Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Laing, F. C.
Right arrow Articles by Jeffrey, R. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Laing, F. C.
Right arrow Articles by Jeffrey, R. B., Jr

Radiology, Vol 146, 475-479, Copyright © 1983 by Radiological Society of North America

ARTICLES

Choledocholithiasis and cystic duct obstruction: difficult ultrasonographic diagnosis

FC Laing and RB Jeffrey Jr

Ultrasonography of 53 patients with stones in either the common bile duct (CBD) or the gallbladder neck/cystic duct revealed respective sensitivities of only 30% and 29% for detection of calculi. The data, which were collected over a period of 40 months, were also analyzed with respect to our early experience (first 24 months) versus our later experience (last 16 months). Although there was no improvement in the diagnosis of gallbladder neck/cystic duct calculi (only those in the gallbladder neck could be identified), significant improvement occurred in the diagnosis of choledocholithiasis, with a sensitivity of 15% in the early period and a sensitivity of 55% in the later period. In part this was due to greater dependence upon real-time equipment and more emphasis on the examination of the distal CBD. A limiting factor in the diagnosis of choledocholithiasis was the normal caliber of the duct in 30% of these patients. Despite improved equipment and technique, ultrasonography cannot detect cystic duct obstruction, and the ultrasonographic diagnosis of CBD calculi remains difficult.


This article has been cited by other articles:


Home page
 RadioGraphicsHome page
M. A. Turner and A. S. Fulcher
The Cystic Duct: Normal Anatomy and Disease Processes
RadioGraphics, January 1, 2001; 21(1): 3 - 22.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
R. T. Harvey and W. T. Miller Jr
Acute Biliary Disease: Initial CT and Follow-up US versus Initial US and Follow-up CT
Radiology, December 1, 1999; 213(3): 831 - 836.
[Abstract] [Full Text]

Home page
 NEJMHome page
M. A. Barish, E. K. Yucel, and J. T. Ferrucci
Magnetic Resonance Cholangiopancreatography
N. Engl. J. Med., July 22, 1999; 341(4): 258 - 264.
[Full Text] [PDF]

Home page
 Journal of Diagnostic Medical SonographyHome page
J. J. Cunningham and M. Bicani-Faulls
Predictive Value of Technically Adequate and Normal Abdominal Sonography Prior to Retrograde Cholangiopancreatography
Journal of Diagnostic Medical Sonography, May 1, 1989; 5(3): 105 - 108.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1983 by the Radiological Society of North America.