Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid

The aim of this study was to evaluate the process of biliary excretion of gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) into the biliary tract and to assess the accumulation patterns in the gallbladder using MR cholangiography obtained with Gd-EOB-DTPA which is a liver-spe...

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Main Authors: Tsutomu Tamada, Katsuyoshi Ito, Kazuya Yasokawa, Atsushi Higaki, Akihiko Kanki, Yasufumi Noda, Akira Yamamoto
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/479067
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author Tsutomu Tamada
Katsuyoshi Ito
Kazuya Yasokawa
Atsushi Higaki
Akihiko Kanki
Yasufumi Noda
Akira Yamamoto
author_facet Tsutomu Tamada
Katsuyoshi Ito
Kazuya Yasokawa
Atsushi Higaki
Akihiko Kanki
Yasufumi Noda
Akira Yamamoto
author_sort Tsutomu Tamada
collection DOAJ
description The aim of this study was to evaluate the process of biliary excretion of gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) into the biliary tract and to assess the accumulation patterns in the gallbladder using MR cholangiography obtained with Gd-EOB-DTPA which is a liver-specific hepatobiliary contrast agent. Seventy-five patients underwent Gd-EOB-DTPA enhanced MR imaging. Serial multiphasic hepatobiliary phase imaging was qualitatively reviewed to evaluate the process of the biliary excretion of contrast agent into the bile duct and the gallbladder. The accumulation pattern of contrast agent into gallbladder was classified into two groups (group 1 = orthodromic type and group 2 = delayed type). Furthermore, the results in differences of the presence of T1 hyperintense bile or sludge of gallbladder, gall stones, wall thickening of gallbladder, chronic liver disease, and liver cirrhosis between two groups were compared. Forty-eight of 75 patients (64%) were included in group 1, and remaining 27 (36%) were in group 2. The frequency of the presence of T1 hyperintense bile or sludge of gallbladder was significantly higher in patients with group 2 than that in patients with group 1 (P=0.041). MR cholangiography obtained with Gd-EOB-DTPA showed that there may be an association between the biliary accumulation pattern in the gallbladder and the pathological condition.
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spelling doaj-art-c1ea1799a33a4fa5a20159e3dad747412025-02-03T01:31:24ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/479067479067Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic AcidTsutomu Tamada0Katsuyoshi Ito1Kazuya Yasokawa2Atsushi Higaki3Akihiko Kanki4Yasufumi Noda5Akira Yamamoto6Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanDepartment of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, JapanThe aim of this study was to evaluate the process of biliary excretion of gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) into the biliary tract and to assess the accumulation patterns in the gallbladder using MR cholangiography obtained with Gd-EOB-DTPA which is a liver-specific hepatobiliary contrast agent. Seventy-five patients underwent Gd-EOB-DTPA enhanced MR imaging. Serial multiphasic hepatobiliary phase imaging was qualitatively reviewed to evaluate the process of the biliary excretion of contrast agent into the bile duct and the gallbladder. The accumulation pattern of contrast agent into gallbladder was classified into two groups (group 1 = orthodromic type and group 2 = delayed type). Furthermore, the results in differences of the presence of T1 hyperintense bile or sludge of gallbladder, gall stones, wall thickening of gallbladder, chronic liver disease, and liver cirrhosis between two groups were compared. Forty-eight of 75 patients (64%) were included in group 1, and remaining 27 (36%) were in group 2. The frequency of the presence of T1 hyperintense bile or sludge of gallbladder was significantly higher in patients with group 2 than that in patients with group 1 (P=0.041). MR cholangiography obtained with Gd-EOB-DTPA showed that there may be an association between the biliary accumulation pattern in the gallbladder and the pathological condition.http://dx.doi.org/10.1155/2014/479067
spellingShingle Tsutomu Tamada
Katsuyoshi Ito
Kazuya Yasokawa
Atsushi Higaki
Akihiko Kanki
Yasufumi Noda
Akira Yamamoto
Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
Gastroenterology Research and Practice
title Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
title_full Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
title_fullStr Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
title_full_unstemmed Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
title_short Accumulation of Bile in the Gallbladder: Evaluation by means of Serial Dynamic Contrast-Enhanced Magnetic Resonance Cholangiography with Gadolinium Ethoxybenzyl Diethylenetriaminepentaacetic Acid
title_sort accumulation of bile in the gallbladder evaluation by means of serial dynamic contrast enhanced magnetic resonance cholangiography with gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid
url http://dx.doi.org/10.1155/2014/479067
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