• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

基于影像学的胆囊壁增厚算法方法。

Imaging-based algorithmic approach to gallbladder wall thickening.

作者信息

Gupta Pankaj, Marodia Yashi, Bansal Akash, Kalra Naveen, Kumar-M Praveen, Sharma Vishal, Dutta Usha, Sandhu Manavjit Singh

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

Department of Pharmacology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

出版信息

World J Gastroenterol. 2020 Oct 28;26(40):6163-6181. doi: 10.3748/wjg.v26.i40.6163.

DOI:10.3748/wjg.v26.i40.6163
PMID:33177791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7596646/
Abstract

Gallbladder (GB) wall thickening is a frequent finding caused by a spectrum of conditions. It is observed in many extracholecystic as well as intrinsic GB conditions. GB wall thickening can either be diffuse or focal. Diffuse wall thickening is a secondary occurrence in both extrinsic and intrinsic pathologies of GB, whereas, focal wall thickening is mostly associated with intrinsic GB pathologies. In the absence of specific clinical features, accurate etiological diagnosis can be challenging. The survival rate in GB carcinoma (GBC) can be improved if it is diagnosed at an early stage, especially when the tumor is confined to the wall. The pattern of wall thickening in GBC is often confused with benign diseases, especially chronic cholecystitis, xanthogranulomatous cholecystitis, and adenomyomatosis. Early recognition and differentiation of these conditions can improve the prognosis. In this minireview, the authors describe the patterns of abnormalities on various imaging modalities (conventional as well as advanced) for the diagnosis of GB wall thickening. This paper also illustrates an algorithmic approach for the etiological diagnosis of GB wall thickening and suggests a formatted reporting for GB wall abnormalities.

摘要

胆囊壁增厚是由一系列病症导致的常见表现。在许多胆囊外以及胆囊自身的病症中都可观察到。胆囊壁增厚可呈弥漫性或局灶性。弥漫性壁增厚是胆囊外在和自身病理改变的继发表现，而局灶性壁增厚大多与胆囊自身病理改变相关。在缺乏特定临床特征的情况下，准确的病因诊断可能具有挑战性。如果胆囊癌（GBC）能在早期被诊断出来，尤其是肿瘤局限于胆囊壁时，其生存率会得到提高。GBC中壁增厚的表现常与良性疾病混淆，特别是慢性胆囊炎、黄色肉芽肿性胆囊炎和腺肌增生症。对这些病症的早期识别和鉴别可改善预后。在这篇小型综述中，作者描述了用于诊断胆囊壁增厚的各种成像方式（传统及先进方式）上的异常表现模式。本文还阐述了一种用于胆囊壁增厚病因诊断的算法方法，并建议对胆囊壁异常进行格式化报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/bd57e836815c/WJG-26-6163-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/ea8b27501ab2/WJG-26-6163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/1153b8cca392/WJG-26-6163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/eda6423c3842/WJG-26-6163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/917b7b104708/WJG-26-6163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/89c931314487/WJG-26-6163-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/9acaafa4532a/WJG-26-6163-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/867ac08adfa5/WJG-26-6163-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/d9183b0221ca/WJG-26-6163-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/09cd7d547df1/WJG-26-6163-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/18a5ffee4624/WJG-26-6163-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/27f0476cde06/WJG-26-6163-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/bd57e836815c/WJG-26-6163-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/ea8b27501ab2/WJG-26-6163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/1153b8cca392/WJG-26-6163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/eda6423c3842/WJG-26-6163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/917b7b104708/WJG-26-6163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/89c931314487/WJG-26-6163-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/9acaafa4532a/WJG-26-6163-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/867ac08adfa5/WJG-26-6163-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/d9183b0221ca/WJG-26-6163-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/09cd7d547df1/WJG-26-6163-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/18a5ffee4624/WJG-26-6163-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/27f0476cde06/WJG-26-6163-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c52/7596646/bd57e836815c/WJG-26-6163-g012.jpg

相似文献

1
Imaging-based algorithmic approach to gallbladder wall thickening.基于影像学的胆囊壁增厚算法方法。
World J Gastroenterol. 2020 Oct 28;26(40):6163-6181. doi: 10.3748/wjg.v26.i40.6163.
2
Incidentally detected focal fundal gallbladder wall thickening: Differentiation contrast enhanced ultrasound features with high-resolution linear transducers.偶然发现的局灶性眼底胆囊壁增厚：高分辨率线性探头的对比增强超声特征鉴别。
Clin Hemorheol Microcirc. 2020;74(3):315-325. doi: 10.3233/CH-190697.
3
Xanthogranulomatous cholecystitis: contrast-enhanced ultrasound features and differential diagnosis from wall-thickening gallbladder carcinoma.黄色肉芽肿性胆囊炎：超声造影特征及与胆囊壁增厚型胆囊癌的鉴别诊断
Discov Med. 2016 Feb;21(114):89-98.
4
Contrast-enhanced ultrasonography diagnosis of fundal localized type of gallbladder adenomyomatosis.超声造影诊断胆囊腺肌增生症底部局限型
BMC Gastroenterol. 2015 Aug 5;15:99. doi: 10.1186/s12876-015-0326-y.
5
Benign gallbladder diseases: Imaging techniques and tips for differentiating with malignant gallbladder diseases.良性胆囊疾病：影像学技术及与恶性胆囊疾病的鉴别要点。
World J Gastroenterol. 2020 Jun 14;26(22):2967-2986. doi: 10.3748/wjg.v26.i22.2967.
6
B-mode ultrasonographic diagnosis in gallbladder wall thickening.B 型超声诊断胆囊壁增厚。
J Med Ultrason (2001). 2021 Apr;48(2):175-186. doi: 10.1007/s10396-020-01018-6. Epub 2020 Apr 24.
7
Differentiation of adenomyomatosis of the gallbladder from early-stage, wall-thickening-type gallbladder cancer using high-resolution ultrasound.应用高分辨率超声鉴别胆囊腺肌症与早期壁增厚型胆囊癌。
Eur Radiol. 2013 Mar;23(3):730-8. doi: 10.1007/s00330-012-2641-9. Epub 2012 Dec 18.
8
Evaluation of gallbladder wall thickening: a multimodality imaging approach.胆囊壁增厚的评估：一种多模态影像学方法。
Expert Rev Gastroenterol Hepatol. 2020 Jun;14(6):463-473. doi: 10.1080/17474124.2020.1760840. Epub 2020 Apr 30.
9
Contrast-enhanced harmonic endoscopic ultrasonography in the differential diagnosis of gallbladder wall thickening.对比增强谐波内镜超声检查在胆囊壁增厚鉴别诊断中的应用。
Dig Dis Sci. 2014 Aug;59(8):1909-16. doi: 10.1007/s10620-014-3115-5. Epub 2014 Mar 25.
10
Radio-pathological Correlation of 18F-FDG PET in Characterizing Gallbladder Wall Thickening.18F-FDG PET在胆囊壁增厚特征描述中的放射病理学相关性
J Gastrointest Cancer. 2019 Dec;50(4):901-906. doi: 10.1007/s12029-018-0176-2.

引用本文的文献

1
MSFE-GallNet-X: a multi-scale feature extraction-based CNN Model for gallbladder disease analysis with enhanced explainability.MSFE-GallNet-X：一种基于多尺度特征提取的卷积神经网络模型，用于胆囊疾病分析，具有增强的可解释性。
BMC Med Imaging. 2025 Aug 30;25(1):360. doi: 10.1186/s12880-025-01902-y.
2
Early detection of gallbladder cancer: Current status and future perspectives.胆囊癌的早期检测：现状与未来展望。
World J Clin Oncol. 2025 Jul 24;16(7):107781. doi: 10.5306/wjco.v16.i7.107781.
3
Ultrasound of the Gallbladder-An Update on Measurements, Reference Values, Variants and Frequent Pathologies: A Scoping Review.

本文引用的文献

1
Evaluation of gallbladder wall thickening: a multimodality imaging approach.胆囊壁增厚的评估：一种多模态影像学方法。
Expert Rev Gastroenterol Hepatol. 2020 Jun;14(6):463-473. doi: 10.1080/17474124.2020.1760840. Epub 2020 Apr 30.
2
Diagnostic accuracy of imaging modalities in differentiating xanthogranulomatous cholecystitis from gallbladder cancer.影像学检查方法在鉴别黄色肉芽肿性胆囊炎与胆囊癌中的诊断准确性
Ann Transl Med. 2019 Nov;7(22):627. doi: 10.21037/atm.2019.11.35.
3
Is Final Histopathological Examination the Only Diagnostic Criteria for Xanthogranulomatous Cholecystitis?
胆囊超声检查——测量、参考值、变异及常见病理情况的最新进展：一项范围综述
Life (Basel). 2025 Jun 11;15(6):941. doi: 10.3390/life15060941.
4
Metastatic Gallbladder Carcinoma to Pleura with Gallbladder Tuberculosis - Case Report with Literature Review.胆囊结核转移至胸膜——病例报告及文献复习
Int J Appl Basic Med Res. 2025 Apr-Jun;15(2):125-127. doi: 10.4103/ijabmr.ijabmr_412_24. Epub 2025 Apr 7.
5
Update on the Role of Imaging in the Diagnosis, Staging, and Prognostication of Gallbladder Cancer.影像学在胆囊癌诊断、分期及预后评估中的作用进展
Indian J Radiol Imaging. 2024 Aug 26;35(2):218-233. doi: 10.1055/s-0044-1789243. eCollection 2025 Apr.
6
Deep learning-based classification of gallbladder lesions in patients with non-diagnostic (GB-RADS 0) ultrasound.基于深度学习的非诊断性（胆囊影像报告和数据系统0级）超声检查患者胆囊病变分类
Clin Exp Hepatol. 2024 Dec;10(4):232-239. doi: 10.5114/ceh.2024.145424. Epub 2024 Dec 11.
7
Liquid biopsy in gallbladder carcinoma: Current evidence and future prospective.胆囊癌的液体活检：当前证据与未来展望。
J Liq Biopsy. 2024 Nov 26;6:100280. doi: 10.1016/j.jlb.2024.100280. eCollection 2024 Dec.
8
Focal acute cholecystitis misdiagnosed as gallbladder carcinoma.误诊为胆囊癌的局灶性急性胆囊炎。
J Ultrasound. 2025 Mar;28(1):187-191. doi: 10.1007/s40477-025-00995-z. Epub 2025 Feb 13.
9
Gallbladder Burkitt's Lymphoma: A Literature Review Including a Case Report in a Child Living with HIV.胆囊伯基特淋巴瘤：一篇文献综述，包括一名感染艾滋病毒儿童的病例报告。
Infect Dis Rep. 2024 Oct 10;16(5):981-991. doi: 10.3390/idr16050078.
10
Dual-energy CT in differentiating benign gallbladder wall thickening from wall thickening type of gallbladder cancer.双能CT在鉴别良性胆囊壁增厚与胆囊癌壁增厚型中的应用
Eur Radiol. 2025 Jan;35(1):84-92. doi: 10.1007/s00330-024-10904-3. Epub 2024 Jul 9.
最终组织病理学检查是黄色肉芽肿性胆囊炎的唯一诊断标准吗？
Niger J Surg. 2019 Jul-Dec;25(2):177-182. doi: 10.4103/njs.NJS_1_19.
4
Performance of contrast-enhanced ultrasound (CEUS) compared to MRI in the diagnostic of gallbladder diseases.对比增强超声（CEUS）与 MRI 在胆囊疾病诊断中的性能比较。
Clin Hemorheol Microcirc. 2019;73(1):85-93. doi: 10.3233/CH-199202.
5
Incidentally detected focal fundal gallbladder wall thickening: Differentiation contrast enhanced ultrasound features with high-resolution linear transducers.偶然发现的局灶性眼底胆囊壁增厚：高分辨率线性探头的对比增强超声特征鉴别。
Clin Hemorheol Microcirc. 2020;74(3):315-325. doi: 10.3233/CH-190697.
6
Interventional radiology's role in the diagnosis and management of patients with gallbladder carcinoma.
Chin Clin Oncol. 2019 Aug;8(4):40. doi: 10.21037/cco.2019.07.09. Epub 2019 Aug 5.
7
Differential diagnosis of focal gallbladder lesions: The added value of contrast enhanced ultrasound with liner transducers.胆囊局灶性病变的鉴别诊断：线阵探头造影增强超声的附加价值。
Clin Hemorheol Microcirc. 2020;74(2):167-178. doi: 10.3233/CH-190639.
8
Prognosis in Patients With Gallbladder Edema Misdiagnosed as Cholecystitis.被误诊为胆囊炎的胆囊水肿患者的预后
JSLS. 2019 Apr-Jun;23(2). doi: 10.4293/JSLS.2019.00022.
9
Common and uncommon imaging features of abdominal tuberculosis.腹部结核的常见及不常见影像学特征。
J Med Imaging Radiat Oncol. 2019 Jun;63(3):329-339. doi: 10.1111/1754-9485.12874. Epub 2019 Apr 1.
10
The diagnostic accuracy of CT and MRI for the detection of lymph node metastases in gallbladder cancer: A systematic review and meta-analysis.CT 和 MRI 诊断胆囊癌淋巴结转移的准确性：系统评价和荟萃分析。
Eur J Radiol. 2019 Jan;110:156-162. doi: 10.1016/j.ejrad.2018.11.034. Epub 2018 Nov 28.