Chronic cholecystitis MRI: Difference between revisions

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Latest revision as of 19:54, 21 February 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: , Furqan M M. M.B.B.S [2]

Overview

Abdominal MRI may be helpful in the diagnosis of chronic cholecystitis. Findings on MRI suggestive of chronic cholecystitis include thickening of the gallbladder and gallstones.

MRI

Findings on MRI suggestive of acute cholecystitis include:^[1]^[2]

Advantages of MRI

Advantages of MRI include:^[1]^[3]

No exposure to radiation
Information about other abdominal structures in addition to hepato-biliary tree

Limitations of MRI

Limitations of MRI include:^[1]^[3]

Limited availability
Time consuming

References

↑ ^1.0 ^1.1 ^1.2 Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB (2013). "Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis". Clin Imaging. 37 (4): 687–91. doi:10.1016/j.clinimag.2013.02.009. PMID 23541278.
↑ Wang A, Shanbhogue AK, Dunst D, Hajdu CH, Rosenkrantz AB (2016). "Utility of diffusion-weighted MRI for differentiating acute from chronic cholecystitis". J Magn Reson Imaging. 44 (1): 89–97. doi:10.1002/jmri.25128. PMID 26691912.
↑ ^3.0 ^3.1 "Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf".

Template:WH Template:WS

[pmid23541278-1] 1.0 ^1.1 ^1.2 Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB (2013). "Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis". Clin Imaging. 37 (4): 687–91. doi:10.1016/j.clinimag.2013.02.009. PMID 23541278.

[pmid26691912-2] Wang A, Shanbhogue AK, Dunst D, Hajdu CH, Rosenkrantz AB (2016). "Utility of diffusion-weighted MRI for differentiating acute from chronic cholecystitis". J Magn Reson Imaging. 44 (1): 89–97. doi:10.1002/jmri.25128. PMID 26691912.

[urlGallbladder,_Cholecystitis,_Acute_-_StatPearls_-_NCBI_Bookshelf-3] 3.0 ^3.1 "Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf".

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[2]

[3]

@@ Line 1: / Line 1: @@
-{{CMG}}
+__NOTOC__
 {{Cholecystitis}}
+{{CMG}}; {{AE}}, {{MMF}}
 ==Overview==
+Abdominal [[MRI]] may be helpful in the diagnosis of chronic cholecystitis. Findings on [[MRI]] suggestive of chronic cholecystitis include [[Gallbladder wall thickening|thickening of the gallbladder]] and [[gallstones]].
 ==MRI==
-* MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis  of acute cholecystitis and associated gall bladder disease (gall stones)<ref name="pmid22447440">{{cite journal |author=Tonolini M, Ravelli A, Villa C, Bianco R |title=Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spectrum of imaging findings |journal=[[Emergency Radiology]] |volume=19 |issue=4 |pages=341–8 |year=2012 |month=August |pmid=22447440 |doi=10.1007/s10140-012-1038-z |url=http://dx.doi.org/10.1007/s10140-012-1038-z |accessdate=2012-08-20}}</ref>.
+Findings on [[MRI]] suggestive of acute cholecystitis include:<ref name="pmid23541278">{{cite journal |vauthors=Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB |title=Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis |journal=Clin Imaging |volume=37 |issue=4 |pages=687–91 |year=2013 |pmid=23541278 |doi=10.1016/j.clinimag.2013.02.009 |url=}}</ref><ref name="pmid26691912">{{cite journal |vauthors=Wang A, Shanbhogue AK, Dunst D, Hajdu CH, Rosenkrantz AB |title=Utility of diffusion-weighted MRI for differentiating acute from chronic cholecystitis |journal=J Magn Reson Imaging |volume=44 |issue=1 |pages=89–97 |year=2016 |pmid=26691912 |doi=10.1002/jmri.25128 |url=}}</ref>
-* Finding on MRI include
+*[[Gallbladder wall thickening|Thickening of the gallbladder]]
-** Gallbladder distension
+*[[Gallbladder]] distention
-** Intraluminal sludge
+*[[Gallstones]]
-** Gallstones
+===Advantages of MRI===
-** Impacted stones obstructing the neck of the gallbladder neck
+Advantages of MRI include:<ref name="pmid23541278">{{cite journal |vauthors=Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB |title=Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis |journal=Clin Imaging |volume=37 |issue=4 |pages=687–91 |year=2013 |pmid=23541278 |doi=10.1016/j.clinimag.2013.02.009 |url=}}</ref><ref name="urlGallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK459171/#article-19448.s5 |title=Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref>
-** Cystic duct obstruction
+*No exposure to radiation
-** Thickening of the gallbladder wall
+*Information about other abdominal structures in addition to hepato-biliary tree
-** Abnormal signal intensity due to edematous stratification
+===Limitations of MRI===
-** Pericholecystic and perihepatic fluid
+Limitations of MRI include:<ref name="pmid23541278">{{cite journal |vauthors=Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB |title=Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis |journal=Clin Imaging |volume=37 |issue=4 |pages=687–91 |year=2013 |pmid=23541278 |doi=10.1016/j.clinimag.2013.02.009 |url=}}</ref><ref name="urlGallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK459171/#article-19448.s5 |title=Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref>
-** Increased enhancement of the gallbladder wall and adjacent liver parenchyma with intravenous paramagnetic contrast is used
+*Limited availability
+*Time consuming
-===Images===
+==References==
-''' MR images demonstrates findings that are consistent with acute cholecystitis (perichol fluid, GB wall thickening)'''
+{{reflist|2}}
-<gallery>
-Image:
-Acute cholecystitis MRI 001.jpg
-Image:
-Acute cholecystitis MRI 002.jpg
-Image:
-Acute cholecystitis MRI 003.jpg
-Image:
-Acute cholecystitis MRI 004.jpg
-</gallery>
+[[Category:Gastroenterology]]
+[[Category:Hepatology]]
+[[Category:Surgery]]
+[[Category:Emergency medicine]]
-==References==
-{{reflist|2}}
 {{WH}}
 {{WS}}