Bilgin Mehmet, Shaikh Faiq, Semelka Richard C, Bilgin Sabriye S, Balci Numan Cem, Erdogan Ali
Department of Radiology, Giessen-Marburg University, Giessen, Germany.
Top Magn Reson Imaging. 2009 Feb;20(1):31-42. doi: 10.1097/RMR.0b013e3181b48aa2.
Gallbladder and biliary system pathologic component is a spectrum of benign and malignant conditions. Standard magnetic resonance imaging techniques when used together with magnetic resonance cholangiopancreatography (MRCP) can evaluate gallbladder and biliary system pathologic conditions. Inflammatory diseases are characterized by thickening and intense mucosal contrast enhancement of the affected bile ducts and or gallbladder wall. Postinflammatory changes can be appreciated on MRCP with short or long segment strictures of the bile ducts. Serial contrast-enhanced images show reactive inflammatory changes in the liver parenchyma. Neoplastic diseases of the gallbladder and the biliary tree are evaluated on T2-weighted fat-suppressed echo train and serial contrast-enhanced images and their obstructive effect can be displayed on MRCP images. In this paper, we will review the spectrum of MRI findings of gallbladder and biliary system pathologic conditions.
胆囊和胆道系统的病理成分包括一系列良性和恶性疾病。标准磁共振成像技术与磁共振胰胆管造影（MRCP）联合使用时，可评估胆囊和胆道系统的病理状况。炎症性疾病的特征是受累胆管和/或胆囊壁增厚且黏膜强化明显。炎症后改变在MRCP上表现为胆管短段或长段狭窄。系列增强扫描图像显示肝实质内的反应性炎症改变。胆囊和胆管树的肿瘤性疾病通过T2加权脂肪抑制回波链成像和系列增强扫描图像进行评估，其梗阻效应可在MRCP图像上显示。在本文中，我们将回顾胆囊和胆道系统病理状况的MRI表现谱。
