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  1. Article ; Online: Guest editor's introduction: cholangiopathies: review and update.

    Fulcher, Ann S

    Abdominal radiology (New York)

    2016  Volume 42, Issue 1, Page(s) 1–2

    MeSH term(s) Autoimmune Diseases/congenital ; Autoimmune Diseases/diagnostic imaging ; Biliary Tract Diseases/congenital ; Biliary Tract Diseases/diagnostic imaging ; Diagnosis, Differential ; Humans ; Risk Factors
    Language English
    Publishing date 2016-09-28
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 2839786-1
    ISSN 2366-0058 ; 2366-004X
    ISSN (online) 2366-0058
    ISSN 2366-004X
    DOI 10.1007/s00261-016-1000-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Traveling gallstones: review of MR imaging and surgical pathology features of gallstone disease and its complications in the gallbladder and beyond.

    Duhancioglu, Gabriel / Arif-Tiwari, Hina / Natali, Stefano / Reynolds, Conner / Lalwani, Neeraj / Fulcher, Ann

    Abdominal radiology (New York)

    2023  Volume 49, Issue 3, Page(s) 722–737

    Abstract: Gallstone-related disease comprises a spectrum of conditions resulting from biliary stone formation, leading to obstruction and inflammatory complications. These can significantly impact patient quality of life and carry high morbidity if not accurately ... ...

    Abstract Gallstone-related disease comprises a spectrum of conditions resulting from biliary stone formation, leading to obstruction and inflammatory complications. These can significantly impact patient quality of life and carry high morbidity if not accurately detected. Appropriate imaging is essential for evaluating the extent of gallstone disease and assuring appropriate clinical management. Magnetic Resonance Imaging (MRI) techniques (including Magnetic Resonance Cholangiopancreatography (MRCP) are increasingly used for diagnosis of gallstone disease and its complications and provide high contrast resolution and facilitate tissue-level assessment of gallstone disease processes. In this review we seek to delve deep into the spectrum of MR imaging in diagnose of gallstone-related disease within the gallbladder and complications related to migration of the gallstones to the gall bladder neck or cystic duct, common hepatic duct or bile duct (choledocholithiasis) and beyond, including gallstone pancreatitis, gallstone ileus, Bouveret syndrome, and dropped gallstones, by offering key examples from our practice. Furthermore, we will specifically highlight the crucial role of MRI and MRCP for enhancing diagnostic accuracy and improving patient outcomes in gallstone-related disease and showcase relevant surgical pathology specimens of various gallstone related complications.
    MeSH term(s) Humans ; Gallstones/diagnostic imaging ; Gallstones/complications ; Pathology, Surgical ; Quality of Life ; Magnetic Resonance Imaging/methods
    Language English
    Publishing date 2023-12-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2839786-1
    ISSN 2366-0058 ; 2366-004X
    ISSN (online) 2366-0058
    ISSN 2366-004X
    DOI 10.1007/s00261-023-04107-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Biliary Duct Dilatation:

    Ludwig, Daniel R / Itani, Malak / Childs, David D / Revzin, Margarita V / Das, Koushik K / Anderson, Mark A / Arif-Tiwari, Hina / Lockhart, Mark E / Fulcher, Ann S

    AJR. American journal of roentgenology

    2023  Volume 222, Issue 4, Page(s) e2329671

    Abstract: Biliary duct dilatation is a common incidental finding in practice, but it is unlikely to indicate biliary obstruction in the absence of clinical symptoms or elevated levels on liver function tests (LFTs). However, the clinical presentation may be ... ...

    Abstract Biliary duct dilatation is a common incidental finding in practice, but it is unlikely to indicate biliary obstruction in the absence of clinical symptoms or elevated levels on liver function tests (LFTs). However, the clinical presentation may be nonspecific, and LFTs may either be unavailable or difficult to interpret. The goal of this
    MeSH term(s) Humans ; Dilatation, Pathologic/diagnostic imaging ; Bile Duct Diseases/diagnostic imaging ; Bile Ducts/diagnostic imaging ; Liver Function Tests
    Language English
    Publishing date 2023-07-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.23.29671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Persistent memory despite rapid contraction of circulating T Cell responses to SARS-CoV-2 mRNA vaccination.

    Taus, Ellie / Hofmann, Christian / Ibarrondo, F Javier / Gong, Laura S / Hausner, Mary Ann / Fulcher, Jennifer A / Krogstad, Paul / Kitchen, Scott G / Ferbas, Kathie G / Tobin, Nicole H / Rimoin, Anne W / Aldrovandi, Grace M / Yang, Otto O

    Frontiers in immunology

    2023  Volume 14, Page(s) 1100594

    Abstract: Introduction: While antibodies raised by SARS-CoV-2 mRNA vaccines have had compromised efficacy to prevent breakthrough infections due to both limited durability and spike sequence variation, the vaccines have remained highly protective against severe ... ...

    Abstract Introduction: While antibodies raised by SARS-CoV-2 mRNA vaccines have had compromised efficacy to prevent breakthrough infections due to both limited durability and spike sequence variation, the vaccines have remained highly protective against severe illness. This protection is mediated through cellular immunity, particularly CD8+ T cells, and lasts at least a few months. Although several studies have documented rapidly waning levels of vaccine-elicited antibodies, the kinetics of T cell responses have not been well defined.
    Methods: Interferon (IFN)-γ enzyme-linked immunosorbent spot (ELISpot) assay and intracellular cytokine staining (ICS) were utilized to assess cellular immune responses (in isolated CD8+ T cells or whole peripheral blood mononuclear cells, PBMCs) to pooled peptides spanning spike. ELISA was performed to quantitate serum antibodies against the spike receptor binding domain (RBD).
    Results: In two persons receiving primary vaccination, tightly serially evaluated frequencies of anti-spike CD8+ T cells using ELISpot assays revealed strikingly short-lived responses, peaking after about 10 days and becoming undetectable by about 20 days after each dose. This pattern was also observed in cross-sectional analyses of persons after the first and second doses during primary vaccination with mRNA vaccines. In contrast, cross-sectional analysis of COVID-19-recovered persons using the same assay showed persisting responses in most persons through 45 days after symptom onset. Cross-sectional analysis using IFN-γ ICS of PBMCs from persons 13 to 235 days after mRNA vaccination also demonstrated undetectable CD8+ T cells against spike soon after vaccination, and extended the observation to include CD4+ T cells. However, ICS analyses of the same PBMCs after culturing with the mRNA-1273 vaccine in vitro showed CD4+ and CD8+ T cell responses that were readily detectable in most persons out to 235 days after vaccination.
    Discussion: Overall, we find that detection of spike-targeted responses from mRNA vaccines using typical IFN-γ assays is remarkably transient, which may be a function of the mRNA vaccine platform and an intrinsic property of the spike protein as an immune target. However, robust memory, as demonstrated by capacity for rapid expansion of T cells responding to spike, is maintained at least several months after vaccination. This is consistent with the clinical observation of vaccine protection from severe illness lasting months. The level of such memory responsiveness required for clinical protection remains to be defined.
    MeSH term(s) Humans ; SARS-CoV-2 ; 2019-nCoV Vaccine mRNA-1273 ; Cross-Sectional Studies ; Leukocytes, Mononuclear ; COVID-19/prevention & control ; Vaccination ; Cytokines ; Antibodies, Viral ; Enzyme-Linked Immunospot Assay
    Chemical Substances 2019-nCoV Vaccine mRNA-1273 (EPK39PL4R4) ; Cytokines ; Antibodies, Viral
    Language English
    Publishing date 2023-02-13
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2023.1100594
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Correction to: Reporting standards for primary sclerosing cholangitis using MRI and MR cholangiopancreatography: guidelines from MR Working Group of the International Primary Sclerosing Cholangitis Study Group.

    Venkatesh, Sudhakar K / L Welle, Christopher / H Miller, Frank / Jhaveri, Kartik / Ringe, Kristina I / Eaton, John E / Bungay, Helen / Arrivé, Lionel / Ba-Ssalamah, Ahmed / Grigoriadis, Aristeidis / Schramm, Christoph / Fulcher, Ann S

    European radiology

    2021  Volume 32, Issue 4, Page(s) 2860

    Language English
    Publishing date 2021-10-04
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-021-08333-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Magnetic resonance cholangiopancreatography: is it becoming the study of choice for evaluating obstructive jaundice?

    Fulcher, Ann S

    Journal of clinical gastroenterology

    2004  Volume 38, Issue 10, Page(s) 839–840

    MeSH term(s) Biliary Tract/diagnostic imaging ; Biliary Tract Diseases/diagnosis ; Cholangiopancreatography, Magnetic Resonance/methods ; Clinical Trials as Topic ; Humans ; Jaundice, Obstructive/diagnosis ; Jaundice, Obstructive/etiology ; Radiography ; Ultrasonography
    Language English
    Publishing date 2004-10-14
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 448460-5
    ISSN 1539-2031 ; 0192-0790
    ISSN (online) 1539-2031
    ISSN 0192-0790
    DOI 10.1097/00004836-200411000-00001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: CT cholangiography: advantages and disadvantages compared with MR cholangiography in the evaluation of the biliary tract following liver transplantation.

    Fulcher, Ann S

    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society

    2004  Volume 10, Issue 8, Page(s) 1071–1072

    MeSH term(s) Biliary Tract/anatomy & histology ; Biliary Tract/diagnostic imaging ; Cholangiography/methods ; Humans ; Liver Transplantation/physiology ; Magnetic Resonance Imaging ; Reproducibility of Results ; Tomography, X-Ray Computed
    Language English
    Publishing date 2004-08
    Publishing country United States
    Document type Comparative Study ; Editorial ; Comment
    ZDB-ID 2006866-9
    ISSN 1527-6473 ; 1527-6465
    ISSN (online) 1527-6473
    ISSN 1527-6465
    DOI 10.1002/lt.20207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Benign causes of diffusion restriction foci in the peripheral zone of the prostate: diagnosis and differential diagnosis.

    Bhowmik, Nirjhor M / Yu, Jinxing / Fulcher, Ann S / Turner, Mary A

    Abdominal radiology (New York)

    2016  Volume 41, Issue 5, Page(s) 910–918

    Abstract: Multiparametric-MRI is an important tool in the diagnosis of prostate cancer (PCa), particularly diffusion-weighted imaging for peripheral zone (PZ) cancer in the untreated prostate. However, there are many benign entities that demonstrate diffusion ... ...

    Abstract Multiparametric-MRI is an important tool in the diagnosis of prostate cancer (PCa), particularly diffusion-weighted imaging for peripheral zone (PZ) cancer in the untreated prostate. However, there are many benign entities that demonstrate diffusion restriction in the PZ mimicking PCa resulting in diagnostic challenges. Fortunately, these benign entities usually have unique MR features that may help to distinguish them from PCa. The purpose of this pictorial review is to discuss benign entities with diffusion restriction in the PZ and to emphasize the key MR features of these entities that may help to differentiate them from PCa.
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2839786-1
    ISSN 2366-0058 ; 2366-004X
    ISSN (online) 2366-0058
    ISSN 2366-004X
    DOI 10.1007/s00261-016-0719-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: MRCP and ERCP in the diagnosis of common bile duct stones.

    Fulcher, Ann S

    Gastrointestinal endoscopy

    2002  Volume 56, Issue 6 Suppl, Page(s) S178–82

    MeSH term(s) Cholangiography/methods ; Cholangiopancreatography, Endoscopic Retrograde ; Endosonography ; Gallstones/diagnosis ; Humans ; Magnetic Resonance Imaging ; Pancreas/diagnostic imaging ; Sensitivity and Specificity ; Tomography, X-Ray Computed
    Language English
    Publishing date 2002-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 391583-9
    ISSN 1097-6779 ; 0016-5107
    ISSN (online) 1097-6779
    ISSN 0016-5107
    DOI 10.1067/mge.2002.129029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reporting standards for primary sclerosing cholangitis using MRI and MR cholangiopancreatography: guidelines from MR Working Group of the International Primary Sclerosing Cholangitis Study Group.

    Venkatesh, Sudhakar K / Welle, Christopher L / Miller, Frank H / Jhaveri, Kartik / Ringe, Kristina I / Eaton, John E / Bungay, Helen / Arrivé, Lionel / Ba-Ssalamah, Ahmed / Grigoriadis, Aristeidis / Schramm, Christoph / Fulcher, Ann S

    European radiology

    2021  Volume 32, Issue 2, Page(s) 923–937

    Abstract: Primary sclerosing cholangitis (PSC) is a chronic inflammatory disorder affecting the bile ducts and is characterized by biliary strictures, progressive liver parenchymal fibrosis, and an increased risk of hepatobiliary malignancies primarily ... ...

    Abstract Primary sclerosing cholangitis (PSC) is a chronic inflammatory disorder affecting the bile ducts and is characterized by biliary strictures, progressive liver parenchymal fibrosis, and an increased risk of hepatobiliary malignancies primarily cholangiocarcinoma (CCA). PSC may lead to portal hypertension, liver decompensation, and liver failure with the need for liver transplantation. Magnetic resonance imaging (MRI)/magnetic resonance cholangiopancreatography (MRCP) are considered the imaging standard for diagnosis and follow-up in patients with PSC. Currently, there are no universally accepted reporting standards and definitions for MRI/MRCP features. Controversies exist about the definition of a high-grade stricture and there is no widely agreed approach to their management. The members of the MRI working group of the International Primary Sclerosing Cholangitis Study Group (IPSCSG) sought to define terminologies and reporting standards for describing MRI/MRCP features that would be applied to diagnosis and surveillance of disease progression, and potentially for evaluating treatment response in clinical trials. In this extensive review, the technique of MRI/MRCP and assessment of image quality for the evaluation of PSC is briefly described. The definitions and terminologies for severity and length of strictures, duct wall thickening and hyperenhancement, and liver parenchyma signal intensity changes are outlined. As CCA is an important complication of PSC, standardized reporting criteria for CCA developing in PSC are summarized. Finally, the guidelines for reporting important changes in follow-up MRI/MRCP studies are provided. KEY POINTS: • Primary sclerosing cholangitis is a chronic inflammatory disorder affecting the bile ducts, causing biliary strictures and liver fibrosis and an increased risk of cholangiocarcinoma. • This consensus document provides definitions and suggested reporting standards for MRI and MRCP features of primary sclerosing cholangitis, which will allow for a standardized approach to diagnosis, assessment of disease severity, follow-up, and detection of complications. • Standardized definitions and reporting of MRI/MRCP features of PSC will facilitate comparison between studies, promote longitudinal assessment during management, reduce inter-reader variability, and enhance the quality of care and communication between health care providers.
    MeSH term(s) Bile Duct Neoplasms/diagnostic imaging ; Bile Ducts, Intrahepatic ; Cholangiocarcinoma/diagnostic imaging ; Cholangiopancreatography, Magnetic Resonance ; Cholangitis, Sclerosing/diagnostic imaging ; Humans ; Magnetic Resonance Imaging
    Language English
    Publishing date 2021-08-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-021-08147-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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