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Purpose: This study aims to detect common bile duct (CBD) dilatation using deep learning methods from artificial intelligence algorithms.
Methods: To create a convolutional neural network (CNN) model, 77 magnetic resonance cholangiopancreatography (MRCP) images without CBD dilatation and 70 MRCP images with CBD dilatation were used. The system was developed using coronal maximum intensity projection reformatted 3D-MRCP images. The ResNet50, DenseNet121, and visual geometry group models were selected for training, and detailed training was performed on each model.
Results: In the study, the DenseNet121 model showed the best performance, with a 97% accuracy rate. The ResNet50 model ranked second, with a 96% accuracy rate.
Conclusion: CBD dilatation was detected with high performance using the DenseNet CNN model. Once validated in multicenter studies with larger datasets, this method may help in diagnosis and treatment decision-making.
Clinical Significance: Deep learning algorithms can aid clinicians and radiologists in the diagnostic process once technical, ethical, and financial limitations are addressed. Fast and accurate diagnosis is crucial for accelerating treatment, reducing complications, and shortening hospital stays.
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http://dx.doi.org/10.4274/dir.2025.253218 | DOI Listing |
Gut Liver
September 2025
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Management of common bile duct (CBD) stones has evolved substantially with the advent of endoscopic techniques and dedicated high-end devices. Endoscopic retrograde cholangiopancreatography (ERCP) has become a widespread essential technique for managing CBD stones, with high success rates in standard cases. However, for patients with large stones, stones in an impacted state, and stones in anatomically challenging regions, advanced strategies using various dedicated devices may be needed.
View Article and Find Full Text PDFQuant Imaging Med Surg
September 2025
Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Background: Periampullary diverticulum (PAD) is a common acquired extraluminal outpouching of duodenal mucosa and is often clinically overlooked. When complicated by biliary-pancreatic stones or inflammation, PAD may lead to severe biliary-pancreatic complications. Although endoscopic retrograde cholangiopancreatography (ERCP) is currently regarded as the gold standard for PAD diagnosis, its invasive nature and other limitations have led to computed tomography (CT) being increasingly preferred as the first-line imaging modality.
View Article and Find Full Text PDFAnn Med Surg (Lond)
July 2025
Department of Internal Medicine, Services Institute of Medical Sciences, Lahore, Pakistan.
Introduction And Importance: Biliary tuberculosis is a rare form of infection, accounting for only 0.0-0.1% of all TB cases in certain settings.
View Article and Find Full Text PDFJ Pediatr Surg
August 2025
Division of Pediatric Surgery, Rady Children's Hospital San Diego, La Jolla, CA; Division of Pediatric Surgery, Dept of General Surgery, UCSD School of Medicine, La Jolla, CA. Electronic address:
Background: Guidelines for adult gallstone pancreatitis (GP) in adults recommend endoscopic retrograde cholangiopancreatography (ERCP) for ongoing biliary obstruction. Studies in children are limited by small sample sizes. We sought to explore whether factors predictive of choledocholithiasis (CDL) are correlated with ERCP findings of stones in pediatric GP.
View Article and Find Full Text PDFAnn Surg
August 2025
Hepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology, Ministry of Education, School of Clinical Medicine, Tsinghua University, Beijing, China.
Objective: To compare the efficacy and safety of radical extrahepatic cyst excision including the intrapancreatic bile duct (REC) and subtotal extrahepatic cyst excision preserving the intrapancreatic bile duct (SEC) in treating Todani type I congenital bile duct dilation (CBD) with intrapancreatic bile duct involvement (I-IPBD).
Background: The application of REC and SEC in I-IPBD remains debated.
Methods: The multicenter study recruited I-IPBDs who underwent REC or SEC from 5 centers between 2006 and 2024.