Functional MR-pancreatography with secretin -: A comparison of imaging quality and diagnostic value pre and post secretin in the same patient.

被引：7

作者：

Helmberger, H ^{[1
]}

Hellerhoff, K ^{[1
]}

Rüll, T ^{[1
]}

Brandt, C ^{[1
]}

Gerhardt, P ^{[1
]}

机构：

[1] Tech Univ Munich, Klinikum Rechts Isar, Inst Rontgendiagnost, D-81675 Munich, Germany

来源：

ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2000年 / 172卷 / 04期

关键词：

MR-pancreatography; pancreas; secretin;

D O I：

10.1055/s-2000-332

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: The aim of the present study was to assess imaging improvement and diagnostic value of secretin stimulated MR-pancreatography (MRP) compared to conventional MRP. Materials and Methods: 50 patients were studied with a 1.0 T system using a single-shot-TSE sequence (RARE). Imaging quality and diameter of the different parts of the pancreatic tract and diagnoses were monitored before and after secretin, Results: The visualization of the normal main pancreatic duct (MPD) was improved significantly in head, body and tail. Side branches were not depicted at all, Even in chronic pancreatitis a significant improvement of imaging quality could be observed, but only in patients without duct dilation before secretin. In advanced disease with duct dilation, secretin stimulation provided no further diagnostic improvement. Conclusions: In conclusion, secretin increases the diagnostic value of MRP especially in patients with normal or non-dilated native MPD and may help to avoid unnecessary invasive procedures such as ERCP.

引用

页码：367 / 373

页数：7

共 27 条

[21]

SAHEL J, 1986, DIAGNOSTIC PROCEDURE

[22] Comparison of endoscopic retrograde cholangiopancreatography with MR cholangiopancreatography in patients with pancreatitis [J].

Sica, GT ;

Braver, J ;

Cooney, MJ ;

Miller, FH ;

Chai, JL ;

Adams, DF .

RADIOLOGY, 1999, 210 (03) :605-610

[23] PANCREATIC DUCT - MR CHOLANGIOPANCREATOGRAPHY WITH A 3-DIMENSIONAL FAST SPIN-ECHO TECHNIQUE [J].

SOTO, JA ;

BARISH, MA ;

YUCEL, EK ;

CLARKE, P ;

SIEGENBERG, D ;

CHUTTANI, R ;

FERRUCCI, JT .

RADIOLOGY, 1995, 196 (02) :459-464

[24] BREATH-HOLD MR CHOLANGIOPANCREATOGRAPHY WITH A LONG-ECHO-TRAIN FAST SPIN-ECHO SEQUENCE AND A SURFACE COIL IN CHRONIC-PANCREATITIS [J].

TAKEHARA, Y ;

ICHIJO, K ;

TOOYAMA, N ;

KODAIRA, N ;

YAMAMOTO, H ;

TATAMI, M ;

SAITO, M ;

WATAHIKI, H ;

TAKAHASHI, M .

RADIOLOGY, 1994, 192 (01) :73-78

[25]

TAYLOR AJ, 1997, INTERPRETATION ERCP, P214

[26] DILATED BILIARY-TRACT - EVALUATION WITH MR CHOLANGIOGRAPHY WITH A T2-WEIGHTED CONTRAST-ENHANCED FAST SEQUENCE [J].

WALLNER, BK ;

SCHUMACHER, KA ;

WEIDENMAIER, W ;

FRIEDRICH, JM .

RADIOLOGY, 1991, 181 (03) :805-808

[27] THE CAUSE AND TREATMENT OF PANCREATITIS ASSOCIATED WITH PANCREAS DIVISUM [J].

WARSHAW, AL ;

RICHTER, JM ;

SCHAPIRO, RH .

ANNALS OF SURGERY, 1983, 198 (04) :443-452

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