Koito K, Namieno T, Ichimura T, Yama N, Hareyama M, Morita K, Nishi M
Department of Radiology, Sapporo Medical University, Japan.
Radiology. 1998 Jul;208(1):231-7. doi: 10.1148/radiology.208.1.9646818.
To compare magnetic resonance cholangiopancreatography (MRCP) with endoscopic retrograde cholangiopancreatography (ERCP) in the detection of mucin-producing pancreatic tumors.
The authors retrospectively reviewed MRCP and ERCP images obtained in 28 patients with mucin-producing pancreatic tumors. Detectability of the pancreatic duct and its branches, intraductal cystic lesions, and intracystic nodules or septa was assessed.
MRCP depicted cystic dilated ductal branches significantly better than did ERCP (P < .001). The difference in the number of nodules or septa detected with MRCP compared with ERCP was not significant. MRCP, however, simultaneously showed not only the main pancreatic duct but also the cystic lesions; this was not always possible with ERCP.
MRCP appears to be more effective and less invasive than ERCP to evaluate changes in the size and extent of tumors and to determine if new lesions appear, as well as to follow up mucin-producing pancreatic tumors.
比较磁共振胰胆管造影（MRCP）与内镜逆行胰胆管造影（ERCP）在检测产生黏液的胰腺肿瘤方面的效果。
作者回顾性分析了28例产生黏液的胰腺肿瘤患者的MRCP和ERCP图像。评估胰管及其分支、导管内囊性病变以及囊内结节或分隔的可检测性。
MRCP显示囊性扩张的导管分支明显优于ERCP（P <.001）。与ERCP相比，MRCP检测到的结节或分隔数量差异不显著。然而，MRCP不仅能同时显示主胰管，还能显示囊性病变；而ERCP并非总能做到这一点。
在评估产生黏液的胰腺肿瘤的大小和范围变化、确定是否出现新病变以及进行随访方面，MRCP似乎比ERCP更有效且侵入性更小。
