Selective Arteriography for Gallbladder Diseases

Sato, Toshio; Watanabe, Kenichi; Saitoh, Yoichi; Koyama, Kenji; Suda, Yasuo

doi:10.1001/archsurg.1969.01340170050012

Cited by 21 publications

(1 citation statement)

References 4 publications

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“…reported that the observation of the cystic artery using angiography was possible in 35 12 , 59.2 13 , and 72.3% 14 of patients, respectively. In the presence of gallbladder disease, cystic arterial blood ow increases, improving the rate of cystic artery visualization.…”

Section: Discussionmentioning

confidence: 99%

Detection of the Origin of the Cystic Artery during Transcatheter Arterial Embolization of Hepatocellular Carcinomas: Comparison of Cone Beam CT and Digital Subtraction Angiography

Hashizume

Honda

Hashimoto

et al. 2009

Showa Univ J Med Sci

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IntroductionCone beam CT CBCT -loading angiographs were introduced in Japan in 2005. Their advantages over angio-CT devices, which include reduced floor space requirement and lower set-up costs, have contributed to the recent widespread use of these devices. The concentration-resolving power of CBCT images is low, therefore both CT and MRI information must be considered in the diagnosis. However, the appropriate use of contrast medium facilitates the evaluation of a three-dimensional relationship via the visualization of the contrast between blood vessels and other soft tissues. Recently, this technique has been applied in various examinations and treatments 1 3 . Abstract : In this study, we retrospectively compared the usefulness of cone beam CT CBCT with that of digital subtraction angiography DSA in the identi cation of the origin of the cystic artery during arterial embolization for hepatocellular carcinoma. Subjects were sixty-four patients who underwent transcatheter arterial embolization TAE for hepatocellular carcinoma, in whom both CBCT and DSA were performed. Two radiologists independently examined CBCT and DSA images, and attempted to identify the origin of the cystic artery in each image. For DSA, en face views were reviewed on the monitor. For CBCT, 5 mm thick horizontal sections were generated using Workstation software, and the MPR method was used for coronary sections. These were then investigated with OsiriX. Of the sixty-four patients, the cystic arterial origin could be identified using DSA in 21 32.8% and CBCT in 62 96.8% . The cystic artery was shown to originate in the proper, right, middle, and left hepatic artery in one, 58, two, and one patient, respectively. These results show that CBCT was more useful than DSA for identifying cystic arterial origin. Therefore CBCT should be positively applied during TAE.

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Section: Discussionmentioning

confidence: 99%

Detection of the Origin of the Cystic Artery during Transcatheter Arterial Embolization of Hepatocellular Carcinomas: Comparison of Cone Beam CT and Digital Subtraction Angiography

Hashizume

Honda

Hashimoto

et al. 2009

Showa Univ J Med Sci

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Primary carcinoma of the gallbladder: A review of a 16‐year experience at the waterbury hospital health center

Shieh

Dunn

Standard

1981

Cancer

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The charts of 48 cases of primary carcinoma of the gallbladder seen at the Waterbury Hospital Health Center over the past 16 years were reviewed. In 47 patients, the diagnosis was confirmed pathologically. In one patient, the diagnosis was made only on clinical and radiologic grounds. This condition is more common in females and in the elderly (mean 71.7 years). Symptoms and signs were nonspecific, and duration of symptoms was extremely variable (range: one day to 21 years). There were 16.6% patients who had an associated primary tumor elsewhere. In 89.3% of the carcinomas of the gallbladder, the histologic type was adenocarcinoma. Two thirds of the patients had associated cholelithiasis. Overall five-year survival rate was 12.5%. In more than 80% of the patients, resection was made impossible by local invasion of liver, biliary ducts, and adjacent structures. Patients were divided into three groups according to the degree of invasion of the tumor. Group A had a survival rate of 66.6% at five years. There were no survivors in Group B and Group C. The different factors in each group are compared and discussed. Chemotherapy appeared to have no beneficial effect in the management of carcinoma of the gallbladder. Only one patient survived more than 12 months when tumor invaded the liver or the nodes along the biliary ducts. The postoperative complications and causes of death are also discussed.

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Carcinosarcoma and carcinoma of the gallbladder

Born

Ramey

Ryan

et al. 1984

Cancer

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Carcinosarcoma is a tumor‐containing mixed malignant epithelial and connective tissue elements. The 18th case of carcinosarcoma of the gallbladder is reported in the context of 17 prior cases from the world literature. The 18‐year experience of St. Luke's Hospital with extrahepatic and primary gallbladder cancer is presented to provide perspective on this unusual tumor. The diagnosis of malignant disease of the gallbladder is reviewed with special emphasis on the roles of sonography, computerized tomography, and arteriography. The importance of staging as a guideline to prognosis and therapy of gallbladder cancer is discussed. Carcinosarcoma of the gallbladder behaves clinically like carcinoma and guidelines for surgical and palliative therapy of the more common malignancies of the gallbladder should be followed for carcinosarcoma as well.

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Selective Arteriography for Gallbladder Diseases

Cited by 21 publications

References 4 publications

Detection of the Origin of the Cystic Artery during Transcatheter Arterial Embolization of Hepatocellular Carcinomas: Comparison of Cone Beam CT and Digital Subtraction Angiography

Detection of the Origin of the Cystic Artery during Transcatheter Arterial Embolization of Hepatocellular Carcinomas: Comparison of Cone Beam CT and Digital Subtraction Angiography

Primary carcinoma of the gallbladder: A review of a 16‐year experience at the waterbury hospital health center

Carcinosarcoma and carcinoma of the gallbladder

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