Imaging Evaluation of Enhancement Patterns of Flat Gall Bladder Wall Thickening and Its Correlation with Clinical and Histopathological Findings
| Autor: | Saryu Gupta, Jasvir Singh, Samrin Haq, Navneet Kaur, Manoj Mathur, Devinder Pal Singh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Clinical Biochemistry lcsh:Medicine Physical examination Malignancy 030218 nuclear medicine & medical imaging Correlation 03 medical and health sciences 0302 clinical medicine Positive predicative value medicine Prospective cohort study ct enhancement patterns Bladder cancer medicine.diagnostic_test business.industry Radiology Section Ultrasound lcsh:R computed tomography General Medicine ultrasonography medicine.disease Acute abdomen 030211 gastroenterology & hepatology Radiology medicine.symptom business |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 11, Iss 4, Pp TC07-TC11 (2017) |
| Popis: | Introduction: Gall bladder Wall Thickening (GWT) is caused by wide spectrum of diseases. Initially Ultrasound (USG) was used as imaging modality for screening of acute abdomen because of its high sensitivity and real time character. Now, Computed Tomography (CT) is used because of its high temporal and spatial resolution. Aim: Evaluation of GWT and its enhancement patterns on contrast enhanced CT scan in a bid to differentiate benign from malignant causes and to correlate the imaging features with clinical and histopathological findings. Materials and Methods: It was a hospital based prospective study in which USG was done as an initial modality for screening and Multi Detector Computed Tomography (MDCT) scan was done later on for detailed evaluation of enhancement patterns of GWT. The study cases were then divided into five CT patterns according to enhancement patterns. The diagnostic performance of MDCT was compared with histopathological and serological findings. Relevant history, clinical examination and routine investigations were done. Results: The one layered pattern with a heterogeneously enhancing thick layered pattern (Type 1) was significantly associated with gall bladder cancer (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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