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Optimal cholangiographic technique for detecting bile duct stones.

Publication ,  Journal Article
Thompson, WM; Halvorsen, RA; Foster, WL; Roberts, L; Gibbons, R; Williford, ME; Kelvin, FM; Rice, RP
Published in: AJR Am J Roentgenol
March 1986

Twenty-eight patients with proven bile duct stones were evaluated during either operative or T-tube cholangiography. Two radiographs were obtained for each patient without changing patient position between films. The first was performed with low peak kilovoltage (75-80 kVp) and 15% iodinated contrast medium and the second with high kVp (110) and 38% iodinated contrast. Seven radiologists evaluated the radiographs individually and in matched pairs for ductal filling, ductal penetration, motion unsharpness, overall quality, and stone detectability. The high-kVp radiographs were rated significantly better overall than the low-kVp studies (p less than 0.001) for all five criteria. In the second evaluation, which compared the pairs from the same patients, the 28 high-kVp radiographs were considered superior to the 28 low-kVp studies by the radiologists in almost two-thirds of the comparisons (ductal filling, 68%; penetration, 59%; less motion unsharpness, 65%; overall quality, 77%; stone detection, 62%). On the basis of the results of this study, high-kVp technique with full-strength contrast medium for operative and T-tube cholangiography is recommended.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

March 1986

Volume

146

Issue

3

Start / End Page

537 / 541

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Humans
  • Cholelithiasis
  • Cholangiography
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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MLA
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Thompson, W. M., Halvorsen, R. A., Foster, W. L., Roberts, L., Gibbons, R., Williford, M. E., … Rice, R. P. (1986). Optimal cholangiographic technique for detecting bile duct stones. AJR Am J Roentgenol, 146(3), 537–541. https://doi.org/10.2214/ajr.146.3.537
Thompson, W. M., R. A. Halvorsen, W. L. Foster, L. Roberts, R. Gibbons, M. E. Williford, F. M. Kelvin, and R. P. Rice. “Optimal cholangiographic technique for detecting bile duct stones.AJR Am J Roentgenol 146, no. 3 (March 1986): 537–41. https://doi.org/10.2214/ajr.146.3.537.
Thompson WM, Halvorsen RA, Foster WL, Roberts L, Gibbons R, Williford ME, et al. Optimal cholangiographic technique for detecting bile duct stones. AJR Am J Roentgenol. 1986 Mar;146(3):537–41.
Thompson, W. M., et al. “Optimal cholangiographic technique for detecting bile duct stones.AJR Am J Roentgenol, vol. 146, no. 3, Mar. 1986, pp. 537–41. Pubmed, doi:10.2214/ajr.146.3.537.
Thompson WM, Halvorsen RA, Foster WL, Roberts L, Gibbons R, Williford ME, Kelvin FM, Rice RP. Optimal cholangiographic technique for detecting bile duct stones. AJR Am J Roentgenol. 1986 Mar;146(3):537–541.

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

March 1986

Volume

146

Issue

3

Start / End Page

537 / 541

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • Humans
  • Cholelithiasis
  • Cholangiography
  • 3202 Clinical sciences
  • 1103 Clinical Sciences