Abstract:
PURPOSE:The purpose of this study was twofold: (a) to determine the significance of high signal intensity surrounding the gallbladder as seen on T2-weighted HASTE (half-Fourier acquisition single shot turbo SE) MR images in patients with acute cholecystitis and (b) to determine the sensitivity of T2-weighted HASTE MR images in detecting gallbladder and common bile duct (CBD) calculi in patients with acute cholecystitis. METHOD:Seventy-two patients with a suspicion of acute cholecystitis were referred for HASTE MRI over a 2 year period. Forty-one patients underwent MRI after sonography and the remaining 31 patients before sonography. MR images were independently evaluated for the presence of MR pericholecystic high signal and gallbladder and CBD calculi. Findings were correlated with results obtained at sonography and at surgery. RESULTS:Of the 72 patients imaged with HASTE MRI, 55 had cholecystitis based on clinical, sonographic, and/or surgical findings. Of these, 45 had acute and 10 had chronic cholecystitis. HASTE MRI demonstrated MR pericholecystic high signal in 41 of 45 (91%) of the patients with acute cholecystitis. The sensitivity of HASTE MRI in diagnosing acute cholecystitis was 91%. The specificity was 79%. The positive predictive value was 87%, the negative predictive value was 85%, and the overall accuracy of the test was 89%. Gallbladder stones were seen by HASTE MRI in 38 of 41 (93%) of patients with acute calculus cholecystitis demonstrated at sonography. CBD stones were demonstrated by HASTE MRI in seven of nine (78%) patients and by sonography in five of nine (56%) patients with documented choledocholithiasis on conventional cholangiography. CONCLUSION:HASTE MRI has a high degree of accuracy in diagnosing acute cholecystitis based on the single finding of pericholecystic MR high signal. A similar level of accuracy is demonstrated in detecting gallbladder stones. Biliary duct calculi are detected with even greater accuracy than with sonography in patients with acute cholecystitis. Invasive preoperative endoscopic retrograde cholangiography may therefore be limited to only those patients with acute cholecystitis and CBD stones demonstrated on HASTE MRI. These features make HASTE MRI and ideal imaging modality in the initial evaluation of acute biliary pain and may ultimately replace sonography in the preoperative evaluation of acute cholecystitis.
journal_name
J Comput Assist Tomogrjournal_title
Journal of computer assisted tomographyauthors
Regan F,Schaefer DC,Smith DP,Petronis JD,Bohlman ME,Magnuson THdoi
10.1097/00004728-199807000-00025subject
Has Abstractpub_date
1998-07-01 00:00:00pages
638-42issue
4eissn
0363-8715issn
1532-3145journal_volume
22pub_type
临床试验,杂志文章,随机对照试验abstract::To evaluate the performance of our elastic matching system, we have created a digitized atlas from the brain of a normal young man, using 135 myelin-stained sections at 700 microns spacing. Software was written to enter and edit regional anatomic contours, which were stacked and aligned to create a three-dimensional a...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198907000-00009
更新日期:1989-07-01 00:00:00
abstract::Computed tomography (CT) findings in hydatid disease (echinococciasis) of the liver are described. Disease was caused by Echinococcus granulosus (n = 8) or E. alveolaris (n = 5), respectively. The CT appearance of these two types of echinococciasis is quite different; in disease caused by E. granulosus the CT appearan...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197811000-00018
更新日期:1978-11-01 00:00:00
abstract::A case in which pus within a bladder diverticulum simulated a deep pelvic abscess is presented. This pitfall in CT diagnosis should be considered in patients with bladder outlet obstruction with symptoms of infection. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199105000-00031
更新日期:1991-05-01 00:00:00
abstract:PURPOSE:The goal of this study was to evaluate a newly developed semiautomated contour detection algorithm for the quantitative analysis of cardiovascular MRI. METHOD:Left ventricular function parameters derived from automatically detected endocardial and epicardial contours were compared with results derived from man...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199709000-00019
更新日期:1997-09-01 00:00:00
abstract::Magnetic resonance was performed in five patients with obstructive hydrocephalus due to surgically proven colloid cyst of the third ventricle. On T1-weighted images two lesions were homogeneously hyperintense and another homogeneously isointense with the surrounding brain parenchyma. On T2-weighted images these three ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199007000-00005
更新日期:1990-07-01 00:00:00
abstract::Thirty patients with suspected or known chronic aortic dissection were imaged with magnetic resonance (MR), CT, and angiography. Five of these patients had previously undergone surgical repair of the ascending aorta for a type A dissection. Magnetic resonance demonstrated an intimal flap and a double lumen in 25 cases...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198711000-00009
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to compare white matter maturation as demonstrated with diffusion-weighted MRI and with myelin-sensitive histological staining. MATERIALS AND METHODS:The diffusion-, T1-, and T2-weighted SE MRI at 4.7 T was performed weekly in a total of 16 rat pups, aged from 5 days to 8 weeks,...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199501000-00005
更新日期:1995-01-01 00:00:00
abstract::Forty-two patients with hepatocellular carcinoma (HCC) were examined by magnetic resonance (MR) imaging. The presence of tumor was suggested in 41 of 42 cases by a high-intensity area on T2 weighted spin-echo (SE) images with a repetition time (TR) of 1.6 s. Specific findings of HCC such as the presence of a capsule, ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198611000-00012
更新日期:1986-11-01 00:00:00
abstract:BACKGROUND:Increasing image pitch in computed tomographic (CT) imaging is a method through which scan time can be reduced, which can reduce motion artifacts. In this study, we assess the clinical feasibility of ultrahigh-pitch CT imaging made possible by dual-source CT. METHODS:Image pitch, total scan time, and image ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e31821a02c8
更新日期:2011-05-01 00:00:00
abstract::We report an unusual case of diffuse infiltration of the mesentery by amyloidosis. The CT, sonographic, and operative findings mimicked abdominal carcinomatosis. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the usefulness of the "bridging vascular sign" in the diagnosis of an exophytic uterine leiomyoma and differentiation of a uterine leiomyoma from some other mass arising in the adnexa on pelvic MRI. METHOD:Of 52 women with a pelvic mass in whom pelvic MRI was performed...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200001000-00012
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:The objective was to elucidate clinical effectiveness of submillimeter multislice 2- and 3-dimensional computed tomography (CT) for diagnosis of congenital middle ear anomaly. MATERIALS AND METHODS:Preoperative CT and operative findings were retrospectively analyzed in 36 ears of 33 patients. The distance be...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000093
更新日期:2014-09-01 00:00:00
abstract::An increase in the effective atomic number of blood is among the factors allowing or influencing the visualization of the major cerebral vessels on noncontrast CT. Bromine (atomic number, 50) attenuates 70 keV X-rays significantly and was responsible for a striking enhancement of the major cerebral vessels on the nonc...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198410000-00035
更新日期:1984-10-01 00:00:00
abstract::Pneumatosis cystoides coli (PCC) is an uncommon condition in which multiple gas-filled cysts in the walls of the colon. Patients with PCC initially complain of various symptoms including abdominal discomfort, constipation, diarrhea, hematochezia, vomiting, and fever. We recently diagnosed PCC by computed tomography (C...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/rct.0b013e31805d08ca
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the Macklin effect in patients with spontaneous pneumomediastinum by multidetector-row computed tomography (MDCT). METHODS:Chest computed tomography (CT) reports between July 2000 and January 2003 at our institution were retrospectively reviewed. Nine patients with s...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/01.rct.0000187416.07698.8d
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:To investigate the apparent diffusion coefficients (ADCs) of the normal uterine zonal structures (myometrium, endometrium, and junctional zone) during different phases of the menstrual cycle among premenopausal women with different age groups. MATERIALS AND METHODS:Magnetic resonance (MR) images of 67 healthy ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3182418885
更新日期:2012-01-01 00:00:00
abstract::We report a case of an extramedullary plasmacytoma arising from the nasopharynx. The computed tomographic appearance of this rare tumor is discussed. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198312000-00028
更新日期:1983-12-01 00:00:00
abstract::Pancreas transplantation has become more commonplace over the past several decades. Consequently, the radiological evaluation of patients with such transplants has also become more common. Radiologists must therefore be familiar with the normal imaging appearances of pancreas transplant grafts as well as a wide variet...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0b013e3181966988
更新日期:2009-07-01 00:00:00
abstract:PURPOSE:Our goal was to characterize the MR features of pathologically documented gliosarcoma and to determine if these features help differentiate gliosarcoma from other intracranial neoplasms. METHOD:MR studies of six patients with pathologically documented gliosarcoma were retrospectively analyzed. RESULTS:The tum...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199609000-00006
更新日期:1996-09-01 00:00:00
abstract::Two cases of non-Hodgkin lymphoma (NHL), one AIDS related, with hepatic involvement manifesting as infiltrating mass-like periportal intrahepatic low attenuation on CT are described. One case demonstrated mass effect with compression of adjacent bile ducts causing jaundice. NHL should be included in the differential d...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199709000-00009
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:To identify the computed tomography (CT) findings to predict recurrent bleeding in patients with massive hemoptysis. METHODS:Fifty-eight patients with massive hemoptysis underwent both CT and conventional bronchial angiography for bronchial artery embolization. Retrospective analysis was done to analyze the ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200607000-00018
更新日期:2006-07-01 00:00:00
abstract::Contrast enhancement has been studied with computed tomography in 18 patients with brain infarction. Four patients were examined on more than one occasion. A mode of contrast medium administration has been used that results in constant blood iodine concentration during the investigation. The enhancement pattern was an...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197904000-00016
更新日期:1979-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the accuracy of dynamic laryngeal computed tomography (DLCT) for the detection of vocal cord mobility in larynx cancer. METHODS:Vocal cord mobility of 44 patients (36 men; age range, 49-81 years) with larynx cancer was examined; 13 patients were excluded (owing to poor image quality or bilateral ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e31825b85ce
更新日期:2012-07-01 00:00:00
abstract::This is the fourth in a series of articles on the spine. The first reviewed the anatomy of the neck; the second reviewed the upper thoracic spine and chest (T1-T4); and the third reviewed the middle thoracic spine and chest (T5-T8). The procedures performed in the lower thoracic spine include percutaneous biopsies of ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/01.rct.0000237813.26301.73
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to describe the MR findings in extraspinal musculoskeletal tuberculosis (EMT). METHOD:A retrospective review was conducted of the MR findings of 18 patients with microbiologically and/or pathologically proven EMT. All MR studies were performed using T1-and T2-weighted spin echo sequen...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200103000-00004
更新日期:2001-03-01 00:00:00
abstract::This paper reports two cases of benign extramedullary tumors of the foramen magnum studied by computed tomography (CT). The first case was a neurinoma; the second was a meningioma. Several different CT findings allowed a correct preoperative diagnosis of the location and nature of the tumors. In view of the invasivene...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198004000-00021
更新日期:1980-04-01 00:00:00
abstract::Bullous lung disease is known to be a risk factor for developing a bronchogenic carcinoma. In this article, computed tomography appearances of 20 patients with histologically proven bronchogenic carcinoma were reviewed retrospectively. On the basis of the previous literatures and our findings, the computed tomography ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200605000-00016
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:The authors compared multislice CT angiography and selective angiography for the assessment of coronary artery disease. METHODS:In 28 patients, the presence and degree of coronary artery stenoses were determined in coronary segments prepared with beta-blocker for good image quality with multislice CT. RESU...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200209000-00015
更新日期:2002-09-01 00:00:00
abstract::In a consecutive group of 1,067 noncholecystectomized patients referred for computed tomography including the upper abdomen, gallstones were seen in 13%. In 4% of the patients with gallstones, gas-containing calculi were found. On reviewing the conventional plain films such stones were revealed in less than one-half o...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198310000-00009
更新日期:1983-10-01 00:00:00
abstract::Cancers of the female genital system, particularly endometrial and ovarian cancers, can be associated with hereditary cancer syndromes such as hereditary breast and ovarian cancer and Lynch syndrome. Cancers that are found in the setting of a hereditary cancer syndrome are often unique in presentation, clinical featur...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0000000000000558
更新日期:2017-05-01 00:00:00