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KEY FACTS
CEUS Indications
Imaging
TERMINOLOGY
Definitions
- Biliary obstruction involves blockage of any duct that carries bile from liver to gallbladder or from gallbladder to small intestine
- Main causes of biliary obstruction
- Choledocholithiasis
- Pancreatic
- Biliary tumors
- Most common malignant biliary tumor is intrahepatic cholangiocarcinoma with 2 subtypes
- Peripheral
- Hilar
- Less common malignant biliary tumors
- Intrabiliary metastases
- Cholangiohepatoma
- Ampullary carcinoma
- Hepatocellular carcinoma invading bile ducts
- Cystadenocarcinoma
- Benign biliary tumors
- Adenomas
- Hamartomas
- Cystadenomas
- Nontumoral biliary pathology refers to
- Portal hypertensive biliopathy
- (Peri-) ductal inflammation
- Nontumoral biliary masses
- Sludge, clot, or pus
CEUS Indications
Biliary Tree Imaging
CEUS TECHNIQUE
General Discussion
Pitfalls
IMAGING
Biliary Duct Dilatation
Biliary Abscesses
Biliary Hamartoma (von Meyenberg Complexes)
Biliary Cystadenoma
Cholangiocarcinoma
Intrabiliary Metastasis
Villous Adenoma
Ampullary Carcinoma
Other Lesions
Selected References
- Cokkinos DD et al: Contrast-enhanced ultrasound examination of the gallbladder and bile ducts: A pictorial essay. J Clin Ultrasound. 46(1):48-61, 2018
- Sidhu PS et al: The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (long version). Ultraschall Med. 39(2):e2-e44, 2018
- Sparchez Z et al: Role of CEUS in the diagnosis of gallbladder disease. Med Ultrason. 14(4):326-30, 2012
- Meacock LM et al: Evaluation of gallbladder and biliary duct disease using microbubble contrast-enhanced ultrasound. Br J Radiol. 83(991):615-27, 2010
- Xu HX et al: Enhancement pattern of hilar cholangiocarcinoma: contrast-enhanced ultrasound versus contrast-enhanced computed tomography. Eur J Radiol. 75(2):197-202, 2010
- Xu HX: Contrast-enhanced ultrasound in the biliary system: potential uses and indications. World J Radiol. 1(1):37-44, 2009
- Chen LD et al: Enhancement patterns of intrahepatic cholangiocarcinoma: comparison between contrast-enhanced ultrasound and contrast-enhanced CT. Br J Radiol. 81(971):881-9, 2008
Related Anatomy
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References
Tables
Tables
KEY FACTS
CEUS Indications
Imaging
TERMINOLOGY
Definitions
- Biliary obstruction involves blockage of any duct that carries bile from liver to gallbladder or from gallbladder to small intestine
- Main causes of biliary obstruction
- Choledocholithiasis
- Pancreatic
- Biliary tumors
- Most common malignant biliary tumor is intrahepatic cholangiocarcinoma with 2 subtypes
- Peripheral
- Hilar
- Less common malignant biliary tumors
- Intrabiliary metastases
- Cholangiohepatoma
- Ampullary carcinoma
- Hepatocellular carcinoma invading bile ducts
- Cystadenocarcinoma
- Benign biliary tumors
- Adenomas
- Hamartomas
- Cystadenomas
- Nontumoral biliary pathology refers to
- Portal hypertensive biliopathy
- (Peri-) ductal inflammation
- Nontumoral biliary masses
- Sludge, clot, or pus
CEUS Indications
Biliary Tree Imaging
CEUS TECHNIQUE
General Discussion
Pitfalls
IMAGING
Biliary Duct Dilatation
Biliary Abscesses
Biliary Hamartoma (von Meyenberg Complexes)
Biliary Cystadenoma
Cholangiocarcinoma
Intrabiliary Metastasis
Villous Adenoma
Ampullary Carcinoma
Other Lesions
Selected References
- Cokkinos DD et al: Contrast-enhanced ultrasound examination of the gallbladder and bile ducts: A pictorial essay. J Clin Ultrasound. 46(1):48-61, 2018
- Sidhu PS et al: The EFSUMB guidelines and recommendations for the clinical practice of contrast-enhanced ultrasound (CEUS) in non-hepatic applications: update 2017 (long version). Ultraschall Med. 39(2):e2-e44, 2018
- Sparchez Z et al: Role of CEUS in the diagnosis of gallbladder disease. Med Ultrason. 14(4):326-30, 2012
- Meacock LM et al: Evaluation of gallbladder and biliary duct disease using microbubble contrast-enhanced ultrasound. Br J Radiol. 83(991):615-27, 2010
- Xu HX et al: Enhancement pattern of hilar cholangiocarcinoma: contrast-enhanced ultrasound versus contrast-enhanced computed tomography. Eur J Radiol. 75(2):197-202, 2010
- Xu HX: Contrast-enhanced ultrasound in the biliary system: potential uses and indications. World J Radiol. 1(1):37-44, 2009
- Chen LD et al: Enhancement patterns of intrahepatic cholangiocarcinoma: comparison between contrast-enhanced ultrasound and contrast-enhanced CT. Br J Radiol. 81(971):881-9, 2008
