Document Detail


Radiologic diagnosis of adenomyomatosis of the gallbladder: comparative study among MRI, helical CT, and transabdominal US.
MedLine Citation:
PMID:  11711793     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The goal of this work was to evaluate the diagnostic accuracy of transabdominal ultrasound (US), helical CT, and MRI in the diagnosis of adenomyomatosis (ADM) of the gallbladder. METHOD: Twenty patients with surgically proven ADM were included, all of whom underwent preoperative US, helical CT with 3 mm collimation, and MRI with half-Fourier rapid acquisition with relaxation enhancement (RARE). All images were retrospectively reviewed by two radiologists, and the presence of ADM was assessed at three compartments (neck, body, and fundus) of the organ. Receiver operating characteristic analysis was performed, and sensitivity, specificity, and accuracy were calculated for each modality. RESULTS: The A z values (area under the curve) for MRI, helical CT, and US were 0.98, 0.85, and 0.72 for the Reader 1, respectively, showing no statistically significant interobserver difference in any of the three modalities. MRI showed a significantly higher A z value than helical CT or US (p < 0.1). The accuracies of MRI, helical CT, and US were 93, 75, and 66%, respectively. CONCLUSION: Among the three modalities tested, MRI with half-Fourier RARE sequence was the most accurate for diagnosing ADM.
Authors:
K Yoshimitsu; H Honda; H Aibe; K Shinozaki; T Kuroiwa; H Irie; Y Asayama; K Masuda
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  25     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2001-11-16     Completed Date:  2002-01-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  843-50     Citation Subset:  IM    
Affiliation:
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. yoshimitsu@dr.hosp.kyushu-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adenomyoma / diagnosis*,  radiography,  ultrasonography
Adult
Aged
Diagnosis, Differential
Female
Gallbladder Neoplasms / diagnosis*,  radiography,  ultrasonography
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed

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


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