Diagnosis of Biliary Tract Disease Based on Ultrasound Tissue Harmonic Imaging

2020 ◽  
Vol 10 (7) ◽  
pp. 1684-1692
Author(s):  
Huali Yang ◽  
Liangchao Zhao ◽  
Qinghua Wu ◽  
Nengping Li ◽  
Lei Kong

With the deepening of ultrasound imaging research, studying nonlinear phenomena in medical ultrasound will help people to further improve the existing diagnostic level. Harmonic imaging technology generated in recent years is an effective new technology for nonlinear acoustics in ultrasonic diagnosis. Patients with biliary tract lesions generally have few symptoms, which are often detected by chance during physical examination. Ultrasonography is currently the preferred diagnostic method for biliary tract disease. The application of tissue harmonic imaging (THI) can effectively eliminate many near-field misdiagnosed images, enhance the tissue echo of deep tissues or organs, and significantly improve signal-to-noise ratio and resolution. At the same time, it can better display the subtle features of biliary diseases, thereby reducing the rate of missed diagnosis and improving the accuracy of diagnosis. Therefore, this study aimed to observe the changes of ultrasound images in the lesions and surrounding tissues of several biliary lesions by ultrasound tissue harmonic imaging technology, and realized the diagnosis in the early stage of the disease by means of tissue harmonic imaging technology, then provided objective quantitative indicators for the diagnosis of biliary diseases. Also, this study confirmed that tissue harmonic imaging technology can significantly improve the ultrasound image resolution of biliary tract disease, clearly showing the sub-acute gallbladder wall, gallbladder wall, gallbladder cavity in the acute and chronic inflammation and the presence of subtle changes in the tumor. This can provide a rich diagnostic value for the clinic and has practical significance for clinical treatment.

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094940
Author(s):  
Huiwen Song ◽  
Xianbin Wang ◽  
Yubao Lian ◽  
Tuer Wan

Objective Clinical characteristics of patients with pyogenic liver abscess (PLA) of varying etiologies may be different. This study aimed to analyze the clinical characteristics, pathogenic bacteria, treatment, and prognosis of patients with PLA associated with diabetes and biliary disease. Methods Clinical, imaging, and laboratory data from 202 inpatients with PLA were retrospectively analyzed. Results Eighty-eight patients (43.6%) had a history of diabetes, 73 (36.1%) had a history of underlying biliary tract disease, and 24 (11.9%) had both the diseases. The level of C-reactive protein (CRP) increased in 99.2% (119/120) patients, and the level of procalcitonin (PCT) increased in 95.5% (148/155) patients. The main pathogen of PLA was Klebsiella pneumoniae. The incidence of bloodstream infection increased by 34.4% (22/64) in patients with PLA that was associated with diabetes mellitus, and that of K. pneumoniae infection was 88.6% (39/44). The readmission rate for patients with PLA with underlying biliary diseases was 10.2 to 12.5%. Conclusion The main pathogen of PLA is K. pneumoniae, which is sensitive to most antibiotics. Patients with PLA associated with diabetes were more likely to have bloodstream infections, and the recurrence rate of PLA with underlying biliary diseases was higher than without biliary duct disease.


1956 ◽  
Vol 2 (10) ◽  
pp. 1-48 ◽  
Author(s):  
Albert I. Mendeloff ◽  
Charles Eckert

1998 ◽  
Vol 14 (5) ◽  
pp. 417-421
Author(s):  
Ilias Scotiniotis ◽  
Michael L. Kochman

1988 ◽  
Vol 155 (3) ◽  
pp. 374-377 ◽  
Author(s):  
Gerard V. Aranha ◽  
Daniel Kruss ◽  
Herbert B. Greenlee

1993 ◽  
Vol 26 (7) ◽  
pp. 2003-2008 ◽  
Author(s):  
Satoru Miyazaki ◽  
Tsuguo Sakamoto ◽  
Keishi Kuwata ◽  
Yoshirou Yamazaki ◽  
Hajime Yamazaki ◽  
...  

1987 ◽  
Vol 153 (6) ◽  
pp. 532-534 ◽  
Author(s):  
Daniel M. Bates ◽  
George W. Girvin

Sign in / Sign up

Export Citation Format

Share Document