Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow
Background: Gray-scale sonography is generally considered as a first-line diagnostic tool for patient with suspected acute cholecystitis. It is suggested by gallstones, Murphy's sign, thickening of the gallbladder wall and bile sludging, but the specificity of these sonographic findings a...
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| Format: | Article |
| Language: | English |
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University of Baghdad/ Al-Kindy College of Medicine
2016-06-01
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| Series: | مجله كليه طب الكندي |
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| Online Access: | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/322 |
| _version_ | 1818480251135590400 |
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| author | Qays Ahmed Hassan Al-Timimy |
| author_facet | Qays Ahmed Hassan Al-Timimy |
| author_sort | Qays Ahmed Hassan Al-Timimy |
| collection | DOAJ |
| description |
Background: Gray-scale sonography is generally
considered as a first-line diagnostic tool for patient with
suspected acute cholecystitis. It is suggested by gallstones,
Murphy's sign, thickening of the gallbladder wall and bile
sludging, but the specificity of these sonographic findings
are not as high as their sensitivity. Blood flow of the
gallbladder wall is increased in acute inflammation.
Objective: To evaluate the sensitivity and specificity of
power Doppler sonography and compared with conventional
color Doppler and gray-scale sonography in diagnosing
patients with acute cholecystitis.
Type of the study: This was a cross sectional study.
Patients and methods: The study was conducted through
the period from August 2014 to August 2015 on 80 patients
with acute right upper quadrant abdominal pain and
clinically suspected acute cholecystitis. Firstly, gray-scale
sonography of the abdomen was performed. Next, color
Doppler and power Doppler sonography of the gallblader
wall was done to detect mural flow. Quantifying intramural
vascularity was performed using Uggowitzer scoring
system. Grading of vascularity ++ and +++ were suggestive
of acute cholecystitis. Results of gray-scale and Doppler
sonography were compared with post cholecystectomy
histopathological results.
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| first_indexed | 2024-12-10T11:20:56Z |
| format | Article |
| id | doaj.art-b2c7f5eb419946ac8fa31b1681b688c9 |
| institution | Directory Open Access Journal |
| issn | 1810-9543 2521-4365 |
| language | English |
| last_indexed | 2024-12-10T11:20:56Z |
| publishDate | 2016-06-01 |
| publisher | University of Baghdad/ Al-Kindy College of Medicine |
| record_format | Article |
| series | مجله كليه طب الكندي |
| spelling | doaj.art-b2c7f5eb419946ac8fa31b1681b688c92022-12-22T01:50:56ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652016-06-01122Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural FlowQays Ahmed Hassan Al-Timimy0Instructor in Al-kindy college of medicine – university of Baghdad, Background: Gray-scale sonography is generally considered as a first-line diagnostic tool for patient with suspected acute cholecystitis. It is suggested by gallstones, Murphy's sign, thickening of the gallbladder wall and bile sludging, but the specificity of these sonographic findings are not as high as their sensitivity. Blood flow of the gallbladder wall is increased in acute inflammation. Objective: To evaluate the sensitivity and specificity of power Doppler sonography and compared with conventional color Doppler and gray-scale sonography in diagnosing patients with acute cholecystitis. Type of the study: This was a cross sectional study. Patients and methods: The study was conducted through the period from August 2014 to August 2015 on 80 patients with acute right upper quadrant abdominal pain and clinically suspected acute cholecystitis. Firstly, gray-scale sonography of the abdomen was performed. Next, color Doppler and power Doppler sonography of the gallblader wall was done to detect mural flow. Quantifying intramural vascularity was performed using Uggowitzer scoring system. Grading of vascularity ++ and +++ were suggestive of acute cholecystitis. Results of gray-scale and Doppler sonography were compared with post cholecystectomy histopathological results. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/322cute cholecystitispower Doppler sonographyvascularity |
| spellingShingle | Qays Ahmed Hassan Al-Timimy Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow مجله كليه طب الكندي cute cholecystitis power Doppler sonography vascularity |
| title | Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow |
| title_full | Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow |
| title_fullStr | Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow |
| title_full_unstemmed | Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow |
| title_short | Power Versus Conventional Color Doppler Sonographic Diagnosis Of Acute Cholecystitis: Comparison In The Depiction Of Mural Flow |
| title_sort | power versus conventional color doppler sonographic diagnosis of acute cholecystitis comparison in the depiction of mural flow |
| topic | cute cholecystitis power Doppler sonography vascularity |
| url | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/322 |
| work_keys_str_mv | AT qaysahmedhassanaltimimy powerversusconventionalcolordopplersonographicdiagnosisofacutecholecystitiscomparisoninthedepictionofmuralflow |