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The biliary wall in the ischemia surgery group showed lower microvascular density measurements (P .001), decreased enhancement levels (P .001), and higher CEUS scores (P .001). When a CEUS score of 3 or higher (obvious decrease of the biliary wall to hypoenhancement or nonenhancement in the arterial phase or rapid wash-out to nonenhancement in the portal venous phase) was applied, CEUS had sensitivity of 87.8%, specificity of 98.3%, accuracy of 93.8%, and an area under the receiver operating characteristic curve of 0.98. Co
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