影像学方法鉴别胆囊结石成分的研究进展

米利晓1; 孙建男2; 赵恒宇2; 赵  春2; 王莉娜2; 蒋延彬2

中国临床医学影像杂志 ›› 2018, Vol. 29 ›› Issue (3) : 215-217.

综述

影像学方法鉴别胆囊结石成分的研究进展

米利晓1，孙建男2，赵恒宇2，赵春2，王莉娜2，蒋延彬2

作者信息 +

Progress of imaging methods in the identification of gallstones

MI Li-xiao1, SUN Jian-nan2, ZHAO Heng-yu2, ZHAO Chun2, WANG Li-na2, JIANG Yan-bin2

Author information +

文章历史 +

摘要

胆囊结石是一种世界范围的多发病、常见病。近年来，随着人口老龄化的发展及人们生活习惯的改变，其发病率呈逐年上升趋势。研究发现，结石成分不同的患者，其治疗及预防方案也不同。因此治疗前确切了解结石的化学类型具有非常重要的意义。影像学检查是目前鉴别体内胆囊结石成分的主要方法。本文将对不同影像学方法对胆囊结石成分的研究进展进行综述。

Abstract

Gallbladder stone is a kind of common disease in the world. In recent years, with the development of population aging and the change of people’s living habits, the incidence of the disease is increasing year by year. The study found that stone composition was different, the patient’s treatment and prevention programs also were different. So it is very important to know exactly the chemical type of gallstone before treatment. Imaging examination is the main method to identify the composition of gallstones in vivo. The research progress of different imaging methods in the study of gallstone composition were reviewed in this article.

导出引用

米利晓1，孙建男2，赵恒宇2，赵春2，王莉娜2，蒋延彬2. 影像学方法鉴别胆囊结石成分的研究进展[J]. 中国临床医学影像杂志. 2018, 29(3): 215-217

MI Li-xiao1, SUN Jian-nan2, ZHAO Heng-yu2, ZHAO Chun2, WANG Li-na2, JIANG Yan-bin2. Progress of imaging methods in the identification of gallstones[J]. Journal of China Clinic Medical Imaging. 2018, 29(3): 215-217

中图分类号： Ｒ575.62 R445.1 R814.42 Ｒ445.2

参考文献

[1]Reshetnyak VI. Concept of the pathogenesis and treatment of cholelithiasis[J]. World J Hepatol, 2012, 4(2): 18-34.
[2]Qiao T, Ma RH, Luo XB, et al. The systematic classification of gallbladder stones[J]. PloS One, 2013, 8(10): e74887.
[3]Lammert F, Neubrand MW, Bittner R, et al. S3-guidelines for diagnosis and treatment of gallstones. German Society for Digestive and Metabolic Diseases and German Society for Surgery of the Alimentary Tract[J]. Zeitschrift Für Gastroenterologie, 2007, 45(9): 971-1001.
[4]关长群，刘振春，夏玉亭，等. CT用于临床胆囊结石化学成分预测研究[J]. 中国实用内科杂志，1992，12（8）：431-433.
[5]於娥静，宋士锦，刘晋清，等. 各类不同成分胆囊结石声像图的分型探讨[J]. 中国超声医学杂志，1992，8（4）：236-238.
[6]周晓琦，周晓群. 胆固醇结石的分类及声像图观察[J]. 临床肝胆病杂志，1996，12（3）：155-157.
[7]Li-Xiang AN. Application of the attenuation coefficient calculated by ultrasound histogram in diagnosis of fatty liver[J]. Med J West China, 2012, 24(4): 717-718.
[8]杨玉龙，吴硕东，郝志强，等. 超声定量分析预测胆石化学类型的临床研究[J]. 中国超声诊断杂志，2001，2（2）：24-26.
[9]Baron RL, Shuman WP, Lee SP, et al. MR appearance of gallstones in vitro at 1.5T: correlation with chemical composition[J]. Am J Roentgenol, 1989, 153(3): 497-502.
[10]Ukaji M, Ebara M, Tsuchiya Y, et al. Diagnosis of gallstone composition in magnetic resonance imaging: in vitro analysis[J]. Eur J Radiol, 2002, 41(1): 49-56.
[11]Tsai HM, Lin XZ, Chen CY, et al. MRI of gallstones with different compositions[J]. Am J Roentgenol, 2004, 182(6): 1513-1519.
[12]刘广宇，孙浩然，白人驹. 胆系结石金属成分与MRI信号的相关性研究[J]. 中华放射学杂志，2015，49（2）：107-112.
[13]Brakel K, Laméris JS, Nijs HG, et al. Predicting gallstone composition with CT: in vivo and in vitro analysis[J]. Radiology, 1990, 174(2): 337-341.
[14]周代全，巫北海. 胆囊结石化学成分与体外CT扫描表现的相关性研究[J]. 第三军医大学学报，1995，17（6）：470-473.
[15]Hu D, Yu T, Duan X, et al. Determination of the optimal energy level in spectral CT imaging for displaying abdominal vessels in pediatric patients[J]. Eur J Radiol, 2014, 83(3): 589-594.
[16]Li M, Zheng X, Li J, et al. Dual-energy computed tomography imaging of thyroid nodule specimens, comparison with pathologic findings[J]. Invest Radiol, 2012, 47(1): 58-64.
[17]Wang W, Chen C, Xinjie HU, et al. Diagnose Value of Single energy Imaging and Spectral Curve in Isodense Cholesterol Stone in Gallbladder[J]. J Clin Radiol, 2014, 33(2): 217-220.
[18]汪卫兵，陈昌毅，胡新杰，等. 单能量成像及能谱曲线对胆囊等密度胆固醇结石的诊断价值[J]. 临床放射学杂志，2014，33（2）：217-220.
[19]金玉莲，张祥，孙金磊，等. 能谱CT在胆囊阴性结石诊断中的价值[J]. 中外医学研究，2015，13（22）：71-73.
[20]Alkadhi H, Stolzmann P, Desbiolles L, et al. Low-dose, 128-slice, dual-source CT coronary angiography: accuracy and radiation dose of the high-pitch and the step-and-shoot mode[J]. Heart, 2010, 96(12): 933-938.
[21]Karaaltncaba M, Akta A. Dual-energy CT revisited with multidetector CT: review of principles and clinical applications[J]. Diagn Interv Radiol, 2011, 17(3): 181-194.
[22]Maffei E, Martini C, Rossi A, et al. Diagnostic accuracy of second-generation dual-source computed tomography coronary angiography with iterative reconstructions: a real-world experience[J]. La Radiol Med, 2012, 117(5): 725-738.
[23]Voit H, Krauss B, Heinrich MC, et al. Dual-source CT: in vitro characterization of gallstones using dual energy analysis[J]. Rfo Fortschritte Auf Dem Gebiete Der Rntgenstrahlen Und Der Nuklearmedizin, 2009, 181(4): 367-373.
[24]Bauer RW, Schulz JR, Zedler B, et al. Compound analysis of gallstones using dual energy computed tomography—results in a phantom model[J]. Eur J Radiol, 2010, 75(1): 74-80.