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
Right arrow Citation Map
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 Park, M. S.
Right arrow Articles by Kim, K. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Park, M. S.
Right arrow Articles by Kim, K. W.

Radiology, Vol 209, 781-785, Copyright © 1998 by Radiological Society of North America

ARTICLES

Acute cholecystitis: comparison of MR cholangiography and US

MS Park, JS Yu, YH Kim, MJ Kim, JH Kim, S Lee, N Cho, DG Kim and KW Kim
Department of Diagnostic Radiology, Yonsei University College of Medicine, YongDong Severance Hospital, Seoul, South Korea.

PURPOSE: To evaluate the clinical usefulness of magnetic resonance (MR) cholangiography in the assessment of acute cholecystitis by comparing the diagnostic accuracy of MR cholangiography with that of ultrasonography (US). MATERIALS AND METHODS: Thirty-five patients with symptoms of acute cholecystitis underwent both US and MR cholangiography before cholecystectomy, which helped confirm acute cholecystitis. Two reviewers evaluated US and MR cholangiographic images for evidence of calculi and gallbladder wall thickening and compared these findings with surgical findings. RESULTS: MR cholangiography depicted all 21 (100%) calculi and one false-positive calculus in the cystic duct and gallbladder neck, but US depicted only one (14%) of seven cystic duct calculi and 12 (86%) of 14 gallbladder neck calculi. In the diagnosis of cystic duct obstruction, MR cholangiography had a sensitivity of 100%, a specificity of 93%, and an accuracy of 97%. US had a sensitivity of 62%, a specificity of 100%, and an accuracy of 77%. In the diagnosis of gallbladder wall thickening, MR cholangiography had a sensitivity of 69%, a specificity of 83%, and an accuracy of 71%. US had a sensitivity of 96%, a specificity of 83%, and an accuracy of 94%. CONCLUSION: In the assessment of acute cholecystitis, US is superior to MR cholangiography in the evaluation of gallbladder wall thickening. However, MR cholangiography is superior to US in the depiction of cystic duct and gallbladder neck calculi at the evaluation of cystic duct obstruction.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
J. Y. Kim, K. W. Kim, C.-S. Ahn, S. Hwang, Y.-J. Lee, Y. M. Shin, and M.-G. Lee
Spectrum of Biliary and Nonbiliary Complications After Laparoscopic Cholecystectomy: Radiologic Findings
Am. J. Roentgenol., September 1, 2008; 191(3): 783 - 789.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
O. A. Catalano, D. V. Sahani, S. P. Kalva, M. S. Cushing, P. F. Hahn, J. J. Brown, and R. R. Edelman
MR Imaging of the Gallbladder: A Pictorial Essay
RadioGraphics, January 1, 2008; 28(1): 135 - 155.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
M Melzer, R Toner, S Lacey, E Bettany, and G Rait
Biliary tract infection and bacteraemia: presentation, structural abnormalities, causative organisms and clinical outcomes
Postgrad. Med. J., December 1, 2007; 83(986): 773 - 776.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
E. Altun, R. C. Semelka, J. Elias Jr, L. Braga, V. Voultsinos, J. Patel, N. C. Balci, and J. T. Woosley
Acute Cholecystitis: MR Findings and Differentiation from Chronic Cholecystitis
Radiology, July 1, 2007; 244(1): 174 - 183.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
Y. Watanabe, M. Nagayama, A. Okumura, Y. Amoh, T. Katsube, T. Suga, S. Koyama, K. Nakatani, and Y. Dodo
MR Imaging of Acute Biliary Disorders
RadioGraphics, March 1, 2007; 27(2): 477 - 495.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
M.-S. Park, K. W. Kim, J.-S. Yu, M.-J. Kim, K. W. Kim, J. S. Lim, E.-S. Cho, D.-S. Yoon, T. K. Kim, S. I. Lee, et al.
Early Biliary Complications of Laparoscopic Cholecystectomy: Evaluation on T2-Weighted MR Cholangiography in Conjunction with Mangafodipir Trisodium-Enhanced T1-Weighted MR Cholangiography
Am. J. Roentgenol., December 1, 2004; 183(6): 1559 - 1566.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
K. W. Kim, M.-S. Park, J.-S. Yu, J. P. Chung, Y. H. Ryu, S. I. Lee, K. S. Lee, S.-W. Yoon, and K.-H. Lee
Acute Cholecystitis at T2-weighted and Manganese-enhanced T1-weighted MR Cholangiography: Preliminary Study
Radiology, May 1, 2003; 227(2): 580 - 584.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
M.-S. Park, J.-S. Yu, K. W. Kim, M.-J. Kim, J. P. Chung, S.-W. Yoon, J.-J. Chung, J. T. Lee, and H. S. Yoo
Recurrent Pyogenic Cholangitis: Comparison between MR Cholangiography and Direct Cholangiography
Radiology, September 1, 2001; 220(3): 677 - 682.
[Abstract] [Full Text] [PDF]

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
M.-J. Kim, D. G. Mitchell, K. Ito, and E. K. Outwater
Biliary Dilatation: Differentiation of Benign from Malignant Causes-Value of Adding Conventional MR Imaging to MR Cholangiopancreatography1
Radiology, January 1, 2000; 214(1): 173 - 181.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1998 by the Radiological Society of North America.