By Jinkan Sai M.D., Joe Ariyama M.D. (auth.)
Magnetic resonance cholangiopancreatography (MRCP) is a newly built noninvasive diagnostic method for sectional and projectional imaging of the pancreatobiliary tree. Requiring no distinction fabrics, MRCP presents top of the range 2-D and three-D pictures that facilitate early analysis and therapy of pancreatobiliary ailments. The authors draw upon their adventure of greater than 3000 MRCP reviews as they illustrate the usefulness of this significant new diagnostic modality. This quantity is a worthwhile source with cutting-edge info for practitioners, researchers, and others within the fields of gastroenterology, radiology, and surgery.
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Additional resources for MRCP: Early Diagnosis of Pancreatobiliary Diseases
Example text
B. ERCP shows the same findings as MRCP (arrow).
1 Mirizzi's Syndrome Mirizzi's syndrome is astate of inflammatory stenosis of the common bile duct or common hepatic duct caused by storres impacting in the neck of the gallbladder or cystic duct [62]. This condition is easily diagnosed by MRCP, which depicts stones in the neck of the gallbladder together with stenosis of the commorr bile duct or common hepatic duct [63-65]. Fig. 3-34 Mirizzi's syndrome a. Single-slice MRCP shows a stone impacted in the neck ofthe gallbladder (open arrow), and stenosis ofthe common hepatic duct (bold arrow) is clearly visible.
Pitfa11s in the diagnosis of choledocholithiasis include pneumobilia (Fig. 3-42), hemobilia, protein plugs, polypoid tumor, surgical clips (Fig. 3-47), and flow effects (Fig. 3-46), a11 ofwhich may create signal voids in the common bile duct. Axial MR images often a110w the differentiation of pneumobilia, which floats anterior to bile, from choledocholithiasis, which lies in the dependent portion ofthe bile duct lumen [23]. 3-11 Cholecystocholedocholithiasis (3 mm diameter) a. Single-slice MRCP shows a sm all low-intensity area, consistent with a stone, in the distal common bile duct (arrow).