MR imaging of the gallbladder: A pictorial essay

Onofrio A. Catalano, Dushyant V. Sahani, Sanjeeva P. Kalva, Matthew S. Cushing, Peter F. Hahn, Jeffrey J. Brown, Robert R. Edelman

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

The gallbladder serves as the repository for bile produced in the liver. However, bile within the gallbladder may become supersaturated with cholesterol, leading to crystal precipitation and subsequent gallstone formation. The most common disorders of the gallbladder are related to gallstones and include symptomatic cholelithiasis, acute and chronic cholecystitis, and carcinoma of the gallbladder. Other conditions that can affect the gallbladder include biliary dyskinesia (functional), adenomyomatosis (hyperplastic), and postoperative changes or complications (iatrogenic). Ultrasonography (US) has been the traditional modality for evaluating gallbladder disease, primarily owing to its high sensitivity and specificity for both stone disease and gallbladder inflammation. US performed before and after ingestion of a fatty meal may also be useful for functional evaluation of the gallbladder. However, US is limited by patient body habitus, with degradation of image quality and anatomic detail in obese individuals. With the advent of faster and more efficient imaging techniques, magnetic resonance (MR) imaging has assumed an increasing role as an adjunct modality for gallbladder imaging, primarily in patients who are incompletely assessed with US.MR imaging allows simultaneous anatomic and physiologic assessment of the gallbladder and biliary tract in both initial evaluation of disease and examination of the postoperative patient. This assessment is accomplished chiefly through the use of MR imaging contrast agents excreted preferentially via the biliary system.

Original languageEnglish (US)
Pages (from-to)135-155
Number of pages21
JournalRadiographics
Volume28
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Gallbladder
Magnetic Resonance Imaging
Ultrasonography
Biliary Tract
Gallstones
Bile
Biliary Dyskinesia
Gallbladder Diseases
Acute Cholecystitis
Cholecystitis
Cholelithiasis
Contrast Media
Meals
Eating
Cholesterol
Carcinoma
Sensitivity and Specificity
Liver

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Catalano, O. A., Sahani, D. V., Kalva, S. P., Cushing, M. S., Hahn, P. F., Brown, J. J., & Edelman, R. R. (2008). MR imaging of the gallbladder: A pictorial essay. Radiographics, 28(1), 135-155. https://doi.org/10.1148/rg.281065183

MR imaging of the gallbladder : A pictorial essay. / Catalano, Onofrio A.; Sahani, Dushyant V.; Kalva, Sanjeeva P.; Cushing, Matthew S.; Hahn, Peter F.; Brown, Jeffrey J.; Edelman, Robert R.

In: Radiographics, Vol. 28, No. 1, 01.2008, p. 135-155.

Research output: Contribution to journalArticle

Catalano, OA, Sahani, DV, Kalva, SP, Cushing, MS, Hahn, PF, Brown, JJ & Edelman, RR 2008, 'MR imaging of the gallbladder: A pictorial essay', Radiographics, vol. 28, no. 1, pp. 135-155. https://doi.org/10.1148/rg.281065183
Catalano OA, Sahani DV, Kalva SP, Cushing MS, Hahn PF, Brown JJ et al. MR imaging of the gallbladder: A pictorial essay. Radiographics. 2008 Jan;28(1):135-155. https://doi.org/10.1148/rg.281065183
Catalano, Onofrio A. ; Sahani, Dushyant V. ; Kalva, Sanjeeva P. ; Cushing, Matthew S. ; Hahn, Peter F. ; Brown, Jeffrey J. ; Edelman, Robert R. / MR imaging of the gallbladder : A pictorial essay. In: Radiographics. 2008 ; Vol. 28, No. 1. pp. 135-155.
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