Improved Detection of Gallbladder Perforation Using Ultrasound Small Vessel Slow Flow "Perfusion" Imaging.


Journal

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547

Informations de publication

Date de publication:
Feb 2022
Historique:
revised: 06 04 2021
received: 18 01 2021
accepted: 08 04 2021
pubmed: 23 4 2021
medline: 18 1 2022
entrez: 22 4 2021
Statut: ppublish

Résumé

Gallbladder (GB) perforation is a potentially fatal cause of acute abdomen. Higher morbidity and mortality are associated with this entity due to delayed diagnosis and treatment. Ultrasound with color/power Doppler and contrast sonography can detect wall discontinuity; however, sometimes it can be subtle or unavailable. Small vessel slow flow "perfusion" imaging allows improved microvascular perfusion detection using different filters, which result in increased spatial resolution and vessel visualization. Noncontrast perfusion imaging was of immense clinical value in the diagnosis of GB perforation in the six cases presented here. To the best of our knowledge, this is the first case report describing efficacy of noncontrast "perfusion" imaging in detection of GB perforation.

Identifiants

pubmed: 33885191
doi: 10.1002/jum.15729
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

511-518

Informations de copyright

© 2021 American Institute of Ultrasound in Medicine.

Références

Goenka U, Majumder S, Banerjee P, et al. Spontaneous perforation of acalculous gall bladder presenting as acute abdomen. J Emerg Med 2012; 43:637-640. https://doi.org/10.1016/j.jemermed.2010.04.031.
Chiapponi C, Wirth S, Siebeck M. Acute gallbladder perforation with gallstones spillage in a cirrhotic patient. World J Emerg Surg 2010; 5:11-11. https://doi.org/10.1186/1749-7922-5-11.
Menakuru SR, Kaman L, Behera A, Singh R, Katariya RN. Current management of gall bladder perforations. ANZ J Surg 2004; 74:843-846. https://doi.org/10.1111/j.1445-1433.2004.03186.x.
Stefanidis D, Sirinek KR, Bingener J. Gallbladder perforation: risk factors and outcome. J Surg Res 2006; 131:204-208. https://doi.org/10.1016/j.jss.2005.11.580.
Zubair M, Habib L, Mirza MR, Channa MA, Yousuf M. Iatrogenic gall bladder perforations in laparoscopic cholecystectomy: an audit of 200 cases. Mymensingh Med J 2010; 19:422-426.
Huang CC, Lo HC, Tzeng YM, et al. Percutaneous transhepatic gall bladder drainage: a better initial therapeutic choice for patients with gall bladder perforation in the emergency department. Emerg Med J 2007; 24:836-840. https://doi.org/10.1136/emj.2007.052175.
Derici H, Kara C, Bozdag AD, Nazli O, Tansug T, Akca E. Diagnosis and treatment of gallbladder perforation. World J Gastroenterol 2006; 12:7832-7836. https://doi.org/10.3748/wjg.v12.i48.7832.
Chen JJ, Lin HH, Chiu CT, Lin DY. Gallbladder perforation with intrahepatic abscess formation. J Clin Ultrasound 1990; 18:43-45. https://doi.org/10.1002/jcu.1870180110.
Gore RM, Ghahremani GG, Joseph AE, Nemcek AA Jr, Marn CS, Vogelzang RL. Acquired malposition of the colon and gallbladder in patients with cirrhosis: CT findings and clinical implications. Radiology 1989; 171:739-742. https://doi.org/10.1148/radiology.171.3.2717745.
Tsai MJ, Chen JD, Tiu CM, Chou YH, Hu SC, Chang CY. Can acute cholecystitis with gallbladder perforation be detected preoperatively by computed tomography in ED? Correlation with clinical data and computed tomography features. Am J Emerg Med 2009; 27:574-581. https://doi.org/10.1016/j.ajem.2008.04.024.
Zechner PM, Rienmüller S, Dorr K, Genger C, Wurzer H. Contrast-enhanced ultrasound detects gallbladder perforation in a patient with acute abdominal pain. Am J Emerg Med. 2012;\:516.e5-6. doi:https://doi.org/10.1016/j.ajem.2011.01.020
Tang S, Wang Y, Wang Y. Contrast-enhanced ultrasonography to diagnose gallbladder perforation. Am J Emerg Med 2013; 31:1240-1243. https://doi.org/10.1016/j.ajem.2013.04.034.
Rui P KK. National Hospital Ambulatory Medical Care Survey: 2017 emergency department summary tables. https://www.cdc.gov/nchs/data/nhamcs/web_tables/2017_ed_web_tables-508.pdf. Accessed November 2020.
Peterson CM, McNamara MM, Kamel IR, et al. ACR appropriateness criteria® right upper quadrant pain. J Am Coll Radiol 2019; 16:S235-S243. https://doi.org/10.1016/j.jacr.2019.02.013.
Forsberg L, Andersson R, Hederström E, Tranberg KG. Ultrasonography and gallbladder perforation in acute cholecystitis. Acta Radiol (Stockholm, Sweden: 1987) 1988; 29:203-205.
Chau WK, Na AT, Feng TT, Li YB. Ultrasound diagnosis of perforation of the gallbladder: real-time application and the demonstration of a new sonographic sign. J Clin Ultrasound 1988; 16:358-360. https://doi.org/10.1002/jcu.1870160512.
Boruah DK, Sanyal S, Sharma BK, Boruah DR. Comparative evaluation of ultrasonography and cross-sectional imaging in determining gall bladder perforation in accordance to Niemeier's classification. J Clin Diagnostic Res 2016; 10:Tc15-Tc18. https://doi.org/10.7860/jcdr/2016/20158.8318.
Lassau N, Koscielny S, Opolon P, et al. Evaluation of contrast-enhanced color Doppler ultrasound for the quantification of angiogenesis in vivo. Invest Radiol 2001; 36:50-55. https://doi.org/10.1097/00004424-200101000-00007.
Yang H, Liu GJ, Lu MD, Xu HX, Xie XY. Evaluation of the vascular architecture of focal liver lesions using micro flow imaging. J Ultrasound Med 2013; 32:1157-1171. https://doi.org/10.7863/ultra.32.7.1157.
Wiesinger I, Jung W, Zausig N, et al. Evaluation of dynamic effects of therapy-induced changes in microcirculation after percutaneous treatment of vascular malformations using contrast-enhanced ultrasound (CEUS) and time intensity curve (TIC) analyses. Clin Hemorheol Microcirculat 2018; 69:45-57. https://doi.org/10.3233/ch-189118.
Wildner D, Schellhaas B, Strack D, et al. Differentiation of malignant liver tumors by software-based perfusion quantification with dynamic contrast-enhanced ultrasound (DCEUS). Clin Hemorheol Microcirculat 2019; 71:39-51. https://doi.org/10.3233/ch-180378.
Chen M, Li Q, Karimian N, et al. Contrast-enhanced ultrasound to Quantific perfusion in a machine-perfused pig liver. Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society IEEE Engineering in Medicine and Biology Society Annual Conference; Jul 2018; 3128-3131. doi:https://doi.org/10.1109/embc.2018.8512893
Park AY, Seo BK, Cha SH, Yeom SK, Lee SW, Chung HH. An innovative ultrasound technique for evaluation of tumor vascularity in breast cancers: superb micro-vascular imaging. J Breast cancer 2016; 19:210-213. https://doi.org/10.4048/jbc.2016.19.2.210.
Kong J, Li JC, Wang HY, et al. Role of superb micro-vascular imaging in the preoperative evaluation of thyroid nodules: comparison with power Doppler flow imaging. J Ultrasound Med 2017; 36:1329-1337. https://doi.org/10.7863/ultra.16.07004.
Karaca L, Oral A, Kantarci M, et al. Comparison of the superb microvascular imaging technique and the color Doppler techniques for evaluating children's testicular blood flow. Eur Rev Med Pharmacol Sci 2016; 20:1947-1953.
Durmaz MS, Sivri M. Comparison of superb micro-vascular imaging (SMI) and conventional Doppler imaging techniques for evaluating testicular blood flow. J Med Ultrasonics 2018; 45:443-452. https://doi.org/10.1007/s10396-017-0847-9.
Bonacchi G, Becciolini M, Seghieri M. Superb microvascular imaging: a potential tool in the detection of FNH. J Ultrasound 2017; 20:179-180. https://doi.org/10.1007/s40477-017-0240-y.
Han H, Ji Z, Ding H, Zhang W, Zhang R, Wang W. Assessment of blood flow in the hepatic tumors using non-contrast micro flow imaging: initial experience. Clin Hemorheol Microcirculat 2019; 73:307-316. https://doi.org/10.3233/ch-180532.
Ma Y, Li G, Li J, Ren WD. The diagnostic value of superb microvascular imaging (SMI) in detecting blood flow signals of breast lesions: a preliminary study comparing SMI to color Doppler flow imaging. Medicine 2015; 94:e1502. https://doi.org/10.1097/md.0000000000001502.
Han H, Ding H, Ji Z, Zhang W, Wang Q, Wang W. Primary application of micro-flow imaging technology in the diagnosis of hepatic tumors. Ultrasound Med Biol 2019; 45:395-401. https://doi.org/10.1016/j.ultrasmedbio.2018.09.025.

Auteurs

Muhammad U Aziz (MU)

Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.

Michelle L Robbin (ML)

Departments of Radiology and Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH