Evidence map›Paper›PMID 39301356›Full record

ArticleCureus2024

Correlation Between Morphological Patterns and Multidetector Computed Tomography (MDCT) Enhancement Patterns in Gallbladder Carcinoma With Locoregional Infiltration.

Anamika Meena, Madhuri Kumari, Rama Anand, R S Solanki, Nikhil Nair, O P Pathania, Anita Nangia, Surya N Prasad

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Anamika MeenaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Patna, IND.
Madhuri KumariDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Patna, IND.
Rama AnandDepartment of Radiodiagnosis, Lady Hardinge Medical College, New Delhi, IND.
R S SolankiDepartment of Radiodiagnosis, Lady Hardinge Medical College, New Delhi, IND.
Nikhil NairDepartment of Radiology, Bedford Hospital, National Health Service (NHS) Trust, Bedford, GBR.
O P PathaniaDepartment of Surgery, Lady Hardinge Medical College, New Delhi, IND.
Anita NangiaDepartment of Pathology, Lady Hardinge Medical College, New Delhi, IND.
Surya N PrasadDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Patna, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the correlation between morphological patterns and multidetector computed tomography (MDCT) enhancement patterns in gallbladder cancer with locoregional infiltration among the Indian population. METHODOLOGY: This cross-sectional study was conducted across the pathology, surgery, and radiodiagnosis departments at Lady Hardinge Medical College, New Delhi. It focused on patients diagnosed with gallbladder disorders during the study period, identified through clinical examination or MDCT. Each patient underwent a fasting computed tomography (CT) scan using a Philips Brilliance 40-slice MDCT scanner. A neutral oral contrast, consisting of 1200 ml of water and 300 ml of 20% w/v mannitol, was administered. Additionally, for two patients suspected of gallbladder perforation extending to the pyloric duodenal area, a 2% non-ionic water-soluble contrast agent was used.

resultsThe study found no statistically significant association between intraluminal polypoidal growth and other infiltration sites. However, wall thickening was significantly associated with various infiltration sites, including the liver, colon, bile ducts, and vascular structures. A strong positive correlation was observed between portovenous hyperenhancement and all examined morphological patterns, with the most notable correlations found with non-contrast CT (NCCT) hypo-isoenhancement. Conversely, arterial hyperenhancement showed an inverse relationship with some morphological patterns, with correlation coefficients of -0.60 for intraluminal polypoidal growth versus gallbladder wall thickening and mass replacement of the gallbladder versus intraluminal polypoidal growth.

conclusionGallbladder cancer frequently leads to the replacement or damage of the gallbladder, with both focal and diffuse wall thickening being common findings. Hypo-isoenhancement was the most prevalent imaging pattern, while hyperenhancement was less common. Although intraluminal polypoidal growth did not significantly correlate with metastasis, wall thickening was significantly associated. These results emphasize the importance of specific imaging patterns in assessing the severity of gallbladder cancer and informing treatment strategies.

Indexed as

enhancement patternsgallbladder cancerlocoregionalmorphological patternsmultidetector computed tomography

Identifiers

PMID39301356
PMCPMC11412273

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