J. Thammaroj, Piti Ungarreevittaya, Kriangsak Jenwitheesuk
Background: Gallbladder polyps can be classified into two main types: cholesterol and adenoma. As polyp size is reported to be a factor suggestive for malignant polyps, this study aimed to evaluate whether radiographic size or any clinical factors are predictive of the pathological size of polyps. Methods: This was a cross-sectional analytical study. The inclusion criteria were that patients had undergone laparoscopic cholecystectomy, had been diagnosed with gallbladder polyps using any radiographic modality, and had available pathological results. A clinical predictive model for pathological polyp size was calculated using multivariate linear regression analysis. Results: During the study period, there were 85 patients who met the study criteria. The average polyp size according to radiographic modalities was slightly larger than average (7.2 vs 5.6 mm). The majority of polyps were cholesterol polyps (66; 77.6%). The sizes of the polyps according to radiographic imaging were significantly associated with the pathological sizes of the polyps. Age was another significant factor related to the size of polyps identified using pathological methods in the adenoma group, with a coefficient of 0.264 ( P = 0.021). Conclusions: Gallbladder polyp size as determined using radiographic modalities can predict the pathological size in both cholesterol and adenoma polyps. Some adjustments are needed, particularly in patients with adenoma polyps.
背景：胆囊息肉可分为两种主要类型：胆固醇和腺瘤。据报道，息肉大小是提示恶性息肉的一个因素，本研究旨在评估放射学大小或任何临床因素是否可以预测息肉的病理大小。方法：这是一项横断面分析研究。纳入标准是，患者接受过腹腔镜胆囊切除术，使用任何放射学方法诊断为胆囊息肉，并有可用的病理结果。使用多元线性回归分析计算病理性息肉大小的临床预测模型。结果：在研究期间，有85名患者符合研究标准。根据影像学检查，息肉的平均大小略大于平均值（7.2 vs 5.6 mm）。大多数息肉是胆固醇息肉（66；77.6%）。根据放射学成像，息肉的大小与息肉的病理大小显著相关。年龄是另一个与腺瘤组中使用病理方法确定的息肉大小相关的重要因素，系数为0.264（P=0.021）。结论：使用放射学方法确定的胆囊息肉大小可以预测胆固醇和腺瘤息肉的病理大小。需要进行一些调整，尤其是腺瘤息肉患者。
{"title":"Does gallbladder polyp size as measured using radiographic modalities predict pathological size in all types of polyps?","authors":"J. Thammaroj, Piti Ungarreevittaya, Kriangsak Jenwitheesuk","doi":"10.2147/RMI.S172125","DOIUrl":"https://doi.org/10.2147/RMI.S172125","url":null,"abstract":"Background: Gallbladder polyps can be classified into two main types: cholesterol and adenoma. As polyp size is reported to be a factor suggestive for malignant polyps, this study aimed to evaluate whether radiographic size or any clinical factors are predictive of the pathological size of polyps. Methods: This was a cross-sectional analytical study. The inclusion criteria were that patients had undergone laparoscopic cholecystectomy, had been diagnosed with gallbladder polyps using any radiographic modality, and had available pathological results. A clinical predictive model for pathological polyp size was calculated using multivariate linear regression analysis. Results: During the study period, there were 85 patients who met the study criteria. The average polyp size according to radiographic modalities was slightly larger than average (7.2 vs 5.6 mm). The majority of polyps were cholesterol polyps (66; 77.6%). The sizes of the polyps according to radiographic imaging were significantly associated with the pathological sizes of the polyps. Age was another significant factor related to the size of polyps identified using pathological methods in the adenoma group, with a coefficient of 0.264 ( P = 0.021). Conclusions: Gallbladder polyp size as determined using radiographic modalities can predict the pathological size in both cholesterol and adenoma polyps. Some adjustments are needed, particularly in patients with adenoma polyps.","PeriodicalId":39053,"journal":{"name":"Reports in Medical Imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RMI.S172125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48548942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Reports in Medical Imaging 2018:11 15–26 Reports in Medical Imaging Dovepress
{"title":"Adverse events of focused ultrasound surgery for uterine fibroids and adenomyosis","authors":"N. Duc, H. Q. Huy, B. Keserci","doi":"10.2147/RMI.S166580","DOIUrl":"https://doi.org/10.2147/RMI.S166580","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Reports in Medical Imaging 2018:11 15–26 Reports in Medical Imaging Dovepress","PeriodicalId":39053,"journal":{"name":"Reports in Medical Imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/RMI.S166580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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