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Our First Experience with Magnetic Resonance Cholangiopancreaticography


Authors: H. Malíková;  J. Weichet;  J. Vymazal;  J. Balák;  B. Drugová;  K. Mareš 1;  M. Oliverius 2
Authors‘ workplace: Radiodiagnostické oddělení Nemocnice Na Homolce, Praha Interní oddělení Nemocnice Na Homolce, Praha Chirurgické oddělení Nemocnice Na Homolce, Praha
Published in: Čas. Lék. čes. 2003; : 656-660
Category:

Overview

Background.
Magnetic resonance cholangiopancreaticography (MRCP) is based on heavily weighted T2 sequences(ETSE – echo-train spin echo) with suppression of fat, giving visualisation of slowly flowing or stagnating fluid.MRCP are short sequences in coronary plane with thickness of 8 cm or 4 mm. Retrospective analysis of all MRCPexaminations performed during last 12 months is presented.Methods and Results. Eighty-eight examinations were done, of which 67 ones with both adequate technical qualityand clinical indication were included into the study (20 males aged 25–83ye ars, 47 women aged 19–82 years).Patients were divided into 4 groups regarding to the indications (group I. – temporary cholestasis, normal abdominalultrasound, II. – definite cholestasis, III. – pathologic findings on pancreas, IV. – other). Vast majority of patientswere included into group I (35 subjects). In 7 (20 %) of them choledocholithiasis and/or stenoses (including multiplestenoses in primary sclerotizing cholangoitis) were found. MRCP brought diagnostic information in subjects withcholestasis (group II.) and answered questions given by clinicians. However, in 1 of 4 subjects with primarysclerotizing cholangoitis,MRCP did not reveal intra-hepatic stenoses, which were later visualised by classical ERCP.Only the extrahepatic stenoses were diagnosed by MRCP in the latter subject.Conclusions. MRCP should become a standard examination in the diagnostic algorithm in patients with cholangiopathies.MRCP has its value not only in subjects with unsuccessful or contraindicated ERCP, but also in subjectswith temporary cholestasis with negative ultrasound finding.

Key words:
MRCP, stenosis, choledocholithiasis.

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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Article was published in

Journal of Czech Physicians


2003 Issue 11

Most read in this issue
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