Hachiya J, Haradome H
Department of Radiology, Kyorin University School of Medicine.
Nihon Rinsho. 1998 Nov;56(11):2747-54.
Endoscopic retrograde cholangiopancreatography (ERCP) is regarded as the diagnostic procedure of decision for abnormalities of the biliary and pancreatic ducts. However, ERCP is unsuccessful in 3-10% cases and is also associated with a 1-5% risk of producer-induced pancreatitis and other complications. MR cholangiography (MRCP) has recently developed as a noninvasive examination for evaluation of pancreaticobiliary diseases. Heavily T2-weighted fat-suppressed sequences are used to obtain these images. On MRCP, static fluid, such as bile or pancreatic juice represents hyperintense without injection of contrast medium. Therefore, MRCP could be examined in almost all patients including as infant or the patients of post reconstruction of gastrointestinal tract without any complication. In this paper, I described the several utilities and outlooks of MRCP as a noninvasive technique through the representative clinical applications.
内镜逆行胰胆管造影术(ERCP)被视为诊断胆管和胰管异常的决定性检查方法。然而,ERCP在3% - 10%的病例中不成功,并且还伴有1% - 5%的医源性胰腺炎风险及其他并发症。磁共振胰胆管造影(MRCP)最近已发展成为一种用于评估胰胆疾病的非侵入性检查。通过使用重T2加权脂肪抑制序列来获取这些图像。在MRCP上,诸如胆汁或胰液等静态液体在未注射造影剂的情况下表现为高信号。因此,几乎所有患者,包括婴儿或胃肠道重建术后的患者都可以进行MRCP检查,且无任何并发症。在本文中,我通过典型的临床应用描述了MRCP作为一种非侵入性技术的多种用途和前景。