tamedin gray-scaleB-mode image scanlinesto determineblood flow velocity.We prospec tively determinedif color velocity imaging and power Doppler sonographycan be usedto differentiateacutefrom chroniccholecystitis. We analyzedthe potentialrole of usingthese two color imaging techniques as an adjunct to conventional gray-scale sonography to differen tiate acutefrom chroniccholecystitis.
SUBJECTSAND METHODS. Onehundred twenty-nine patients withacuterightupperquadrant pain or clinically suspected cholecystitis underwent color velocity imaging and power Doppler sonography of the gallbladder as an adjunct to gray-scale sonography. Mor phologiccriteriawere analyzedon gray-scalesonography, andthepresenceof flow within the gallbladder wall was assessedwith color velocity imaging and power Doppler sonography. Imaging findingswere comparedwith pathologicfindingsin the 50 patientswho underwent cholecystectomy and with clinical and biologic findingsin the 79 patientswho did not un dergo cholecystectomy.
RESULTS.Twenty-two patients hadsurgically provenacutecholecystitis, 28 patients hadsurgicallyprovenchroniccholecystitis, and79 patientshadnogallbladderdisease. Sensitivity, specificity,accuracy,positivepredictivevalue, and negativepredictivevalue of gray-scale sonography for revealing acute cholecystitis were 86%, 99%, 92%, 87%, and 97%, respec tively.Sensitivity, specificity, accuracy, positivepredictivevalue,andnegativepredictivevalue of color velocity imaging and power Doppler sonographyfor revealingacutecholecystitis were 95%, 100%, 99%, 100%, and 99%, respectively.