The Importance of Diagnostic Imaging of Biliary Pathways and Pancreas by
Magnetic Resonance
Belšan T.1, Keil R.2, Lisý J.1, Kynčl M.1, Neuwirth J.1
Klinika zobrazovacích metod, Fakultní nemocnice Motol, Praha,1 přednosta prof. MUDr. Jiří Neuwirth, CSc. Interní klinika, Fakultní nemocnice Motol, Praha,2 přednosta doc. MUDr. Milan Kvapil, CSc. |
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Summary:
The authors demonstrate, in a group of 338 patients, their experience in the application of MR
imaging and MR cholangio-pancreatography (MRCP) for the examination of biliary pathways,
pancreas and its duct. The examination was done on theMRdevice of 1.5 Tesla magnetic field power.
A standard imaging protocol consisting of the classical T2 weighted sequence with suppressing the
signal of fat in transversal plane was selected, 2D MRCP sequence in the coronary plane and 3D
MRCP sequence in the coronary and transversal plane. The resultingMRCP images were evaluated
from the sub-layers obtained, MIP (minimal intensity projection) reconstructions were made
subsequently.Amongindications suitable forMRCPthe authors consider the clinical and laboratory
suspected symptoms of cholelithiasis, unspecified stenosis or dilatation of biliary pathways, biliary
complaints after biliary-digestive anastomoses, inborn anomalies of biliary duct, suspected pathological
processes of intrahepatic biliary ducts, inflammatory and tumorous diseases of pancreas as
well as suspected pancreas divisum. The authors proved a good information value and universal
use of the selected imaging process and recommend, therefore, inclusion of MRCP into the examination
algorithm in adult patients and children with diseases of biliary pathways and pancreas.
Key words:
magnetic resonance – MRCP – biliary pathways – pancreatic duct – diagnostic image-
-forming
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