Improvement of Intraoperative Frozen Section Diagnosis in Patients with Biliary Strictures by Levovist Injection into the Bile Duct on Color ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-11-17

AUTHORS

Takayuki Aimoto, Eiji Uchida, Yutaka Kawahigashi, Yoshiharu Nakamura, Akira Matsushita, Akira Katsuno, Kazumitsu Chou, Masao Kawamoto, Yoichiro Yamanaka, Takashi Tajiri, Zenya Naito

ABSTRACT

BackgroundThis study evaluates the efficiency of color Doppler ultrasonography-guided intraoperative pancreatic biopsy (CDUS-IPB) using Levovist injected into the bile duct in conjunction with stimulated acoustic emission (SAE) in patients with biliary strictures.MethodsThe study was performed on 12 patients. After completing a conventional intraoperative pancreatic biopsy (c-IPB), each subject underwent CDUS with SAE imaging using Levovist. Upon identification of the biliary stricture, the IPB was taken from the area surrounding the stricture on the same imaging setting. Section diagnosis of the CDUS-IPB specimen was compared to that of the c-IPB specimen and resected tissue.ResultsBiliary strictures were identified as enhanced areas of color Doppler signal on CDUS. CDUS-IPB provided adequate specimens from the biliary strictures in all cases and corrected false-negative diagnoses by c-IPB in three cases. Section diagnosis by CDUS-IPB corresponded to the permanent section diagnosis. There were no complications.ConclusionsCDUS-IPB with Levovist is an accurate diagnostic tool. The method is especially useful for patients with a suspected malignant biliary stricture who show no tumor mass in preoperative images and no evidence of malignancy on cytologic examinations. More... »

PAGES

88-92

References to SciGraph publications

  • 1983-12. Intraoperative Diagnostik des Pankreascarcinoms in LANGENBECK'S ARCHIVES OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00268-007-9288-8

    DOI

    http://dx.doi.org/10.1007/s00268-007-9288-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1005491258

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18026788


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