Calvo M M, Calderón A, Heras I, Durán M, Orive V, Cabriada J, Astigarraga E
Servicio de Digestivo, Hospital de Galdakao, Galdakao, Vizcaya, 48960, España.
Rev Esp Enferm Dig. 1999 Apr;91(4):287-96.
to prospectively determine the diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) in the evaluation of the normal and diseased pancreatic duct.
patients seen during a 6-month period with a diagnosis of biliary tract or pancreatic disease underwent endoscopic retrograde cholangiopancreatography (ERCP) after a previous MRCP. The pancreatic duct was evaluated with both techniques in 37 patients.
the pancreatic duct appeared normal in ERCP in 27 patients, and also appeared normal in MRCP in 25 of these patients (specificity 93%). ERCP showed moderate-severe pancreatic duct dilation in 8 patients, in whom the same diagnosis was reached with MRCP (sensitivity 100%). The causes of dilation were chronic pancreatitis (2 patients), pancreatic cancer (3 patients) and ampullary tumor (2 patients); in 1 patient the findings with both techniques were suggestive of neoplasm of the head of the pancreas or focal chronic pancreatitis. Pancreas divisum was diagnosed in 2 patients by both methods, and the predominant dorsal duct as well as the ventral duct were visualized by MRCP.
MRCP is an accurate technique for evaluating the normal or diseased pancreatic duct, and for determining the underlying disease.
前瞻性地确定磁共振胰胆管造影（MRCP）在评估正常和病变胰管方面的诊断准确性。
在6个月期间诊断为胆道或胰腺疾病的患者，在先前进行MRCP检查后接受内镜逆行胰胆管造影（ERCP）。对37例患者的胰管进行了两种技术的评估。
27例患者的ERCP显示胰管正常，其中25例患者的MRCP也显示胰管正常（特异性93%）。8例患者的ERCP显示中度至重度胰管扩张，MRCP也得出相同诊断（敏感性100%）。扩张的原因包括慢性胰腺炎（2例）、胰腺癌（3例）和壶腹肿瘤（2例）；1例患者两种技术的检查结果均提示胰头肿瘤或局灶性慢性胰腺炎。两种方法均诊断出2例胰腺分裂症患者，MRCP显示了主要背侧胰管和腹侧胰管。
MRCP是评估正常或病变胰管以及确定潜在疾病的准确技术。
Zotero 插件