Toda J, Ueno E, Takada Y, Okawa T
Department of Radiology, Tokyo Women's Medical University.
Nihon Rinsho. 1998 Nov;56(11):2830-5.
Demonstration of normal bile duct and pancreatic duct with MR cholangiopancreatography was assessed in 78 patients including 19 cases of not impacted gallstone. Breath hold 2D-MRCP and intermittent breath hold 3D-MRCP was performed with half-Fourier fast spin echo technique using 1.5 T imager and surface coil. Diagnostic depiction rates of main pancreatic duct were 99% in the head, 97% in the body, and 91% in the tail, and of extrahepatic bile duct was 100%. Visualization of accessory pancreatic duct was 42%, but of side branch of pancreatic duct in the body to tail was poor. Anatomic variants of the biliary tree were seen in 15 cases. The reason of poor demonstration was the poor breath hold. In the majority of patients, MRCP can provide the accurate information of pancreaticobiliary tract without dilatation.
通过磁共振胰胆管造影(MRCP)对78例患者的正常胆管和胰管进行了评估,其中包括19例未嵌顿胆结石患者。使用1.5T成像仪和表面线圈,采用半傅里叶快速自旋回波技术进行屏气二维MRCP和间歇性屏气三维MRCP检查。主胰管在胰头、胰体和胰尾的诊断显示率分别为99%、97%和91%,肝外胆管的显示率为100%。副胰管的显示率为42%,但胰体至胰尾的胰管分支显示不佳。在15例患者中发现了胆道树的解剖变异。显示不佳的原因是屏气不佳。在大多数患者中,MRCP无需扩张就能提供胰胆管的准确信息。