2020 Volume 34 Issue 2 Pages 145-152
Transabdominal ultrasound is a non-invasive exam which can be the first choice for evaluation of gallbladder lesions. Recently, the technology of three-dimensional (3D) ultrasound has developed. In addition to the conventional findings, the 3D images were evaluated in 21 patients who underwent transabdominal 3D ultrasound for elevated gallbladder lesions (2 cancers and 19 benign polyps). The gallbladder cancer was significantly larger (21.5mm vs. 8mm, P = 0.019), and there were significant differences between the cancer and the benign polyps in the surface structure and with or without hyperechoic foci (P = 0.001, P = 0.029). All lesions can be clearly visualized by the 3D ultrasound and especially the maximum diameter, base, surface structure, and the presence of multiple lesions became easy to recognize. A transabdominal 3D ultrasound for elevated gallbladder lesions facilitates recognition of morphology and plays a supplementary role in the ultrasound diagnosis.
