Clinical feasibility and usefulness of CT fluoroscopy-guided percutaneous transhepatic biliary drainage in emergency patients with acute obstructive cholangitis.

Abstract:

OBJECTIVE:To evaluate the feasibility of CT fluoroscopy (CTF)-guided percutaneous transhepatic biliary drainage (PTBD) in emergency patients with acute obstructive cholangitis. MATERIALS AND METHODS:The study included 28 patients admitted to the emergency center due to obstructive jaundice and found to require urgent biliary drainage, as well as judged to have a suitable peripheral bile duct for a CTF-guided puncture (at least 4 mm in width). Prior to the CTF-guided puncture, a CT scan was performed to evaluate bile duct dilatation and the underlying causes of biliary obstruction. If the patient was judged to be a suitable candidate, a CTF-guided PTBD was performed in the same CT unit without additional fluoroscopic guidance. Technical feasibility of the procedure was investigated with the evaluation of overall success rate and causes of failure. RESULTS:A hepatic puncture was attempted at the left lobe in 23 patients and right lobe in five patients. The procedure was successful in 24 of 28 patients (86%) Successful biliary puncture was achieved on the first attempt in 16 patients, the second attempt in five patients, and the third attempt in three patients. The causes of failure included guide wire twisting in one patient, biliary puncture failure in two patients, and poor visualization of the guide wire in one patient. There were no significant procedure-related complication. CONCLUSION:The CTF-guided PTBD is technically feasible and highly successful in patients judged to have a suitable indication. Moreover, although the procedure is unfamiliar and inconvenient to interventionalists, it has economical advantages in that it saves time and manpower. We believe this method can be used in the emergency patients requiring urgent biliary drainage as an alternative for the fluoroscopy-guided PTBD.

journal_name

Korean J Radiol

authors

Kim JH

doi

10.3348/kjr.2009.10.2.144

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

144-9

issue

2

eissn

1229-6929

issn

2005-8330

journal_volume

10

pub_type

杂志文章
  • Percutaneous ultrasound-guided vacuum-assisted removal versus surgery for breast lesions showing imaging-histology discordance after ultrasound-guided core-needle biopsy.

    abstract:OBJECTIVE:To evaluate the upgrade rate and delayed false-negative results of percutaneous vacuum-assisted removal (VAR) and surgical excision in women with imaging-histologic discordance during ultrasound (US)-guided automated core needle biopsy (CNB) of the breast and to validate the role of VAR as a rebiopsy method f...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2014.15.6.697

    authors: Sohn YM,Yoon JH,Kim EK,Moon HJ,Kim MJ

    更新日期:2014-11-01 00:00:00

  • Erratum: RE: An Unusual Course of Sinoatrial Node Artery Originating from Distal Right Coronary Artery.

    abstract::[This corrects the article on p. 878 in vol. 15, PMID: 25469103.]. ...

    journal_title:Korean journal of radiology

    pub_type: 已发布勘误

    doi:10.3348/kjr.2015.16.1.217

    authors: Kara K,Ozturk E,Saglam M

    更新日期:2015-01-01 00:00:00

  • 2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology.

    abstract::Thermal ablation using radiofrequency is a new, minimally invasive modality employed as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. The Task Force Committee of the Korean Society of Thyroid Radiology (KSThR) developed recommendations for the optimal use of radiofreq...

    journal_title:Korean journal of radiology

    pub_type: 指南,杂志文章

    doi:10.3348/kjr.2018.19.4.632

    authors: Kim JH,Baek JH,Lim HK,Ahn HS,Baek SM,Choi YJ,Choi YJ,Chung SR,Ha EJ,Hahn SY,Jung SL,Kim DS,Kim SJ,Kim YK,Lee CY,Lee JH,Lee KH,Lee YH,Park JS,Park H,Shin JH,Suh CH,Sung JY,Sim JS,Youn I,Choi M,Na DG,G

    更新日期:2018-07-01 00:00:00

  • Feasibility of automated quantification of regional disease patterns depicted on high-resolution computed tomography in patients with various diffuse lung diseases.

    abstract:OBJECTIVE:This study was designed to develop an automated system for quantification of various regional disease patterns of diffuse lung diseases as depicted on high-resolution computed tomography (HRCT) and to compare the performance of the automated system with human readers. MATERIALS AND METHODS:A total of 600 cir...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2009.10.5.455

    authors: Park SO,Seo JB,Kim N,Park SH,Lee YK,Park BW,Sung YS,Lee Y,Lee J,Kang SH

    更新日期:2009-09-01 00:00:00

  • Radiological spectrum of intraductal papillary tumors of the bile ducts.

    abstract::Papillary tumor of the bile duct is characterized by the presence of an intraductal tumor with a papillary surface comprising innumerable frondlike infoldings of proliferated columnar epithelial cells surrounding slender fibrovascular stalks. There may be multiple tumors along the bile ducts (papillomatosis or papilla...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章,评审

    doi:10.3348/kjr.2002.3.1.57

    authors: Lim JH,Yi CA,Lim HK,Lee WJ,Lee SJ,Kim SH

    更新日期:2002-01-01 00:00:00

  • Pre-operative prediction of advanced prostatic cancer using clinical decision support systems: accuracy comparison between support vector machine and artificial neural network.

    abstract:OBJECTIVE:The purpose of the current study was to develop support vector machine (SVM) and artificial neural network (ANN) models for the pre-operative prediction of advanced prostate cancer by using the parameters acquired from transrectal ultrasound (TRUS)-guided prostate biopsies, and to compare the accuracies betwe...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2011.12.5.588

    authors: Kim SY,Moon SK,Jung DC,Hwang SI,Sung CK,Cho JY,Kim SH,Lee J,Lee HJ

    更新日期:2011-09-01 00:00:00

  • Development of thrombus in a systemic vein after balloon-occluded retrograde transvenous obliteration of gastric varices.

    abstract:OBJECTIVE:To retrospectively evaluate the frequency and risk factors for developing thrombus in a systemic vein such as the infrarenal inferior vena cava or the iliac vein, in which a balloon-occluded retrograde transvenous obliteration (B-RTO) catheter was indwelled. MATERIALS AND METHODS:Forty-nine patients who unde...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2012.13.3.324

    authors: Yoshimatsu R,Yamagami T,Tanaka O,Miura H,Okuda K,Hashiba M,Nishimura T

    更新日期:2012-05-01 00:00:00

  • Post-operative hemorrhage after myomectomy: safety and efficacy of transcatheter uterine artery embolization.

    abstract:OBJECTIVE:To evaluate the safety and clinical efficacy of transcatheter uterine artery embolization (UAE) for post-myomectomy hemorrhage. MATERIALS AND METHODS:We identified eight female patients (age ranged from 29 to 51 years and with a median age of 37) in two regional hospitals who suffered from post-myomectomy he...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2014.15.3.356

    authors: Wan AY,Shin JH,Yoon HK,Ko GY,Park S,Seong NJ,Yoon CJ

    更新日期:2014-05-01 00:00:00

  • CT Perfusion Imaging Can Predict Patients' Survival and Early Response to Transarterial Chemo-Lipiodol Infusion for Liver Metastases from Colorectal Cancers.

    abstract:OBJECTIVE:To prospectively evaluate the performance of computed tomography perfusion imaging (CTPI) in predicting the early response to transarterial chemo-lipiodol infusion (TACLI) and survival of patients with colorectal cancer liver metastases (CRLM). MATERIALS AND METHODS:Computed tomography perfusion imaging was ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.4.810

    authors: Lv WF,Han JK,Cheng DL,Zhou CZ,Ni M,Lu D

    更新日期:2015-07-01 00:00:00

  • Qualitative and Quantitative Comparison of Contrast-Enhanced Fluid-Attenuated Inversion Recovery, Magnetization Transfer Spin Echo, and Fat-Saturation T1-Weighted Sequences in Infectious Meningitis.

    abstract:OBJECTIVE:To compare the contrast-enhanced fluid-attenuated inversion recovery (CE-FLAIR), the CE T1-weighted (CE-T1W) sequence with fat suppression (FS) and magnetization transfer (MT) for early detection and characterization of infectious meningitis. MATERIALS AND METHODS:Fifty patients and 10 control subjects were ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2017.18.6.973

    authors: Azad R,Tayal M,Azad S,Sharma G,Srivastava RK

    更新日期:2017-11-01 00:00:00

  • Automated Breast Ultrasound: Interobserver Agreement, Diagnostic Value, and Associated Clinical Factors of Coronal-Plane Image Features.

    abstract:OBJECTIVE:To evaluate the interobserver agreement, diagnostic value, and associated clinical factors of automated breast ultrasound (ABUS) coronal features in differentiating breast lesions. MATERIALS AND METHODS:This study enrolled 457 pathologically confirmed lesions in 387 female (age, 46.4 ± 10.3 years), including...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2019.0525

    authors: Tang G,An X,Xiang H,Liu L,Li A,Lin X

    更新日期:2020-05-01 00:00:00

  • Image Quality and Radiation Dose in CT Venography Using Model-Based Iterative Reconstruction at 80 kVp versus Adaptive Statistical Iterative Reconstruction-V at 70 kVp.

    abstract:OBJECTIVE:To compare the objective and subjective image quality indicators and radiation doses of computed tomography (CT) venography performed using model-based iterative reconstruction (MBIR) at 80 kVp and adaptive statistical iterative reconstruction (ASIR)-V at 70 kVp. MATERIALS AND METHODS:Eighty-three patients w...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2018.0897

    authors: Park C,Choo KS,Kim JH,Nam KJ,Lee JW,Kim JY

    更新日期:2019-07-01 00:00:00

  • Radiomics in Breast Imaging from Techniques to Clinical Applications: A Review.

    abstract::Recent advances in computer technology have generated a new area of research known as radiomics. Radiomics is defined as the high throughput extraction and analysis of quantitative features from imaging data. Radiomic features provide information on the gray-scale patterns, inter-pixel relationships, as well as shape ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章,评审

    doi:10.3348/kjr.2019.0855

    authors: Lee SH,Park H,Ko ES

    更新日期:2020-07-01 00:00:00

  • MRI findings of pericardial fat necrosis: case report.

    abstract::Pericardial fat necrosis is an infrequent cause of acute chest pain and this can mimic acute myocardial infarction and acute pericarditis. We describe here a patient with the magnetic resonance imaging (MRI) findings of pericardial fat necrosis and this was correlated with the computed tomography (CT) findings. The MR...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2011.12.3.390

    authors: Lee HH,Ryu DS,Jung SS,Jung SM,Choi SJ,Shin DH

    更新日期:2011-05-01 00:00:00

  • Effects of intraluminal irradiation with Holmium-166 for TIPS stenosis: experimental study in a swine model.

    abstract:OBJECTIVE:We wanted to evaluate the effectiveness of intraluminal irradiation with Holmium-166 ((166)Ho) for reducing the pseudointimal hyperplasia (PIH) in the transjugular intrahepatic portosystemic shunt (TIPS) tract in a swine model. MATERIALS AND METHODS:TIPS was performed in 12 domestic pigs, after the creation ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2007.8.2.127

    authors: Park JS,Oh JH,Kim DY,Park YK,Park SJ,Kim SJ

    更新日期:2007-03-01 00:00:00

  • Establishment of a protocol for determining gastrointestinal transit time in mice using barium and radiopaque markers.

    abstract:OBJECTIVE:The purpose of this study was to establish a minimally invasive and reproducible protocol for estimating the gastrointestinal (GI) transit time in mice using barium and radiopaque markers. MATERIALS AND METHODS:Twenty 5- to 6-week-old Balb/C female mice weighing 19-21 g were used. The animals were divided in...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2013.14.1.45

    authors: Myagmarjalbuu B,Moon MJ,Heo SH,Jeong SI,Park JS,Jun JY,Jeong YY,Kang HK

    更新日期:2013-01-01 00:00:00

  • Cervical interlaminar epidural steroid injection for unilateral cervical radiculopathy: comparison of midline and paramedian approaches for efficacy.

    abstract:OBJECTIVE:The objective of this study was to compare the clinical outcomes of the cervical interlaminar epidural steroid injection (CIESI) for unilateral radiculopathy by the midline or paramedian approaches and to determine the prognostic factors of CIESI. MATERIALS AND METHODS:We retrospectively analyzed 182 patient...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.3.604

    authors: Yoon JY,Kwon JW,Yoon YC,Lee J

    更新日期:2015-05-01 00:00:00

  • Accuracy of high-resolution MRI with lumen distention in rectal cancer staging and circumferential margin involvement prediction.

    abstract:OBJECTIVE:To evaluate the accuracy of magnetic resonance imaging (MRI) with lumen distention for rectal cancer staging and circumferential resection margin (CRM) involvement prediction. MATERIALS AND METHODS:Seventy-three patients with primary rectal cancer underwent high-resolution MRI with a phased-array coil perfor...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2014.15.1.37

    authors: Iannicelli E,Di Renzo S,Ferri M,Pilozzi E,Di Girolamo M,Sapori A,Ziparo V,David V

    更新日期:2014-01-01 00:00:00

  • Digital tomosynthesis for PNS evaluation: comparisons of patient exposure and image quality with plain radiography.

    abstract:OBJECTIVE:We investigated low dose digital tomosynthesis (DT) for the evaluation of the paranasal sinus (PNS), and compared its diagnostic accuracy with a PNS radiography series (XR). MATERIALS AND METHODS:We enrolled 43 patients for whom XR, PNS DT, and OMU CT were performed. We measured effective doses (EDs) of XR, ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2012.13.2.136

    authors: Yoo JY,Chung MJ,Choi B,Jung HN,Koo JH,Bae YA,Jeon K,Byun HS,Lee KS

    更新日期:2012-03-01 00:00:00

  • Comparison of Urologist Satisfaction for Different Types of Prostate MRI Reports: A Large Sample Investigation.

    abstract:OBJECTIVE:To evaluate urologist satisfaction on structured prostate MRI reports, including report with tumor-node-metastasis (TNM) staging (report B) and with Prostate Imaging Reporting and Data System (PI-RADS) score with/without TNM staging (report C, report with PI-RADS score only [report C-a] and report with PI-RAD...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2019.0820

    authors: Zhong J,Qin W,Li Y,Wang Y,Huan Y,Ren J

    更新日期:2020-12-01 00:00:00

  • Is There a Correlation between the Presence of a Spiculated Mass on Mammogram and Luminal A Subtype Breast Cancer?

    abstract:OBJECTIVE:To determine whether the appearance of a spiculated mass on a mammogram is associated with luminal A subtype breast cancer and the factors that may influence the presence or absence of the spiculated mass. MATERIALS AND METHODS:Three hundred seventeen (317) patients who underwent image-guided or surgical bio...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2016.17.6.846

    authors: Liu S,Wu XD,Xu WJ,Lin Q,Liu XJ,Li Y

    更新日期:2016-11-01 00:00:00

  • Thyroid ultrasonography: pitfalls and techniques.

    abstract::Thyroid ultrasonography (US) plays a key role in the diagnosis and management of thyroid-related diseases. The aim of this article was to illustrate various pitfalls that can occur in utilizing thyroid US and techniques to prevent them. In this article, we present cases demonstrating the common pitfalls associated wit...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2014.15.2.267

    authors: Choi SH,Kim EK,Kim SJ,Kwak JY

    更新日期:2014-03-01 00:00:00

  • Reduced Field-of-View Diffusion-Weighted Magnetic Resonance Imaging of the Pancreas: Comparison with Conventional Single-Shot Echo-Planar Imaging.

    abstract:OBJECTIVE:To investigate the image quality (IQ) and apparent diffusion coefficient (ADC) of reduced field-of-view (FOV) di-ffusion-weighted imaging (DWI) of pancreas in comparison with full FOV DWI. MATERIALS AND METHODS:In this retrospective study, 2 readers independently performed qualitative analysis of full FOV DW...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.6.1216

    authors: Kim H,Lee JM,Yoon JH,Jang JY,Kim SW,Ryu JK,Kannengiesser S,Han JK,Choi BI

    更新日期:2015-11-01 00:00:00

  • Primary uterine lymphoma: a case report.

    abstract::Primary lymphoma of the uterus is a rare disease, the reported characteristic MR imaging findings being homogeneous intermediate signal intensity of the indistinct mass on T1- and T2-weighted images, and the preservation of endometrial lining and uterine architecture. We report a case of primary uterine lymphoma which...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2000.1.4.223

    authors: Cheong IJ,Kim SH,Park CM

    更新日期:2000-10-01 00:00:00

  • Efficacy of barium-based fecal tagging for CT colonography: a comparison between the use of high and low density barium suspensions in a Korean population - a preliminary study.

    abstract:OBJECTIVE:This preliminarily study was designed to determine and to compare the efficacy of two commercially available barium-based fecal tagging agents for CT colonography (CTC) (high-density [40% w/v] and low-density [4.6% w/v] barium suspensions) in a population in Korea. MATERIALS AND METHODS:In a population with ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2009.10.1.25

    authors: Kim MJ,Park SH,Lee SS,Byeon JS,Choi EK,Kim JH,Kim YN,Kim AY,Ha HK

    更新日期:2009-01-01 00:00:00

  • Accuracy of Diffusion Tensor Imaging for Diagnosing Cervical Spondylotic Myelopathy in Patients Showing Spinal Cord Compression.

    abstract:OBJECTIVE:To assess the performance of diffusion tensor imaging (DTI) for the diagnosis of cervical spondylotic myelopathy (CSM) in patients with deformed spinal cord but otherwise unremarkable conventional magnetic resonance imaging (MRI) findings. MATERIALS AND METHODS:A total of 33 patients who underwent MRI of the...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.6.1303

    authors: Lee S,Lee YH,Chung TS,Jeong EK,Kim S,Yoo YH,Kim IS,Yoon CS,Suh JS,Park JH

    更新日期:2015-11-01 00:00:00

  • Fenestrated stent graft repair of abdominal aortic aneurysm: hemodynamic analysis of the effect of fenestrated stents on the renal arteries.

    abstract:OBJECTIVE:We wanted to investigate the hemodynamic effect of fenestrated stents on the renal arteries with using a fluid structure interaction method. MATERIALS AND METHODS:Two representative patients who each had abdominal aortic aneurysm that was treated with fenestrated stent grafts were selected for the study. 3D ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2010.11.1.95

    authors: Sun Z,Chaichana T

    更新日期:2010-01-01 00:00:00

  • Radiofrequency ablation of the gastrointestinal tract with a stent-like electrode: experimental study.

    abstract:OBJECTIVE:To assess the technical feasibility of a newly designed stent-like electrode in rabbits. MATERIALS AND METHODS:A stent-like electrode was knitted from a single thread of nitinol wire and interconnected to a generator using similar wire. In order to gauge the extent of radiofrequency ablation (RFA), we measur...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2003.4.1.19

    authors: Byun JN,Kang SG,Choi JY,Kim DH,Lee JM,Kim YC,Ki KH,Lee CG

    更新日期:2003-01-01 00:00:00

  • Performance of Screening Mammography: A Report of the Alliance for Breast Cancer Screening in Korea.

    abstract:OBJECTIVE:To analyze the diagnostic accuracy and trend in screening mammography in Korea. MATERIALS AND METHODS:We retrospectively linked the information from hospitals participating in the Alliance of Breast Cancer Screening in Korea (ABCS-K) and the database of the National Cancer Screening Program. We calculated pe...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2016.17.4.489

    authors: Lee EH,Kim KW,Kim YJ,Shin DR,Park YM,Lim HS,Park JS,Kim HW,Kim YM,Kim HJ,Jun JK

    更新日期:2016-07-01 00:00:00

  • The role of divided injections of a sclerotic agent over two days in balloon-occluded retrograde transvenous obliteration for large gastric varices.

    abstract:OBJECTIVE:To determine the safety and usefulness of a two-tiered approach to balloon-occluded retrograde transvenous obliteration (B-RTO) as a treatment for large gastric varices after portal hypertension. MATERIALS AND METHODS:50 patients were studied who underwent B-RTO for gastric varices between October 2004 and O...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2013.14.3.439

    authors: Yamagami T,Yoshimatsu R,Miura H,Matsumoto T,Hasebe T

    更新日期:2013-05-01 00:00:00