Application progress of contrast-enhanced ultrasonography in the diagnosis of gallbladder polypoid lesions_West China Medical Journal

Authors：

REN Youxiang , CAO Jiazhi ,  LING Wenwu , LUO Yan

Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LING Wenwu, Email: lingwenwubing@163.com

Keywords：

Contrast-enhanced ultrasound; gallbladder polypoid lesion; ultrasound; gallbladder

DOI：

10.7507/1002-0179.202204088

Video：

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Gallbladder polypoid lesion (GPL) is a common gallbladder disease, mainly including tumor lesions such as gallbladder cancer and gallbladder adenoma and non-tumor lesions such as cholesterol polyps and gallbladder adenomyomatosis. Contrast-enhanced ultrasound (CEUS) can improve the diagnostic accuracy of GPL. This paper reviews the application progress of CEUS in the diagnosis of gallbladder cancer, gallbladder adenoma, gallbladder cholesterol polyps and gallbladder adenomyosis, and the limitations of CEUS in the diagnosis of GPL.

Citation： REN Youxiang, CAO Jiazhi, LING Wenwu, LUO Yan. Application progress of contrast-enhanced ultrasonography in the diagnosis of gallbladder polypoid lesions. West China Medical Journal, 2023, 38(12): 1944-1948. doi: 10.7507/1002-0179.202204088 Copy

1.	梅將軍, 宋燁, 張夏靜, 等. 超聲造影定量分析在膽囊息肉樣病變診斷中的價值. 同濟大學學報(醫學版), 2021, 42(4): 489-494.
2.	周鋒, 王宏偉, 魏棟, 等. 超聲造影檢查在膽囊息肉樣病變中的臨床價值探討. 肝臟, 2018, 23(1): 90-92.
3.	Xu HX. Contrast-enhanced ultrasound: the evolving applications. World J Radiol, 2009, 1(1): 15-24.
4.	曾紅英, 李金蓮. 超聲造影診斷膽囊癌的表現特征分析. 實用肝臟病雜志, 2018, 21(4): 645-646.
5.	Reiser M, Oehmen F, Walter H, et al. Contrast enhanced ultrasound of a gallbladder lesion in a patient with a history of renal cell and rectal cancer. Case Rep Gastrointest Med, 2013, 2013: 538534.
6.	薛靜, 郭靜. 超聲造影聯合二維超聲檢查在厚壁型膽囊癌患者診斷中的應用價值. 河南醫學研究, 2021, 30(35): 6669-6671.
7.	李茂嵐, 劉穎斌. 膽囊癌診治進展. 肝膽外科雜志, 2019, 27(5): 326-328.
8.	Wang W, Fei Y, Wang F. Meta-analysis of contrast-enhanced ultrasonography for the detection of gallbladder carcinoma. Med Ultrason, 2016, 18(3): 281-287.
9.	劉慧臨, 李倩, 施勝龍, 等. 膽囊實性占位微循環灌注顯像的應用研究. 影像研究與醫學應用, 2022, 6(4): 28-30.
10.	金贇杰, 袁海霞, 季正標, 等. 超聲造影在鑒別診斷膽囊壁彌漫增厚性疾病中的應用研究. 中國超聲醫學雜志, 2021, 37(6): 713-716.
11.	Badea R, Zaro R, Opincariu I, et al. Ultrasound in the examination of the gallbladder - a holistic approach: grey scale, Doppler, CEUS, elastography, and 3D. Med Ultrason, 2014, 16(4): 345-355.
12.	費翔, 羅渝昆. 膽囊超聲造影指南解讀與圖像分析. 中華醫學超聲雜志(電子版), 2018, 15(1): 5-9.
13.	何暉, 任葉青, 黎昕. 不同膽囊良惡性病變超聲造影征象及鑒別診斷分析. 中國超聲醫學雜志, 2020, 36(5): 440-444.
14.	Sparchez Z, Radu P. Role of CEUS in the diagnosis of gallbladder disease. Med Ultrason, 2012, 14(4): 326-330.
15.	Yuan HX, Wang WP, Wen JX, et al. Xanthogranulomatous cholecystitis: Contrast-Enhanced Ultrasound features and differential diagnosis from wall-thickening gallbladder carcinoma. Discov Med, 2016, 21(114): 89-98.
16.	張道建, 張德祥, 王吉文, 等. 超聲造影對膽囊癌與黃色肉芽腫性膽囊炎的鑒別診斷價值. 外科理論與實踐, 2020, 25(4): 322-325.
17.	Serra C, Felicani C, Mazzotta E, et al. CEUS in the differential diagnosis between biliary sludge, benign lesions and malignant lesions. J Ultrasound, 2018, 21(2): 119-126.
18.	Cheng Y, Wang M, Ma B, et al. Potential role of contrast-enhanced ultrasound for the differentiation of malignant and benign gallbladder lesions in East Asia: a meta-analysis and systematic review. Medicine (Baltimore), 2018, 97(33): e11808.
19.	Zhang HP, Bai M, Gu JY, et al. Value of contrast-enhanced ultrasound in the differential diagnosis of gallbladder lesion. World J Gastroenterol, 2018, 24(6): 744-751.
20.	Wang H, Ling W, Luo Y. Contrast-enhanced ultrasound findings of gallbladder adenocarcinoma with sarcomatoid carcinoma accompanied by intrahepatic metastasis: a case report and literature review. Medicine (Baltimore), 2018, 97(21): e10773.
21.	張贇和. 膽囊隆起性病變的致病危險因素分析及其影像學診斷. 上海: 上海交通大學, 2015.
22.	Miwa H, Numata K, Sugimori K, et al. Differential diagnosis of gallbladder polypoid lesions using contrast-enhanced ultrasound. Abdom Radiol (NY), 2019, 44(4): 1367-1378.
23.	朱連華, 費翔, 韓鵬, 等. 超聲造影在膽固醇性息肉和膽囊腺瘤中的鑒別診斷價值. 中國醫學科學院學報, 2021, 43(3): 350-356.
24.	黃雪蘭, 鄒曉娉, 薛晶心, 等. 膽囊腺瘤超聲造影表現. 微量元素與健康研究, 2017, 34(6): 12-13.
25.	徐菱遙, 姜社甜. 彩超與超聲造影診斷膽囊腺瘤性息肉與大型膽固醇息肉的價值. 華夏醫學, 2021, 34(6): 30-33.
26.	Sun LP, Guo LH, Xu HX, et al. Value of contrast-enhanced ultrasound in the differential diagnosis between gallbladder adenoma and gallbladder adenoma canceration. Int J Clin Exp Med, 2015, 8(1): 1115-1121.
27.	Inui K, Yoshino J, Miyoshi H. Diagnosis of gallbladder tumors. Intern Med, 2011, 50(11): 1133-1136.
28.	李玉玲, 趙迎忠, 帕提瑪. 超聲造影在膽囊膽固醇性息肉診斷中的臨床應用價值. 現代醫用影像學, 2014, 23(3): 207-211.
29.	劉雪松, 李鳳華, 顧莉紅, 等. 膽囊膽固醇息肉的超聲造影特點分析//中國超聲醫學工程學會. 中國超聲醫學工程學會成立 30 周年暨第十二屆全國超聲醫學學術大會論文匯編. 北京: 中國超聲醫學工程學會, 2014: 709.
30.	Yuan Z, Liu X, Li Q, et al. Is contrast-enhanced ultrasound superior to computed tomography for differential diagnosis of gallbladder polyps? A cross-sectional study. Front Oncol, 2021, 11: 657223.
31.	王金環, 徐輝雄, 劉琳娜, 等. 膽囊腺肌增生癥的超聲造影表現分析. 中國臨床醫學影像雜志, 2016, 27(3): 177-179, 197.
32.	Bonatti M, Vezzali N, Lombardo F, et al. Gallbladder adenomyomatosis: imaging findings, tricks and pitfalls. Insights Imaging, 2017, 8(2): 243-253.
33.	張娜. CEUS 檢查對膽囊腺肌癥患者診斷的價值分析. 現代診斷與治療, 2020, 31(16): 2628-2629.
34.	Tang S, Huang L, Wang Y, et al. Contrast-enhanced ultrasonography diagnosis of fundal localized type of gallbladder adenomyomatosis. BMC Gastroenterol, 2015, 15: 99.
35.	李忠軒. 超聲造影對膽囊息肉樣病變診斷價值探索. 天津: 天津醫科大學, 2017.
36.	吳鋼, 秦茜淼, 蔡端. 超聲造影診斷膽囊息肉的臨床價值. 肝膽胰外科雜志, 2020, 32(7): 390-394.
37.	Lin LY, Chiou HJ, Chou YH, et al. A case of tubular adenoma of gallbladder diagnosed using contrast-enhanced ultrasonography. J Med Ultrasound, 2018, 26(4): 218-221.
38.	韓鵬, 費翔, 羅渝昆, 等. 高幀頻超聲造影在鑒別診斷膽囊腺瘤性息肉與膽固醇性息肉中的臨床應用. 中華醫學超聲雜志(電子版), 2020, 17(9): 815-820.
39.	田思雨, 戴婷, 孫志霞, 等. 超聲造影聯合超微血管成像在膽囊隆起性病變診斷中的應用. 中國實驗診斷學, 2021, 25(1): 61-64.
40.	周宏蓮, 劉麗娟, 葉秋榮, 等. 超聲造影與 MRI 在膽囊占位性病變鑒別診斷的對比研究. 飲食保健, 2021(32): 253-254.
41.	Dong Y, Mao F, Cao J, et al. Differential diagnosis of gallbladder ascariasis debris: the added value of contrast enhanced ultrasound with high frequency transducer. Med Ultrason, 2018, 20(4): 413-419.

1. 梅將軍, 宋燁, 張夏靜, 等. 超聲造影定量分析在膽囊息肉樣病變診斷中的價值. 同濟大學學報(醫學版), 2021, 42(4): 489-494.
2. 周鋒, 王宏偉, 魏棟, 等. 超聲造影檢查在膽囊息肉樣病變中的臨床價值探討. 肝臟, 2018, 23(1): 90-92.
3. Xu HX. Contrast-enhanced ultrasound: the evolving applications. World J Radiol, 2009, 1(1): 15-24.
4. 曾紅英, 李金蓮. 超聲造影診斷膽囊癌的表現特征分析. 實用肝臟病雜志, 2018, 21(4): 645-646.
5. Reiser M, Oehmen F, Walter H, et al. Contrast enhanced ultrasound of a gallbladder lesion in a patient with a history of renal cell and rectal cancer. Case Rep Gastrointest Med, 2013, 2013: 538534.
6. 薛靜, 郭靜. 超聲造影聯合二維超聲檢查在厚壁型膽囊癌患者診斷中的應用價值. 河南醫學研究, 2021, 30(35): 6669-6671.
7. 李茂嵐, 劉穎斌. 膽囊癌診治進展. 肝膽外科雜志, 2019, 27(5): 326-328.
8. Wang W, Fei Y, Wang F. Meta-analysis of contrast-enhanced ultrasonography for the detection of gallbladder carcinoma. Med Ultrason, 2016, 18(3): 281-287.
9. 劉慧臨, 李倩, 施勝龍, 等. 膽囊實性占位微循環灌注顯像的應用研究. 影像研究與醫學應用, 2022, 6(4): 28-30.
10. 金贇杰, 袁海霞, 季正標, 等. 超聲造影在鑒別診斷膽囊壁彌漫增厚性疾病中的應用研究. 中國超聲醫學雜志, 2021, 37(6): 713-716.
11. Badea R, Zaro R, Opincariu I, et al. Ultrasound in the examination of the gallbladder - a holistic approach: grey scale, Doppler, CEUS, elastography, and 3D. Med Ultrason, 2014, 16(4): 345-355.
12. 費翔, 羅渝昆. 膽囊超聲造影指南解讀與圖像分析. 中華醫學超聲雜志(電子版), 2018, 15(1): 5-9.
13. 何暉, 任葉青, 黎昕. 不同膽囊良惡性病變超聲造影征象及鑒別診斷分析. 中國超聲醫學雜志, 2020, 36(5): 440-444.
14. Sparchez Z, Radu P. Role of CEUS in the diagnosis of gallbladder disease. Med Ultrason, 2012, 14(4): 326-330.
15. Yuan HX, Wang WP, Wen JX, et al. Xanthogranulomatous cholecystitis: Contrast-Enhanced Ultrasound features and differential diagnosis from wall-thickening gallbladder carcinoma. Discov Med, 2016, 21(114): 89-98.
16. 張道建, 張德祥, 王吉文, 等. 超聲造影對膽囊癌與黃色肉芽腫性膽囊炎的鑒別診斷價值. 外科理論與實踐, 2020, 25(4): 322-325.
17. Serra C, Felicani C, Mazzotta E, et al. CEUS in the differential diagnosis between biliary sludge, benign lesions and malignant lesions. J Ultrasound, 2018, 21(2): 119-126.
18. Cheng Y, Wang M, Ma B, et al. Potential role of contrast-enhanced ultrasound for the differentiation of malignant and benign gallbladder lesions in East Asia: a meta-analysis and systematic review. Medicine (Baltimore), 2018, 97(33): e11808.
19. Zhang HP, Bai M, Gu JY, et al. Value of contrast-enhanced ultrasound in the differential diagnosis of gallbladder lesion. World J Gastroenterol, 2018, 24(6): 744-751.
20. Wang H, Ling W, Luo Y. Contrast-enhanced ultrasound findings of gallbladder adenocarcinoma with sarcomatoid carcinoma accompanied by intrahepatic metastasis: a case report and literature review. Medicine (Baltimore), 2018, 97(21): e10773.
21. 張贇和. 膽囊隆起性病變的致病危險因素分析及其影像學診斷. 上海: 上海交通大學, 2015.
22. Miwa H, Numata K, Sugimori K, et al. Differential diagnosis of gallbladder polypoid lesions using contrast-enhanced ultrasound. Abdom Radiol (NY), 2019, 44(4): 1367-1378.
23. 朱連華, 費翔, 韓鵬, 等. 超聲造影在膽固醇性息肉和膽囊腺瘤中的鑒別診斷價值. 中國醫學科學院學報, 2021, 43(3): 350-356.
24. 黃雪蘭, 鄒曉娉, 薛晶心, 等. 膽囊腺瘤超聲造影表現. 微量元素與健康研究, 2017, 34(6): 12-13.
25. 徐菱遙, 姜社甜. 彩超與超聲造影診斷膽囊腺瘤性息肉與大型膽固醇息肉的價值. 華夏醫學, 2021, 34(6): 30-33.
26. Sun LP, Guo LH, Xu HX, et al. Value of contrast-enhanced ultrasound in the differential diagnosis between gallbladder adenoma and gallbladder adenoma canceration. Int J Clin Exp Med, 2015, 8(1): 1115-1121.
27. Inui K, Yoshino J, Miyoshi H. Diagnosis of gallbladder tumors. Intern Med, 2011, 50(11): 1133-1136.
28. 李玉玲, 趙迎忠, 帕提瑪. 超聲造影在膽囊膽固醇性息肉診斷中的臨床應用價值. 現代醫用影像學, 2014, 23(3): 207-211.
29. 劉雪松, 李鳳華, 顧莉紅, 等. 膽囊膽固醇息肉的超聲造影特點分析//中國超聲醫學工程學會. 中國超聲醫學工程學會成立 30 周年暨第十二屆全國超聲醫學學術大會論文匯編. 北京: 中國超聲醫學工程學會, 2014: 709.
30. Yuan Z, Liu X, Li Q, et al. Is contrast-enhanced ultrasound superior to computed tomography for differential diagnosis of gallbladder polyps? A cross-sectional study. Front Oncol, 2021, 11: 657223.
31. 王金環, 徐輝雄, 劉琳娜, 等. 膽囊腺肌增生癥的超聲造影表現分析. 中國臨床醫學影像雜志, 2016, 27(3): 177-179, 197.
32. Bonatti M, Vezzali N, Lombardo F, et al. Gallbladder adenomyomatosis: imaging findings, tricks and pitfalls. Insights Imaging, 2017, 8(2): 243-253.
33. 張娜. CEUS 檢查對膽囊腺肌癥患者診斷的價值分析. 現代診斷與治療, 2020, 31(16): 2628-2629.
34. Tang S, Huang L, Wang Y, et al. Contrast-enhanced ultrasonography diagnosis of fundal localized type of gallbladder adenomyomatosis. BMC Gastroenterol, 2015, 15: 99.
35. 李忠軒. 超聲造影對膽囊息肉樣病變診斷價值探索. 天津: 天津醫科大學, 2017.
36. 吳鋼, 秦茜淼, 蔡端. 超聲造影診斷膽囊息肉的臨床價值. 肝膽胰外科雜志, 2020, 32(7): 390-394.
37. Lin LY, Chiou HJ, Chou YH, et al. A case of tubular adenoma of gallbladder diagnosed using contrast-enhanced ultrasonography. J Med Ultrasound, 2018, 26(4): 218-221.
38. 韓鵬, 費翔, 羅渝昆, 等. 高幀頻超聲造影在鑒別診斷膽囊腺瘤性息肉與膽固醇性息肉中的臨床應用. 中華醫學超聲雜志(電子版), 2020, 17(9): 815-820.
39. 田思雨, 戴婷, 孫志霞, 等. 超聲造影聯合超微血管成像在膽囊隆起性病變診斷中的應用. 中國實驗診斷學, 2021, 25(1): 61-64.
40. 周宏蓮, 劉麗娟, 葉秋榮, 等. 超聲造影與 MRI 在膽囊占位性病變鑒別診斷的對比研究. 飲食保健, 2021(32): 253-254.
41. Dong Y, Mao F, Cao J, et al. Differential diagnosis of gallbladder ascariasis debris: the added value of contrast enhanced ultrasound with high frequency transducer. Med Ultrason, 2018, 20(4): 413-419.

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Application progress of contrast-enhanced ultrasonography in the diagnosis of gallbladder polypoid lesions

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