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胆囊超声检查:并非同一套方法。

Ultrasound of the gallbladder: not the same bag of tricks.

作者信息

Fung Christopher, Spychka Ryan, Noorelahi Razan, Vijay Kanupriya, Fetzer David T

机构信息

Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, 8440-112 Street NW, Edmonton, AB, T6G 2B7, Canada.

UT Southwestern Medical Center, 5323 Harry Hines Blvd, EB1.300, Dallas, TX, 75390-9065, USA.

出版信息

Abdom Radiol (NY). 2025 Feb;50(2):720-733. doi: 10.1007/s00261-024-04530-2. Epub 2024 Aug 29.

DOI:10.1007/s00261-024-04530-2
PMID:39207516
Abstract

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.

摘要

胆囊的影像学评估是大多数放射科实践中的一项基本技能。由于易于获取、成本低、无电离辐射且空间分辨率优异,超声通常是用于评估胆囊的首选成像方式。在这篇特邀文章中,我们回顾并更新了超声如何评估常见病变,包括胆囊息肉、肿块样胆汁淤积、腺肌增生症和急性胆囊炎。我们还讨论了多普勒、微血管血流成像和超声造影在胆囊超声评估中的作用。

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1
Ultrasound of the gallbladder: not the same bag of tricks.胆囊超声检查:并非同一套方法。
Abdom Radiol (NY). 2025 Feb;50(2):720-733. doi: 10.1007/s00261-024-04530-2. Epub 2024 Aug 29.
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Telerobotic Versus Standard Ultrasound in the Assessment of the Abdomen and Pelvis: A Real-World Prospective Study.远程机器人与标准超声在腹部和骨盆评估中的应用:一项真实世界前瞻性研究
Int J Telemed Appl. 2024 Dec 14;2024:1482326. doi: 10.1155/ijta/1482326. eCollection 2024.

本文引用的文献

1
Diagnostic performance of ultrasound in acute cholecystitis: a systematic review and meta-analysis.超声在急性胆囊炎中的诊断性能:系统评价和荟萃分析。
World J Emerg Surg. 2023 Nov 30;18(1):54. doi: 10.1186/s13017-023-00524-5.
2
Artifacts and Technical Considerations at Contrast-enhanced US.超声造影中的伪影及技术相关问题
Radiographics. 2023 Feb;43(2):e220093. doi: 10.1148/rg.220093.
3
Nontraditional Uses of US Contrast Agents in Abdominal Imaging and Intervention.腹部成像与介入中非传统应用的 US 造影剂
Radiographics. 2022 Oct;42(6):1724-1741. doi: 10.1148/rg.220016.
4
Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations.偶然发现的胆囊息肉的处理:超声放射学家学会共识会议推荐意见。
Radiology. 2022 Nov;305(2):277-289. doi: 10.1148/radiol.213079. Epub 2022 Jul 5.
5
Acute Cholecystitis: A Review.急性胆囊炎:综述。
JAMA. 2022 Mar 8;327(10):965-975. doi: 10.1001/jama.2022.2350.
6
2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis.2020 年世界急诊外科学会更新了急性结石性胆囊炎的诊断和治疗指南。
World J Emerg Surg. 2020 Nov 5;15(1):61. doi: 10.1186/s13017-020-00336-x.
7
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.超声和 CT 在急诊科成人右上腹疼痛检查中的作用:超过 2800 例的回顾性研究。
AJR Am J Roentgenol. 2020 Jun;214(6):1305-1310. doi: 10.2214/AJR.19.22188. Epub 2020 Mar 11.
8
A Technique to Identify Isoattenuating Gallstones with Dual-Layer Spectral CT: An ex Vivo Phantom Study.一种基于双层光谱 CT 技术识别等衰减胆囊结石的方法:一项离体研究。
Radiology. 2019 Aug;292(2):400-406. doi: 10.1148/radiol.2019190083. Epub 2019 Jul 2.
9
Application of contrast enhanced ultrasound in gallbladder lesion: is it helpful to improve the diagnostic capabilities?超声造影在胆囊病变中的应用:对提高诊断能力有帮助吗?
Med Ultrason. 2018 Dec 8;20(4):420-426. doi: 10.11152/mu-1626.
10
Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos).东京指南 2018:急性胆囊炎的诊断标准与严重程度分级(附视频)。
J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):41-54. doi: 10.1002/jhbp.515. Epub 2018 Jan 9.