Little A F, Smith P J, Hennessy O F, Lee W K
Department of Medical Imaging, St Vincent's Hospital, Melbourne, Vic.
Med J Aust. 1998 Sep 7;169(5):266-9. doi: 10.5694/j.1326-5377.1998.tb140253.x.
Producing images similar to those acquired by the invasive procedures of endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography, magnetic resonance cholangiopancreatography (MRCP) is indicated in patients who are unable to undergo ERCP or have had previously unsuccessful ERCP. It is used increasingly in non-invasive evaluation of the pancreaticobiliary tree in cases where the need for intervention during ERCP is expected to be low. MRCP may help in identifying anomalous biliary anatomy or choledocholithiasis before laparoscopic cholecystectomy, and in deciding between percutaneous or endoscopic treatment for patients with obstructive jaundice to decrease the rate of failed ERCP procedures.
磁共振胰胆管造影(MRCP)所产生的图像类似于通过内镜逆行胰胆管造影(ERCP)或经皮肝穿刺胆管造影等侵入性检查所获得的图像,适用于无法进行ERCP或先前ERCP未成功的患者。在预计ERCP期间干预需求较低的情况下,它越来越多地用于胰胆管树的非侵入性评估。MRCP有助于在腹腔镜胆囊切除术之前识别异常的胆管解剖结构或胆总管结石,并有助于为梗阻性黄疸患者在经皮治疗或内镜治疗之间做出选择,以降低ERCP手术失败率。