Magnetic Cholangiopancreatography : Clinical Evaluation in 16 Patients

Authors

  • Thanongchai Siriapisith Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Ranista Suchato Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Trongtum Tongdee Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Magnetic Cholangiopancreatography, Clinical Evaluation

Abstract

Magnetic resonance (MR) cholangiopancreatography (MRCP) has emerged as an accurate, noninvasive alternative to diagnostic endoscopic retrograde cholangiopancreatography (ERCP) in the evaluation of pancreatobiliary disease. MRCP is performed with the use of a heavily T2 weighted sequence that demonsteates fluid-containing bile ducts as high signal intensity structures.
     This non-breath holding, heavily T2 weighted three-dimensional fast spin echo MECP, was performed in 16 patients with suspected pancreatobiliary disease. The MRCP findings were correlated with those by direct cholangiography, pathologic examination, surgical finding and clinical follow-up. The study was performed by dividing the pancreatobiliary tract into 5 segments for evaluation of obstruction and 6 segments of the gallbladder fir presence of calculi. MRCP yielded an accuracy of 99% in determining the presence and level of pancreatobiliary obstruction and 97% in determining the presence and level of pancreatobiliary calculi. The pancreatic duct was shown in 15 patients. MRCP successfully delineated the pancreatobiliary tract of 1 patient who failed MRCP and of 3 postsurgical biliary tract patients.
     MRCP enables an accurate alternative to ERCP in the evaluation of the pancreatobiliary tract.

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Published

01-04-2004

How to Cite

Siriapisith, T. ., Suchato, R. ., & Tongdee, T. . (2004). Magnetic Cholangiopancreatography : Clinical Evaluation in 16 Patients. Siriraj Medical Journal, 56(4), 171–178. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245506

Issue

Vol. 56 No. 4 (2004): April

Section

Original Article

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