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钆塞酸二钠增强磁共振胆管造影在术后胆管损伤评估中的作用:图谱文章

The role of gadoxetic acid-enhanced magnetic resonance cholangiography in the evaluation of postoperative bile duct injury: pictorial essay.

作者信息

Ribeiro Bruno Jucá, Alves Aldo Maurici Araújo, de Oliveira Rafael Santiago, Velloni Fernanda, D'Ippolito Giuseppe

机构信息

Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2019 Nov-Dec;52(6):403-407. doi: 10.1590/0100-3984.2018.0089.

Abstract

Iatrogenic lesion of the bile ducts is a relatively common occurrence during liver surgery, increasing morbidity and mortality rates. T2-weighted magnetic resonance cholangiography and gadoxetic acid-enhanced functional magnetic resonance cholangiography (fMRC) with administration of hepatobiliary-specific contrast medium (gadoxetic acid) are fundamental to the diagnostic imaging approach in patients with such lesions. Here, we present a review of the literature and suggest an imaging approach to biliary tract injury, focusing on clinical cases in which fMRC had an impact on the decision-making process for the management of the affected patients.

摘要

医源性胆管损伤在肝脏手术中较为常见,会增加发病率和死亡率。T2加权磁共振胆管造影以及使用肝胆特异性造影剂(钆塞酸)的钆塞酸增强功能磁共振胆管造影(fMRC)是此类损伤患者诊断性成像方法的基础。在此,我们对文献进行综述,并提出一种针对胆道损伤的成像方法,重点关注fMRC对受影响患者管理决策过程产生影响的临床病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8522/7007050/aa12aa8ac3f4/rb-52-06-0403-g01.jpg

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