MDCT in Characterizing Gall Bladder Carcinoma: Experience From an Endemic Region
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: With the technical advancements in detection and treatment of gall bladder malignancy, it is essential that detailed pre-operative imaging should be available to guide the surgeon. Although its incidence is high in certain Indian states, the utility of triple-phase MDCT has infrequently been described in literature. The study aimed to determine the utility of multi-phase MDCT in the staging and resectability of gallbladder carcinoma. Material and Methods: Fifty patients with suspected gall bladder carcinoma on routine sonography were subjected to multiphasic MDCT in AIIMS Patna within six months duration. All three planes were assessed for evaluation of the vascular invasion and anatomy. Tumour enhancement and washout characteristics, loco regional and distant metastasis were documented. Attempts to differentiate carcinoma from benign mimickers like polyps, cholecystitis and adenomyomatosis were made. Results: The sensitivity and specificity of MDCT in detection of carcinoma of gall bladder was 92.8% and 96.7% respectively. It is superior to ultrasonography in detecting early stage carcinoma as well as vascular and bile duct infiltration. Conclusion: Triple-phase MDCT with 3D reconstruction is a comprehensive imaging technique for staging gallbladder carcinoma and determining the vascular road map before surgery.
Authors and Affiliations
Niharika Prasad, Amit Goyal
Keywords
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- EP ID EP424476
- DOI 10.21276/ijcmsr.2018.3.2.32
- Views 118
- Downloads 0
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