Intravenous cholangiography with helical CT: Comparison with endoscopic retrograde cholangiography

Stephan M. Stockberger, Justin L. Wass, Stuart Sherman, Glen Lehman, Kenyon K. Kopecky

Research output: Contribution to journalArticle

115 Citations (Scopus)

Abstract

PURPOSE: To determine whether helical computed tomography (CT) performed during intravenous cholangiography can provide useful images of the biliary tree and to compare this technique with endoscopic retrograde cholangiography (ERC). MATERIALS AND METHODS: Eighteen adult patients with clinically suspected biliary disease who were referred for ERC were first examined with helical CT cholangiography performed 75 minutes after intravenous infusion of 100 mL of 10.3% iodipamide meglumine. RESULTS: Helical CT cholangiography revealed good opacification of the biliary tree in 13 of 14 patients with serum bilirubin levels less than 2 mg/dL (34 μmol/L) and poor opacification in three of four patients with levels greater than 2 mg/dL. In six of seven patients with choledocholithiasis, the diagnosis was made by means of helical CT cholangiography. CONCLUSION: Helical CT cholangiography may be a clinically useful method for visualization of the biliary tree in some patients with suspected biliary disease with normal bilirubin levels and in patients in whom attempts at ERC fail.

Original languageEnglish
Pages (from-to)675-680
Number of pages6
JournalRadiology
Volume192
Issue number3
StatePublished - Sep 1994

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Cholangiography
Spiral Computed Tomography
Biliary Tract
Bilirubin
Choledocholithiasis
Intravenous Infusions
Serum

Keywords

  • Bile duct radiography, technology
  • Bile ducts, calculi
  • Bile ducts, CT
  • Bile ducts, stenosis or obstruction
  • Computed tomography (CT), helical technology

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Intravenous cholangiography with helical CT : Comparison with endoscopic retrograde cholangiography. / Stockberger, Stephan M.; Wass, Justin L.; Sherman, Stuart; Lehman, Glen; Kopecky, Kenyon K.

In: Radiology, Vol. 192, No. 3, 09.1994, p. 675-680.

Research output: Contribution to journalArticle

Stockberger, Stephan M. ; Wass, Justin L. ; Sherman, Stuart ; Lehman, Glen ; Kopecky, Kenyon K. / Intravenous cholangiography with helical CT : Comparison with endoscopic retrograde cholangiography. In: Radiology. 1994 ; Vol. 192, No. 3. pp. 675-680.
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AB - PURPOSE: To determine whether helical computed tomography (CT) performed during intravenous cholangiography can provide useful images of the biliary tree and to compare this technique with endoscopic retrograde cholangiography (ERC). MATERIALS AND METHODS: Eighteen adult patients with clinically suspected biliary disease who were referred for ERC were first examined with helical CT cholangiography performed 75 minutes after intravenous infusion of 100 mL of 10.3% iodipamide meglumine. RESULTS: Helical CT cholangiography revealed good opacification of the biliary tree in 13 of 14 patients with serum bilirubin levels less than 2 mg/dL (34 μmol/L) and poor opacification in three of four patients with levels greater than 2 mg/dL. In six of seven patients with choledocholithiasis, the diagnosis was made by means of helical CT cholangiography. CONCLUSION: Helical CT cholangiography may be a clinically useful method for visualization of the biliary tree in some patients with suspected biliary disease with normal bilirubin levels and in patients in whom attempts at ERC fail.

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