A Longitudinal Computed Tomography Imaging in the Diagnosis of Gallbladder Cancer
Joint Authors
Iwama, Atsuko
Yamazaki, Shintaro
Mitsuka, Yusuke
Yoshida, Nao
Moriguchi, Masamichi
Higaki, Tokio
Takayama, Tadatoshi
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background/Aim.
To assess whether the diagnostic power of longitudinal multiplanar reformat (MPR) images is superior to that of conventional horizontal images for gallbladder cancer (GBC).
Methods.
Between 2006 and 2010, a total of 54 consecutive patients with preoperatively diagnosed gallbladder neoplasms located in gallbladder bed were analyzed.
These patients underwent cholecystectomy with resection of the adjacent liver parenchyma.
The patients were divided into the GBC group (n=30) and the benign group (n=24).
MPR images obtained by preoperative multidetector row CT (MDCT) were assessed.
Results.
Mucosal line was more significantly disrupted in GBC group than that in benign group (93% [28/30 patients] versus 13% [3/24], p<0.001).
Maximum (9.3 [4.2–24.8] versus 7.0 mm [2.4–22.6], p=0.29) and minimum (1.2 [1.0–2.4] versus 1.3 mm [1.0–2.6], p=0.23) wall thicknesses on a single MPR plane did not differ significantly; however, the wall thickness ratio (max/min) differed significantly (6.8 [1.92–14.0] versus 5.83 [2.3–8.69], p=0.04).
Partial liver enhancement adjacent to tumor on longitudinal images was more common in GBC (40.0% [12/30 patients] versus 12.5% [3/24], p=0.03).
Mucosal line disruption was the most reliable independent predictor of diagnosis (odds ratio, 8.5; 95% CI, 5.99–28.1, p<0.001).
Conclusion.
Longitudinal MPR images are more useful than horizontal images for the diagnosis of GBC.
American Psychological Association (APA)
Iwama, Atsuko& Yamazaki, Shintaro& Mitsuka, Yusuke& Yoshida, Nao& Moriguchi, Masamichi& Higaki, Tokio…[et al.]. 2015. A Longitudinal Computed Tomography Imaging in the Diagnosis of Gallbladder Cancer. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1063942
Modern Language Association (MLA)
Iwama, Atsuko…[et al.]. A Longitudinal Computed Tomography Imaging in the Diagnosis of Gallbladder Cancer. Gastroenterology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1063942
American Medical Association (AMA)
Iwama, Atsuko& Yamazaki, Shintaro& Mitsuka, Yusuke& Yoshida, Nao& Moriguchi, Masamichi& Higaki, Tokio…[et al.]. A Longitudinal Computed Tomography Imaging in the Diagnosis of Gallbladder Cancer. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1063942
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1063942