MRCP: Early Diagnosis of Pancreatobiliary Diseases by Jinkan Sai M.D., Joe Ariyama M.D. (auth.)

By Jinkan Sai M.D., Joe Ariyama M.D. (auth.)

Magnetic resonance cholangiopancreatography (MRCP) is a newly built noninvasive diagnostic process for sectional and projectional imaging of the pancreatobiliary tree. Requiring no distinction fabrics, MRCP offers top of the range 2-D and 3-D pictures that facilitate early analysis and remedy of pancreatobiliary ailments. The authors draw upon their event of greater than 3000 MRCP stories as they illustrate the usefulness of this significant new diagnostic modality. This quantity is a important source with state of the art info for practitioners, researchers, and others within the fields of gastroenterology, radiology, and surgery.

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Sample text

After secretin injection on MRCP, persistent dilatation of the pancreatic duct is observed in patients with dysfunction of the sphincter of Oddi [78]. However, differentiation from early carcinoma of the papilla ofVater is sometimes difficult [3]. 6). 3-37 Benign stenosis ofthe sphincter of Oddi a. Single-slice MRCP shows stenosis ofthe pancreatobiliary ducts at the level ofthe ampulla with proximal dilatation (arrow). Differentiation from early carcinoma ofthe papilla ofVater is difficult. b. ERCP shows the same findings as MRCP (arrow).

Fig. 3-29 Hilar cholangiocarcinoma a. Three-dimensional MRCP with MIP shows the hilar stricture (bold arrow) with proximal dilatation ofthe left intrahepatic bile duct (arrowhead) as weil as the right anterior segment ofthe intrahepatic bile duct (arrow). 52 3. Biliary Tract Fig. 3-29 continued b. By rotating the MIP image, the caudal branches (urrOll') can be evaluated. c. Percutaneous transhepatic cholangiography shows stenosis in the hilar bile duct (urrm\'). 5 53 Carcinomas of the Papilla ofVater MRCP reveals filling defects or stenosis ofthe distal common bile duct [3,60).

A small polypoid lesion or mild stenosis ofthe pancreatobiliary ducts at the ampulla with slight proximal dilatation were seen on MRCP. Differential diagnosis of carcinoma from benign stenosis or dysfunction ofthe sphincter ofOddi was sometimes difficult, and the diagnosis had to be confirmed by endoscopy. Fig. 3-32 Early carcinoma of the papiIIa of Vater a. Single-slice MRCP shows filling defects in the distal common bile duct (arrow) with no proximal duct dilatation. b. ERCP shows filling defects in the distal common bile duct (arrow) as in MRCP.

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