, its real-time character, and its speed and portability. Cholescintigraphy still has the highest sensitivity and specificity in patients who are suspected of having acute cholecystitis. However, due to a combination of reasons including logistic drawbacks, broad imaging capability and clinician referral pattern the use of cholescintigraphy is limited in clinical practice. CT is particularly useful for evaluating the many complications of acute calculous cholecystitis. The lack of widespread availability of MRI and the relatively high cost prohibits its primary use in patients with acute calculous cholecystitis. Conclusions: US is currently considered the preferred initial imaging technique for patients who are clinically suspected of having acute calculous cholecystitis. © 2013 Pinto et al; licensee BioMed Central Ltd.

引用

页码：1 / 4

页数：3

共 31 条

[1]

Menu Y., Vuillerme M.-P., Non-traumatic abdominal emergencies: Imaging and intervention in acute biliary conditions, Emergency Radiology, pp. 481-491, (2007)

[2]

Zeman R.K., Cholelithiasis and cholecystitis, Textbook of Gastrointestinal Radiology, pp. 1636-1674, (1994)

[3]

Bortoff G.A., Chen M.Y., Ott D.J., Wolfman N.T., Routh W.D., Gallbladder stones: Imaging and intervention, RadioGraphics, 20, pp. 751-766, (2000)

[4]

Watanabe Y., Nagayama M., Okumura A., Et al., MR imaging of acute biliary disorders, RadioGraphics, 27, pp. 477-495, (2007)

[5]

Trowbridge R.L., Rutkowski N.K., Shojania K.G., Does this patient have acute cholecystitis, JAMA, 289, pp. 80-86, (2009)

[6]

Nino-Marcia M., Jeffrey Jr. R.B., Imaging the patient with right upper quadrant pain, Semin Roentgenol, 36, pp. 81-91, (2001)

[7]

Schiller V.L., Turner R.R., Sarti D.A., Color doppler imaging of the gallbladder wall in acute cholecystitis: Sonographic-pathologic correlation, Abdom Imaging, 21, pp. 233-237, (1996)

[8]

Paulson E.K., Kliewer M.A., Hertzberg B.S., Paine S.S., Carroll B.A., Diagnosis of acute cholecystitis with color Doppler sonography: Significance of arterial flow in thickened gallbladder wall, Am J Roentgenol, 162, pp. 1105-1108, (1994)

[9]

Shea J.A., Berlin J.A., Escarce J.J., Clarke J.R., Kinosian B.P., Cabana M.D., Tsai W.W., Et al., Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease, Arch Intern Med, 154, 22, pp. 2573-2581, (1994)

[10]

Lorusso F., Fonio P., Scardapane A., Giganti M., Rubini G., Ferrante A., Stabile I.A.A., Gatrointestinal imaging with multidetector CT and MRI, Recenti Prog Med, 103, 11, pp. 493-499, (2012)

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