Ultrasound‐based scoring system for differential diagnosis of polypoid lesions of the gallbladder

Background and Aim Polypoid lesions of the gallbladder may be neoplastic or non‐neoplastic. Correct diagnosis would help reduce unnecessary cholecystectomies. This study aimed to determine the predictive value of individual ultrasound characteristics for diagnosis of neoplastic polyps and to build a...

Full description

Saved in:
Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2018-06, Vol.33 (6), p.1295-1299
Main Authors: Liu, Xue‐Song, Chen, Tao, Gu, Li‐Hong, Guo, Yi‐Fen, Li, Chun‐Yang, Li, Feng‐Hua, Wang, Jian
Format: Article
Language:English
Subjects:
Blood flow
Differential diagnosis
Gallbladder
Multivariate analysis
polyp
Polyps
Statistical analysis
Ultrasonic imaging
Ultrasound
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background and Aim Polypoid lesions of the gallbladder may be neoplastic or non‐neoplastic. Correct diagnosis would help reduce unnecessary cholecystectomies. This study aimed to determine the predictive value of individual ultrasound characteristics for diagnosis of neoplastic polyps and to build a scoring system based on these characteristics. Methods A total of 109 patients with gallbladder polyps ≥ 6 mm underwent conventional ultrasound examination and received finally diagnosis by pathological examination. All images were analyzed to determine characteristics of the lesions. Univariate and multivariate analyses were used to identify the predictors of neoplastic polyps, and a scoring system was built based on multivariate analysis. Results Maximum diameter, height/width ratio, base width, presence of hyper‐echoic spots, and intralesional blood flow were statistically significant (P = 0.011, P = 0.016, P = 0.003, P = 0.031, and P = 0.022, respectively) predictors of neoplastic lesions. The total score = (Maximum diameter, ≥ 13.9 mm = 1,
ISSN:0815-9319
1440-1746
DOI:10.1111/jgh.14080