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Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall.

Publication ,  Journal Article
Paulson, EK; Kliewer, MA; Hertzberg, BS; Paine, SS; Carroll, BA
Published in: AJR Am J Roentgenol
May 1994

OBJECTIVE: Thickening of the gallbladder wall is a common though nonspecific sonographic finding. The purpose of this study was to determine if color Doppler sonography shows arterial flow in thickened gallbladder walls more frequently in patients with cholecystitis than in patients with other causes of thickening of the wall. SUBJECTS AND METHODS: Seventy-six patients with thickened gallbladder walls (> or = 3 mm) were prospectively examined with color Doppler sonography. When arteries were detected, Doppler waveforms were used to determine resistive indexes. The final diagnosis was based on pathologic reports, results of percutaneous cholecystostomy, and clinical records. RESULTS: Of the 23 patients (30%) with cholecystitis (11 acute, 12 chronic), nine (39%) had arterial flow and 14 (61%) had no arterial flow. Of the 53 patients (70%) without cholecystitis, 20 (38%) had arterial flow and 33 (62%) had no arterial flow (p = 1.00). The mean resistive indexes (+/- 1 SD) for patients with and without cholecystitis were 60% +/- 13% and 65% +/- 9%, respectively (p = 0.33). No significant difference in the detection of arterial flow was found between patients with acute cholecystitis and those with chronic cholecystitis. CONCLUSION: The presence of arterial flow in the thickened gallbladder wall is nonspecific and of limited value in the diagnosis of cholecystitis.

Duke Scholars

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Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

May 1994

Volume

162

Issue

5

Start / End Page

1105 / 1108

Location

United States

Related Subject Headings

  • Ultrasonography
  • Ultrasonics
  • Sensitivity and Specificity
  • Regional Blood Flow
  • Prospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Gallbladder
 

Citation

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Paulson, E. K., Kliewer, M. A., Hertzberg, B. S., Paine, S. S., & Carroll, B. A. (1994). Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall. AJR Am J Roentgenol, 162(5), 1105–1108. https://doi.org/10.2214/ajr.162.5.8165991
Paulson, E. K., M. A. Kliewer, B. S. Hertzberg, S. S. Paine, and B. A. Carroll. “Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall.AJR Am J Roentgenol 162, no. 5 (May 1994): 1105–8. https://doi.org/10.2214/ajr.162.5.8165991.
Paulson EK, Kliewer MA, Hertzberg BS, Paine SS, Carroll BA. Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall. AJR Am J Roentgenol. 1994 May;162(5):1105–8.
Paulson, E. K., et al. “Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall.AJR Am J Roentgenol, vol. 162, no. 5, May 1994, pp. 1105–08. Pubmed, doi:10.2214/ajr.162.5.8165991.
Paulson EK, Kliewer MA, Hertzberg BS, Paine SS, Carroll BA. Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall. AJR Am J Roentgenol. 1994 May;162(5):1105–1108.

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

May 1994

Volume

162

Issue

5

Start / End Page

1105 / 1108

Location

United States

Related Subject Headings

  • Ultrasonography
  • Ultrasonics
  • Sensitivity and Specificity
  • Regional Blood Flow
  • Prospective Studies
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Humans
  • Gallbladder