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Imaging-based algorithmic approach to gallbladder wall thickening

查看全文 作　　者：Pankaj [1]Gupta;Yashi [1]Marodia;Akash [1]Bansal;Naveen [1]Kalra;Praveen Kumar-[2]M;Vishal [3]Sharma;Usha [3]Dutta;Manavjit Singh [1]Sandhu 高影响力作者 机构地区：[1]Department of Radiodiagnosis and Imaging,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India;[2]Department of Pharmacology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India;[3]Department of Gastroenterology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India高影响力机构 出　　处：《World Journal of Gastroenterology》索引2020年第26卷第40期,共19页高影响力期刊 摘　　要：Gallbladder(GB) wall thickening is a frequent finding caused by a spectrum of conditions. It is observed in many extracholecystic as well as intrinsic GB conditions. GB wall thickening can either be diffuse or focal. Diffuse wall thickening is a secondary occurrence in both extrinsic and intrinsic pathologies of GB, whereas, focal wall thickening is mostly associated with intrinsic GB pathologies. In the absence of specific clinical features, accurate etiological diagnosis can be challenging. The survival rate in GB carcinoma(GBC) can be improved if it is diagnosed at an early stage, especially when the tumor is confined to the wall. The pattern of wall thickening in GBC is often confused with benign diseases, especially chronic cholecystitis, xanthogranulomatous cholecystitis, and adenomyomatosis. Early recognition and differentiation of these conditions can improve the prognosis. In this minireview, the authors describe the patterns of abnormalities on various imaging modalities(conventional as well as advanced) for the diagnosis of GB wall thickening. This paper also illustrates an algorithmic approach for the etiological diagnosis of GB wall thickening and suggests a formatted reporting for GB wall abnormalities. 关 键 词：Gallbladder diseases CHOLECYSTITIS Rokitansky-Aschoff sinuses of the gallbladder Xanthogranulomatous cholecystitis NEOPLASMS Acute cholecystitis
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