MRCP – A Problem Solving Diagnostic Tool in Pancreaticobiliary Pathologies
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Magnetic Resonance Cholangiopancreaticography (MRCP) is based on heavily T2W pulse sequences wherein only biliary tree is visualized without need for contrast medium administration in a noninvasive way. Study aims and objectives were to detect various pancreaticobiliary pathologies, to characterize various pancreaticobiliary pathologies and to evaluate role of MRCP in various pancreaticobiliary pathologies. Material and Methods: The study was carried out with patients who presented with symptoms suggestive of involvement of pancreatico-billiary system. Patients were kept fasting for at least 6 hrs prior to examination. Total 40 patients were imaged on GE Signa HDxT Twinspeed 1.5 T MRI (USA). A clinical, radiological correlation and confirmation of radiological diagnosis was done by Surgery / Biopsy / Endoscopic Retrograde Cholangiopancreaticography (ERCP) findings. Result: We encountered various benign as well as malignant pathologies during the study. Highest percentage of imaging features were of common bile duct (CBD) stricture (30%), acute pancreatitis (17.5%), followed by chronic pancreatitis (15%). Conclusion: MRCP is noninvasive, non-ionizing imaging modality for evaluation of the pancreaticobiliary anatomy and pathology. It is much superior in the diagnosis and evaluation of various pathologies as compared to the ultrasound and Computed Tomography. MRCP has highest resolution of the pancreaticobiliary tree. MRCP is capable of multiplanar imaging and 3D reconstruction.
Authors and Affiliations
Suraj Sonawane, Sachin Bagale, Sunil Patil
Keywords
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