Percutaneous ultrasound-guided cholecystocholangiography with microbubbles combined with liver biopsy for the assessment of suspected biliary atresia

Zhou, Luyao; Xie, Julin; Gao, Pengfei; Chen, Huadong; Chen, Shu‐Ling; Guotao, Wang; Zhou, Wenying; Xie, Xiaoyan

doi:10.1007/s00247-022-05280-3

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…A study by Zhou et al [ 58 ] that utilized an ensembled deep learning model, which was reported to surpass human expertise in the diagnosis of BA, was, however, excluded from the study, as the model was based on conventional sonographic gallbladder images. Two studies were excluded as they assessed the diagnostic utility of the contrast-enhanced ultrasound technique in percutaneous ultrasound-guided cholecysto-cholangiography among infants with BA [ 59 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Efficacy of Advanced Ultrasonography Imaging Techniques in Infants with Biliary Atresia (BA): A Systematic Review and Meta-Analysis

et al. 2022

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The early diagnosis of biliary atresia (BA) in cholestatic infants is critical to the success of the treatment. Intraoperative cholangiography (IOC), an invasive imaging technique, is the current strategy for the diagnosis of BA. Ultrasonography has advanced over recent years and emerging techniques such as shear wave elastography (SWE) have the potential to improve BA diagnosis. This review sought to evaluate the diagnostic efficacy of advanced ultrasonography techniques in the diagnosis of BA. Six databases (CINAHL, Medline, PubMed, Google Scholar, Web of Science (core collection), and Embase) were searched for studies assessing the diagnostic performance of advanced ultrasonography techniques in differentiating BA from non-BA causes of infantile cholestasis. The meta-analysis was performed using Meta-DiSc 1.4 and Comprehensive Meta-analysis v3 software. Quality Assessment of Diagnostic Accuracy Studies tool version 2 (QUADAS-2) assessed the risk of bias. Fifteen studies consisting of 2185 patients (BA = 1105; non-BA = 1080) met the inclusion criteria. SWE was the only advanced ultrasonography technique reported and had a good pooled diagnostic performance (sensitivity = 83%; specificity = 77%; AUC = 0.896). Liver stiffness indicators were significantly higher in BA compared to non-BA patients (p < 0.000). SWE could be a useful tool in differentiating BA from non-BA causes of infantile cholestasis. Future studies to assess the utility of other advanced ultrasonography techniques are recommended.

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Section: Resultsmentioning

confidence: 99%

Diagnostic Efficacy of Advanced Ultrasonography Imaging Techniques in Infants with Biliary Atresia (BA): A Systematic Review and Meta-Analysis

et al. 2022

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“…6 Practically, the key difference between biliary atresia and nonbiliary atresia is whether the common hepatic duct is obstructive or not in cholangiography. 7 During PUSC, if the intrahepatic and extrahepatic bile ducts are visualized (Fig. 1), biliary atresia is excluded and neonatal hepatitis is highly suspected.…”

Section: Findings Of Pusc Neonatal Hepatitis and Biliary Atresiamentioning

confidence: 99%

“…However, a normal gallbladder and a negative triangular cord sign are not able to exclude biliary atresia 6 . Practically, the key difference between biliary atresia and nonbiliary atresia is whether the common hepatic duct is obstructive or not in cholangiography 7 . During PUSC, if the intrahepatic and extrahepatic bile ducts are visualized (Fig.…”

Section: Findings Of Puscmentioning

confidence: 99%

“…Although due to “off-label,” the application of intracavity CEUS in children is well established over decades 1,2 . There is a lot of experience and published studies on the application of intracavity CEUS in biliary disease including adult and children, 3–7 what we call percutaneous ultrasound cholangiography (PUSC) with microbubbles. Percutaneous ultrasound (US) cholangiography is a feasible technology in evaluating the anatomy of the biliary system and detecting biliary leakage or obstruction by displaying morphological features of the biliary system.…”

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confidence: 99%

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Percutaneous Ultrasound Cholangiography With Microbubbles in Children With Biliary Diseases

Chen,

Zhang,

Zhou

et al. 2023

Ultrasound Quarterly

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The application of intracavity contrast-enhanced ultrasound in the evaluation of biliary disease has been confirmed valuable among pediatric population. This pictorial essay aims to demonstrate the role of percutaneous ultrasound cholangiography (PUSC) with microbubbles in the diagnosis of different pediatric biliary diseases in our center. The biliary system's morphologic characteristics in PUSC mode of neonatal hepatitis, biliary atresia, choledochal cysts, and biliary complications of hepatobiliary surgery are presented.

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Preliminary exploration of the efficacy of laparoscopic fluorescence cholangiography (LFC) in the diagnosis of biliary atresia compared with intraoperative cholangiography (IOC)

Zhao

Zhang

et al. 2023

Photodiagnosis and Photodynamic Therapy

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Percutaneous ultrasound-guided cholecystocholangiography with microbubbles combined with liver biopsy for the assessment of suspected biliary atresia

Cited by 4 publications

References 24 publications

Diagnostic Efficacy of Advanced Ultrasonography Imaging Techniques in Infants with Biliary Atresia (BA): A Systematic Review and Meta-Analysis

Diagnostic Efficacy of Advanced Ultrasonography Imaging Techniques in Infants with Biliary Atresia (BA): A Systematic Review and Meta-Analysis

Percutaneous Ultrasound Cholangiography With Microbubbles in Children With Biliary Diseases

Preliminary exploration of the efficacy of laparoscopic fluorescence cholangiography (LFC) in the diagnosis of biliary atresia compared with intraoperative cholangiography (IOC)

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