Document Detail


Dynamic MRI using a surface coil in chronic cholecystitis and gallbladder carcinoma: radiologic and histopathologic correlation.
MedLine Citation:
PMID:  9216777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to determine whether dynamic MRI could differentiate gallbladder carcinoma from chronic cholecystitis. METHOD: The dynamic MR findings of 50 patients with pathologically proven chronic cholecystitis and 13 with gallbladder carcinomas were correlated with the pathological findings. RESULTS: In chronic cholecystitis with thickened wall, mucosa and muscle were shown in early images as smoothly delineated enhancement except in one case, and the subserosa with fibrosis was enhanced in late or delayed images. Unenhanced foci in the wall correlated with Rokitansky-Aschoff sinuses or mural stones. In carcinomas, all tumors showed irregularly delineated enhancement in early images. In late or delayed images, noncancerous portions were also enhanced. The outer margin of early enhancement correlated with the extension of the tumor. CONCLUSION: Dynamic MRI is useful for the differentiation of chronic cholecystitis from carcinoma and for the evaluation of its local extension.
Authors:
H Demachi; O Matsui; K Hoshiba; M Kimura; S Miyata; Y Kuroda; K Konishi; M Tsuji; A Miwa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  21     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    1997 Jul-Aug
Date Detail:
Created Date:  1997-07-31     Completed Date:  1997-07-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  643-51     Citation Subset:  IM    
Affiliation:
Department of Radiology, Toyama Prefectural Central Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma / diagnosis*,  pathology
Cholecystitis / diagnosis*,  pathology
Chronic Disease
Contrast Media
Diagnosis, Differential
Drug Combinations
Female
Gadolinium / diagnostic use
Gadolinium DTPA
Gallbladder / pathology
Gallbladder Neoplasms / diagnosis*,  pathology
Humans
Magnetic Resonance Imaging / instrumentation,  methods*
Male
Meglumine / diagnostic use
Middle Aged
Organometallic Compounds / diagnostic use
Pentetic Acid / analogs & derivatives,  diagnostic use
Retrospective Studies
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Drug Combinations; 0/Organometallic Compounds; 6284-40-8/Meglumine; 67-43-6/Pentetic Acid; 7440-54-2/Gadolinium; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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