Ultrasound of the gallbladder: not the same bag of tricks.
Contrast
Doppler
Gallbladder
Microvascular
Ultrasound
Journal
Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571
Informations de publication
Date de publication:
29 Aug 2024
29 Aug 2024
Historique:
received:
15
07
2024
accepted:
12
08
2024
revised:
07
08
2024
medline:
31
8
2024
pubmed:
31
8
2024
entrez:
29
8
2024
Statut:
aheadofprint
Résumé
Imaging evaluation of the gallbladder is a fundamental skill in the majority of radiology practice. Due to ease of accessibility, low cost, lack of ionizing radiation, and excellent spatial resolution, ultrasound is often the first imaging modality used to evaluate the gallbladder. In this invited article we review and update how ultrasound can evaluate common pathologies including gallbladder polyps, tumefactive sludge, adenomyomatosis, and acute cholecystitis. We also discuss the role of Doppler, microvascular flow imaging, and contrast enhanced ultrasound in the sonographic assessment of the gallbladder.
Identifiants
pubmed: 39207516
doi: 10.1007/s00261-024-04530-2
pii: 10.1007/s00261-024-04530-2
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Stinton L and Shaffer E. Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. Gut Liver 2012; 6(2): 172-187. https://doi.org/10.5009/gnl.2012.6.2.172
doi: 10.5009/gnl.2012.6.2.172
pubmed: 22570746
pmcid: 3343155
Hiatt K, Ou J, Childs D. Role of Ultrasound and CT in the Workup of Right Upper Quadrant Pain in Adults in the Emergency Department: A Retrospective Review of More Than 2800 Cases. AJR. 2020; 214(6): 1305-10. https://doi.org/10.2214/AJR.19.22188
doi: 10.2214/AJR.19.22188
pubmed: 32160055
American College of Radiology. ACR–AIUM–SPR–SRU Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum. 2021; Available at: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/US-Abd-Retro.pdf . Accessed June 16, 2024
Jenssen C, Lorentzen T, Dietrich C, et al. Incidental Findings of Gallbladder and Bile Ducts—Management Strategies: General Aspects, Gallbladder Polyps and Gallbladder Wall Thickening—A World Federation of Ultrasound in Medicine and Biology (WFUMB) Position Pape., Ultrasound in Medicine & Biology. 2022; 48(12): 2355–2378. https://doi.org/10.1016/j.ultrasmedbio.2022.06.016
Kamaya A, Fung C, Szpakowski J, et al. Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations. Radiology. 2022; 305(2):277-289. https://doi.org/10.1148/radiol.213079
doi: 10.1148/radiol.213079
pubmed: 35787200
Gallaher JR, Charles A. Acute Cholecystitis. JAMA. 2022; 327(10):965. https://doi.org/10.1001/jama.2022.2350
doi: 10.1001/jama.2022.2350
pubmed: 35258527
Indar AA. Acute cholecystitis. BMJ. 2002; 325(7365):639-643. https://doi.org/10.1136/bmj.325.7365.639
doi: 10.1136/bmj.325.7365.639
pubmed: 12242178
pmcid: 1124163
Laurila J, Syrjälä H, Laurila PA, et al. Acute acalculous cholecystitis in critically ill patients. Acta Anaesthesiol Scand. 2004; 48(8):986-991. https://doi.org/10.1111/j.0001-5172.2004.00426.x
doi: 10.1111/j.0001-5172.2004.00426.x
pubmed: 15315616
Yokoe M, Hata J, Takada T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018; 25(1):41-54. https://doi.org/10.1002/jhbp.515
doi: 10.1002/jhbp.515
pubmed: 29032636
Pisano M, Allievi N, Gurusamy K, et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World Journal of Emergency Surgery. 2020;15(1):61. https://doi.org/10.1186/s13017-020-00336-x
doi: 10.1186/s13017-020-00336-x
pubmed: 33153472
pmcid: 7643471
Huang SS, Lin KW, Liu KL, et al. Diagnostic performance of ultrasound in acute cholecystitis: a systematic review and meta-analysis. World Journal of Emergency Surgery. 2023;18(1):54. https://doi.org/10.1186/s13017-023-00524-5
doi: 10.1186/s13017-023-00524-5
pubmed: 38037062
pmcid: 10687940
An C, Park S, Ko S, et al. Usefulness of the tensile gallbladder fundus sign in the diagnosis of early acute cholecystitis. AJR. 2013; 201: 340-346. https://doi.org/10.2214/AJR.12.9919
doi: 10.2214/AJR.12.9919
pubmed: 23883214
Simeone J, Brink J, Mueller P, et al. The sonographic diagnosis of acute gangrenous cholecystitis: importance of the Murphy sign. AJR. 1989;152(2):289-290. https://doi.org/10.2214/ajr.152.2.289
doi: 10.2214/ajr.152.2.289
pubmed: 2643262
Brook O, Kane R, Tyagi G, et al. Lessons learned from quality assurance: Errors in the diagnosis of acute cholecystitis on ultrasound and CT. AJR. 2011; 1986:597-604. https://doi.org/10.2214/AJR.10.5170
doi: 10.2214/AJR.10.5170
Childs DD, Lalwani N, Craven T, et al. A meta-analysis of the performance of ultrasound, hepatobiliary scintigraphy, CT and MRI in the diagnosis of acute cholecystitis. Abdominal Radiology. Published online November 20, 2023. https://doi.org/10.1007/s00261-023-04059-w
Paulson EK. Acute cholecystitis: CT findings. Seminars in Ultrasound, CT and MRI. 2000; 21(1):56-63. https://doi.org/10.1016/S0887-2171(00)90013-1
doi: 10.1016/S0887-2171(00)90013-1
Anderson SW, Lucey BC, Varghese JC, Soto JA. Accuracy of MDCT in the Diagnosis of Choledocholithiasis. American Journal of Roentgenology. 2006; 187(1):174-180. https://doi.org/10.2214/AJR.05.0459
doi: 10.2214/AJR.05.0459
pubmed: 16794173
Soesbe T, Lewis M, Xi Y, et al. A Technique to Identify Isoattenuating Gallstones with Dual-Layer Spectral CT: An ex Vivo Phantom Study. Radiology. 2019; 292(2): 400-406. https://doi.org/10.1148/radiol.2019190083
doi: 10.1148/radiol.2019190083
pubmed: 31264945
Kiewiet J, Leeuwenburgh M, Bipat S, et al. A Systematic Review and Meta-Analysis of Diagnostic Performance of Imaging in Acute Cholecystitis. Radiology. 2012; 264(3):708-720. https://doi.org/10.1148/radiol.12111561
doi: 10.1148/radiol.12111561
pubmed: 22798223
Huffman JL, Schenker S. Acute Acalculous Cholecystitis: A Review. Clinical Gastroenterology and Hepatology. 2010; 8(1):15-22. https://doi.org/10.1016/j.cgh.2009.08.034
doi: 10.1016/j.cgh.2009.08.034
pubmed: 19747982
Håkansson K, Leander P, Ekberg O, Håkansson HO. MR imaging in clinically suspected acute cholecystitis: A comparison with ultrasonography. Acta radiol. 2000;41(4):322-328. https://doi.org/10.1080/028418500127345587
doi: 10.1080/028418500127345587
pubmed: 10937751
Adusumilli S, Siegelman ES. MR imaging of the gallbladder. Magn Reson Imaging Clin N Am. 2002;10(1):165-184. https://doi.org/10.1016/S1064-9689(03)00055-2
doi: 10.1016/S1064-9689(03)00055-2
pubmed: 11998573
Trowbridge RL, Rutkowski NK, Shojania KG. Does This Patient Have Acute Cholecystitis? JAMA. 2003;289(1):80. https://doi.org/10.1001/jama.289.1.80
doi: 10.1001/jama.289.1.80
pubmed: 12503981
Schiller VL, Turner RR and Sarti DA. Color doppler imaging of the gallbladder wall in acute cholecystitis: sonographic-pathologic correlation. Abdom Imaging 1996; 21: 233-237. https://doi.org/10.1007/s002619900053
doi: 10.1007/s002619900053
pubmed: 8661555
Uggowitzer M, Kugler C, Schramayer G, et al. Sonography of acute cholecystitis: comparison of color and power Doppler sonography in detecting a hypervascularized gallbladder wall. AJR Am J Roentgenol 1997; 168: 707-712. https://doi.org/10.2214/ajr.168.3.9057520
doi: 10.2214/ajr.168.3.9057520
pubmed: 9057520
Draghi F, Ferrozzi G, Calliada F, et al. Power Doppler ultrasound of gallbladder wall vascularization in inflammation: clinical implications. Eur Radiol 2000; 10: 1587-1590. https://doi.org/10.1007/s003300000371
doi: 10.1007/s003300000371
pubmed: 11044929
Soyer P, Brouland JP, Boudiaf M, et al. Color velocity imaging and power Doppler sonography of the gallbladder wall: a new look at sonographic diagnosis of acute cholecystitis. AJR Am J Roentgenol 1998; 171: 183-188. https://doi.org/10.2214/ajr.171.1.9648785
doi: 10.2214/ajr.171.1.9648785
pubmed: 9648785
Jeffrey RB, Jr., Nino-Murcia M, Ralls PW, et al. Color Doppler sonography of the cystic artery: comparison of normal controls and patients with acute cholecystitis. J Ultrasound Med 1995; 14: 33-36. https://doi.org/10.7863/jum.1995.14.1.33
doi: 10.7863/jum.1995.14.1.33
pubmed: 7707474
Loehfelm TW, Tse JR, Jeffrey RB, et al. The utility of hepatic artery velocity in diagnosing patients with acute cholecystitis. Abdom Radiol (NY) 2018; 43: 1159-1167. https://doi.org/10.1007/s00261-017-1288-z
doi: 10.1007/s00261-017-1288-z
pubmed: 28840272
Perez MG, Tse JR, Bird KN, et al. Cystic artery velocity as a predictor of acute cholecystitis. Abdom Radiol (NY) 2021; 46: 4720-4728. 20210703. https://doi.org/10.1007/s00261-021-03020-z
doi: 10.1007/s00261-021-03020-z
Tochio H, Nishiuma S, Okabe Y, et al. Diagnosis of acute cholecystitis in patients with liver cirrhosis: waveform analysis of the cystic artery by color Doppler imaging. J Med Ultrason (2001) 2004; 31: 21-28. https://doi.org/10.1007/s10396-003-0001-8
doi: 10.1007/s10396-003-0001-8
Aziz MU and Robbin ML. Improved Detection of Gallbladder Perforation Using Ultrasound Small Vessel Slow Flow "Perfusion" Imaging. J Ultrasound Med 2022; 41: 511-518. 20210422. https://doi.org/10.1002/jum.15729
doi: 10.1002/jum.15729
Aziz MU, Eisenbrey JR, Deganello A, et al. Microvascular Flow Imaging: A State-of-the-Art Review of Clinical Use and Promise. Radiology 2022; 305: 250-264. 20220927. https://doi.org/10.1148/radiol.213303
doi: 10.1148/radiol.213303
Ra JC, Lee ES, Park HJ, et al. Efficacy of Superb Microvascular Imaging for Diagnosing Acute Cholecystitis: Comparison with Conventional Ultrasonography. Ultrasound Med Biol 2018; 44: 1968-1977. 20180621. https://doi.org/10.1016/j.ultrasmedbio.2018.05.014
doi: 10.1016/j.ultrasmedbio.2018.05.014
Kong WT, Shen HY, Qiu YD, et al. Application of contrast enhanced ultrasound in gallbladder lesion: is it helpful to improve the diagnostic capabilities? Med Ultrason 2018; 20: 420-426. https://doi.org/10.11152/mu-1626
doi: 10.11152/mu-1626
pubmed: 30534647
Ranganath PG, Robbin ML, Back SJ, et al. Practical advantages of contrast-enhanced ultrasound in abdominopelvic radiology. Abdom Radiol (NY) 2018; 43: 998–1012. 2018/01/15. https://doi.org/10.1007/s00261-017-1442-7
Pepin EW, Nordeck SM and Fetzer DT. Nontraditional Uses of US Contrast Agents in Abdominal Imaging and Intervention. Radiographics 2022; 42: 1724-1741. https://doi.org/10.1148/rg.220016
doi: 10.1148/rg.220016
pubmed: 36190849
Fakhry J. Sonography of tumefactive biliary sludge. AJR 1982; 139(4): 717-719. https://doi.org/10.2214/ajr.139.4.717
doi: 10.2214/ajr.139.4.717
pubmed: 6981933
Kim M, Kang T, Jang KM, et al. Tumefactive gallbladder sludge at US: Prevalence and clinical importance. Radiology 2017; 283(2): 570-579. https://doi.org/10.1148/radiol.2016161042
doi: 10.1148/radiol.2016161042
pubmed: 27846377
Kamaya A. Editorial Comment: Validating Usage of the Society of Radiologists in Ultrasound Consensus Conference Recommendations for Management of Incidental Gallbladder Polyps. AJR Am J Roentgenol 2024 20240228. https://doi.org/10.2214/AJR.24.31062 .
Xie X Xu H, Xie X, et al. Differential diagnosis between benign and malignant gallbladder diseases with real-time contrast-enhanced ultrasound. Eur Radiol 2010; 20: 239–248. https://doi.org/10.1007/s00330-009-1538-8
doi: 10.1007/s00330-009-1538-8
pubmed: 19657645
Fetzer DT, Rafailidis V, Peterson C, et al. Artifacts in contrast-enhanced ultrasound: a pictorial essay. Abdom Radiol (NY) 2018; 43: 977–997. 2017/12/05. https://doi.org/10.1007/s00261-017-1417-8
Fetzer DT, Vijay K, Caserta MP, et al. Artifacts and Technical Considerations at Contrast-enhanced US. Radiographics 2023; 43: e220093. https://doi.org/10.1148/rg.220093
doi: 10.1148/rg.220093
pubmed: 36563094
Teefey S, Kimmey M, Bigler S, et al. Gallbladder wall thickening: an in vitro sonographic study with histologic correlation. Acad Radiol 1994; 1(2):121-127. https://doi.org/10.1016/s1076-6332(05)80830-x
doi: 10.1016/s1076-6332(05)80830-x
pubmed: 9419475
Wilson A, Kozol R, Salwen W, et al. Gangrenous cholecystitis in an urban VA hospital. J Surg Res 1994; 56(5): 402-404. https://doi.org/10.1006/jsre.1994.1064
doi: 10.1006/jsre.1994.1064
pubmed: 8170139
van Breda Vriesman A, Engelbrecht M, Smithuis R, Puylaert J. Diffuse gallbladder wall thickening: differential diagnosis. AJR 2007; 188(2): 495-501. https://doi.org/10.2214/AJR.05.1712
doi: 10.2214/AJR.05.1712
Joo I, Lee J, Kim J, et al. Differentiation of adenomyomatosis of the gallbladder from early-stage, wall-thickening-type gallbladder cancer using high-resolution ultrasound. Eur Radiol 2013; 23(3):730-738. https://doi.org/10.1007/s00330-012-2641-9
doi: 10.1007/s00330-012-2641-9
pubmed: 23247807
Xu J, Guo L, Xu H, et al. Differential Diagnosis of Gallbladder Wall Thickening: The Usefulness of Contrast-Enhanced Ultrasound. Ultrasound in Medicine & Biology 2014; 40(12): 2794-2804. https://doi.org/10.1016/j.ultrasmedbio.2014.06.015
doi: 10.1016/j.ultrasmedbio.2014.06.015
Golse N, Lewin M, Rode A, et al. Gallbladder adenomyomatosis: Diagnosis and management. J Visc Surg 2017; 154(5):345-353. https://doi.org/10.1016/j.jviscsurg.2017.06.004
doi: 10.1016/j.jviscsurg.2017.06.004
pubmed: 28844704
Aguirre J, Bohler R, Guraieb S. Hyperplastic cholecystoses; a new contribution to the unitarian theory. Am J Roentgenol Radium Ther Nucl Med 1969; 107(1):1-13. https://doi.org/10.2214/ajr.107.1.1
doi: 10.2214/ajr.107.1.1
pubmed: 5811558
Haradome H, Ichikawa T, Sou H, et al. The pearl necklace sign: an imaging sign of adenomyomatosis of the gallbladder at MR cholangiopancreatography. Radiology 2003; 227(1):80-88. https://doi.org/10.1148/radiol.2271011378
doi: 10.1148/radiol.2271011378
pubmed: 12601186
Meacock L, Sellars M, Sidhu P. Evaluation of gallbladder and biliary duct disease using microbubble contrast-enhanced ultrasound. British Journal of Radiology 2010; 83(991): 615-627. https://doi.org/10.1259/bjr/60619911
doi: 10.1259/bjr/60619911
pubmed: 20603412
pmcid: 3473688