Gallbladder reporting and data system (GB-RADS) for risk stratification of gallbladder wall thickening on ultrasonography: an international expert consensus

Gupta, Pankaj; Dutta, Usha; Rana, Pratyaksha; Singhal, Manphool; Gulati, Ajay; Kalra, Naveen; Soundararajan, Raghuraman; Kalage, Daneshwari; Chhabra, Manika; Sharma, Vishal; Gupta, Vikas; Yadav, Thakur Deen; Kaman, Lileshwar; Irrinki, Santosh; Singh, Harjeet; Sakaray, Yashwant; Das, Chandan Krushna; Saikia, Uma Nahar; Nada, Ritambhra; Srinivasan, Radhika; Sandhu, Manavjit Singh; Sharma, Raju; Shetty, Nitin; Eapen, Anu; Kaur, Harmeet; Kambadakone, Avinash; Haas, Robbert J. de; Kapoor, Vinay K.; Barreto, Savio George; Sharma, Atul; Patel, Arvind; Garg, Pramod Kumar; Pal, Sujoy; Goel, Mahesh; Patkar, Shraddha; Behari, Anu; Agarwal, Anil; Sirohi, Bhawna; Javle, Milind; Garcea, Giuseppe; Nervi, Flavio; Adsay, Volkan; Roa, Juan Carlos; Han, Ho‐Seong

doi:10.1007/s00261-021-03360-w

Cited by 30 publications

(20 citation statements)

References 40 publications

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“…A new GB-RADS ultrasound-based risk stratification system for gallbladder wall thickening has been proposed, however, the clinical validation and utility of this system has not been published presently. 40 …”

Section: Methodsmentioning

confidence: 99%

Gallbladder polyps and adenomyomatosis

Riddell¹,

Corallo

Albazaz

et al. 2023

BJR

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Incidental findings are commonly detected during examination of the gallbladder. Differentiating benign from malignant lesions is critical because of the poor prognosis associated with gallbladder malignancy. Therefore, it is important that radiologists and sonographers are aware of common incidental gallbladder findings, which undoubtedly will continue to increase with growing medical imaging use. Ultrasound is the primary imaging modality used to examine the gallbladder and biliary tree, but contrast enhanced ultrasound and MRI are increasingly used. This review article focuses on two common incidental findings in the gallbladder; adenomyomatosis and gallbladder polyps. The imaging features of these conditions will be reviewed and compared between radiological modalities, and the pathology, epidemiology, natural history, and management will be discussed.

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Section: Methodsmentioning

confidence: 99%

Gallbladder polyps and adenomyomatosis

Riddell¹,

Corallo

Albazaz

et al. 2023

BJR

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“…A few novel imaging techniques, including DECT and texture analysis, have recently been investigated to increase the accuracy of detection of malignant gallbladder wall thickening [70][71][72]. Additionally, a gallbladder reporting and data system (GB-RADS) has been proposed to stratify the risk of malignant gallbladder wall thickening in US [73]. Finally, an artificial intelligence (AI) model (GBC-net) has been proposed to differentiate benign from malignant gallbladder diseases [74].…”

Section: Differentiating Benign From Malignant Gallbladder Wall Thick...mentioning

confidence: 99%

Imaging patterns of wall thickening type of gallbladder cancer

Soundararajan¹,

Marodia²,

Gupta³

et al. 2022

ceh

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Gallbladder cancer (GBC) has a high incidence in certain geographical regions. Morphologically, GBC presents as a mass replacing the gallbladder, a polypoidal lesion, or wall thickening. The incidence of preoperative diagnosis of wall thickening type of GBC is less well studied. The patterns of mural involvement and extramural spread are not well described in the literature. Additionally, wall thickening in the gallbladder does not always indicate malignancy and can be secondary to inflammatory or benign gallbladder diseases and extracholecystic causes and systemic pathologies. Objective reporting of gallbladder wall thickening will help us appreciate GBC's early features. In this review, we illustrate the imaging patterns of wall thickening type of GBC.

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“…It is often difficult to accurately diagnose GB wall thickening. [21][22][23] Hence, we require advanced imaging modalities to characterize GB wall thickening. DECT is a potential tool for this problem that has not been investigated.…”

Section: Benign Gallbladder Wall Thickeningmentioning

confidence: 99%

Role of Dual-Energy Computed Tomography in Gallbladder Disease: A Review

Singh

Gupta

2022

Journal of Gastrointestinal and Abdominal Radiology

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Gallbladder diseases are common and include a spectrum ranging from benign to cancer. Imaging plays an integral role in the diagnosis and in guiding appropriate management. While most patients with gallstone (GS) diseases can be evaluated with ultrasound, those with complicated GS disease, suspicion of cancer, or staging of cancer need additional cross-sectional imaging. Computed tomography (CT) is widely available and is often the imaging test of choice following an equivocal ultrasound or negative ultrasound in patients with unexplained symptoms. Conventional CT has limited sensitivity in detecting GS or common bile duct stones. In other scenarios, including diagnosis of acute cholecystitis (AC) and characterization of gallbladder wall thickening, an increase in accuracy using novel techniques is desirable. Dual-energy computed tomography (DECT) is increasingly incorporated into clinical practice. DECT has shown promising results in the detection of cholesterol stones that otherwise go unnoticed on conventional CT. However, its role beyond GS disease has largely been unexplored. In this review, we discuss the available literature on the DECT in biliary diseases and discuss the potential applications of this technique.

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Gallbladder reporting and data system (GB-RADS) for risk stratification of gallbladder wall thickening on ultrasonography: an international expert consensus

Abstract: Han, H-S. (2022). Gallbladder reporting and data system (GB-RADS) for risk stratification of gallbladder wall thickening on ultrasonography: an international expert consensus. Abdominal radiology (New York), 47(2), 554-565.

Cited by 30 publications

References 40 publications

Gallbladder polyps and adenomyomatosis

Gallbladder polyps and adenomyomatosis

Imaging patterns of wall thickening type of gallbladder cancer

Role of Dual-Energy Computed Tomography in Gallbladder Disease: A Review

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