Technical innovation for noninvasive and early diagnosis of biliary atresia: The ultrasonographic "triangular cord" sign

Journal of Hepato-Biliary-Pancreatic Surgery

Volumn 8, Issue 4, 2001, Pages 337-341

  Park, Woo Hyun ^a   Choi, Soon O K ^a   Lee, Hee Junu ^a  

^a Dongsan Medical Center   (South Korea)

Author keywords

Biliary atresia; Diagnosis; Infantile cholestasis; Triangular cord sign; Ultrasono graphy

Indexed keywords

BILE DUCT ATRESIA; CHOLESTASIS; ECHOGRAPHY; HEPATOBILIARY SYSTEM; HUMAN; INFANT; METHODOLOGY; NEWBORN; PORTAL VEIN; REVIEW; TIME;

BILIARY ATRESIA; BILIARY TRACT; CHOLESTASIS; HUMANS; INFANT; INFANT, NEWBORN; PORTAL VEIN; TIME FACTORS; ULTRASONOGRAPHY;

EID: 0035223446     PISSN: 09441166     EISSN: None     Source Type: Journal    
DOI: 10.1007/s005340170005     Document Type: Article

References (28)

1. Abramson SJ, Treves S, Teele RL (1982) The infant with possible biliary atresia; evaluation by ultrasound and nuclear medicine. Pediatr Radiol 12:1-5
2. Kirks DR, Coleman RE, Filston HC, Rosenberg ER, Merten DF (1984) An imaging approach to persistent neonatal jaundice. AJR Am J Roentgenol 142:461-465
3. Brun F, Gauthier F, Boucher D, Brunelle F (1985) Ultrasound findings in biliary atresia in children. Ann Radiol 28:259-263
4. Altman RP, Abramson S (1985) Potential errors in the diagnosis and surgical management of neonatal jaundice. J Pediatr Surg 20:529-534
5. Green D, Carroll BA (1986) Ultrasonography in the jaundiced infant: a new approach. J Ultrasound Med 5:323-329
6. Ikeda S, Sera Y, Akagi M (1989) Serial ultrasonic examination to differentiate biliary atresia from neonatal hepatitis - special reference to change in size of the gallbladder. Eur J Pediatr 148:396-400
7. Weinberger E, Blumhagen JD, Odell JM (1987) Gall bladder contraction in biliary atresia. AJR Am J Roentgenol 149:401-402
8. Burton EM, Babcock DS, Heubi JE, Gelfand MJ (1990) Neonatal Jaundice: clinical and ultrasound findings. South Med J 83:294-302
9. Lin WY, Lin CC, Changlai SP, Shen YY, Wang SJ (1997) Comparison of Tc-99m disofenin cholcscintigraphy with ultrasonography in the differentiation of biliary atresia from other forms of neonatal jaundice. Pediatr Surg Int 12:30-33
10. Ikeda S, Sera Y, Ohshiro H, Uchino S, Akizuki M, Kondo Y (1998) Gall bladder contraction in biliary atresia: a pitfall of ultrasound diagnosis. Pediatr Radiol 28:451-453
11. Choi SO, Park WH, Lee HJ, Woo SK (1996) "Triangular cord": a sonographic finding applicable in the diagnosis of biliary atresia. J Pediatr Surg 31:363-366
12. Park WH, Choi SO, Lee HJ, Kim SP, Zeon SK, Lee SR (1997) A new diagnostic approach to biliary atresia with emphasis on the ultrasonographic triangular cord sign: comparison of ultrasonography, hepatobiliary scintigraphy, and liver needle biopsy in the evaluation of infantile cholestasis. J Pediatr Surg 32:1555-1559
13. Park WH, Choi SO, Lee HJ (1999) The ultrasonographic "triangular cord" coupled with gall bladder images in the diagnostic prediction of biliary atresia from infantile intrahepatic cholestasis. J Pediatr Surg 34:1706-1710
14. Guibaud L, Kachaud A, Touraine R, Guibal AL, Pelizzari M, Basset T, Pracros JP (1998) MR cholangiography in neonates and infants: feasibility and preliminary applications. AJR Am J Roentgenol 170:27-31
15. Hatakeyama S, Suzuki N, Takahashi A, Kuroiwa M, Ikeda H, Sakai M, Tsuchida Y (1999) MR features of biliary alresia: diagnosis and interval change during the early postoperative period. Jpn J Pediatr Surg 31:259-265
16. Kato Y, Muraji T, Tanano A, Murauchi T, Sato S, Nishijima S, Tsugawa T, Kanagawa K, Kitamura Y (1999) The significance of the ultrasonographic triangular cord sign in the diagnosis of biliary atresia. J Jpn Soc Pediatr Surg 35:600
17. Kendrick APT (1999) Triangular cord sign in biliary atresia: a gold standard for the millenium? Presented at the 42nd annual meeting of the Society of Pediatric Radiology, Vancouver, Canada, May 14-17, 1999. Abstracts (no. 47) p 67
18. Ohi R, Ibrahim M (1995) Biliary atresia. Semin Pediatr Surg 1:115-124
19. Majd M, Reba RC, Altman RP (1981) Diagnostic accuracy of hepatobiliary scintigraphy with Tc-99m-PIPIDA questioned. Pediatrics 68:606-607
20. Gerhold JP, Klingensmith WC, Kuni CC, Lilly JR, Silverman A, Fritzberg AR, Nixt TL (1983) Diagnosis of biliary atresia with radionuclide hepatobiliary imaging. Radiology 146:499-504
21. Manolaki AG, Larcher VF, Mowat AP, Barett SS, Portmann B, Howard ER (1983) The prelaparotomy diagnosis of extrahepatic biliary atresia. Arch Dis Child 58:591-594
22. Tolia V, Dubois RS, Kagalwalla A, Fleming S, Dua V (1986) Comparison of radionuclear scintigraphy and liver biopsy in the evaluation of neonatal cholestasis. J Pediatr Gastroenterol Nutr 5:30-34
23. Spivak WS, Sarkar S, Winter D, Glassman M, Donlon H, Tucker KJ (1987) Diagnostic utility of hepatobiliary scintigraphy with 99m-Tc-DISIDA in neonatal cholestasis. J Pediatr 110:855-861
24. Park WH, Kim WS, Choi SO, Kim SP (1997) Comparison of Tc-99m-DISIDA hepatobiliary scintigraphy and percutaneous needle biopsy in the diagnosis of biliary atresia from intrahepatic cholestasis. J Korean Assoc Pediatr Surg 3:6-14
25. Brough AJ, Bernstein J (1974) Conjugated hyperbilirubinemia in early infancy. Hum Pathol 5:507-516
26. Lai MW, Change MH, Hsu SC, Hsu HC, Su CT, Kaao CL, Lee CY (1994) Differential diagnosis of extrahepatic biliary atresia from neonatal hepatitis: a prospective study. J Pediatr Gastroenterol Nutr 18:121-127
27. Shah HA, Spivak W (1994) Neonatal cholestasis. New approaches to diagnostic evaluation and therapy. Pediatr Clin North Am 41:943-966
28. Park WH, Kim SP, Park KK, Choi SO, Lee HJ, Kwon KY (1996) Electron microscopic study of the liver with biliary atresia and neonatal hepatitis. J Pediatr Surg 31:367-374