Iwano M, Mukai H, Mizuma Y, Takino T, Ashihara T, Ueda T, Matumura S, Fujita T, Takano Y, Fujiwara H, Watanabe A, Masuzawa A
Department of Gastroenterology, Yodogawa Christian Hospital.
Nihon Rinsho. 1998 Nov;56(11):2880-4.
The purpose of this study was to determine the effectiveness and the limitation of the MR cholangiopancreatography (MRCP) in the initial diagnosis for the biliary and pancreatic diseases compared with the image of Endoscopic retrograde cholangiopancreatography (ERCP). MRCP showed higher performance toward the discovery of the choledocholithiasis of a diameter 4 mm and more. Furthermore, MRCP reflected a malignant tumor at the constrictive part and the dilated proximal part of the biliary and pancreatic duct in 23 example all. An advantage of ERCP was the ability to carry out biopsies and therapeutic procedures, such as biliary drainage and sphincterotomy, while MRCP was an important diagnostic modality in the work-up of the biliary and pancreatic diseases and could help in planning treatment. MRCP would become the examination method first used, and it would be popularized all the more from now on.
本研究的目的是确定磁共振胰胆管造影（MRCP）与内镜逆行胰胆管造影（ERCP）图像相比，在胆道和胰腺疾病初始诊断中的有效性和局限性。MRCP对直径4mm及以上胆总管结石的发现表现出更高的性能。此外，MRCP在23例病例中均反映出胆管和胰管狭窄部位及近端扩张部位的恶性肿瘤。ERCP的一个优点是能够进行活检和治疗操作，如胆道引流和括约肌切开术，而MRCP是胆道和胰腺疾病检查中的一种重要诊断方式，有助于制定治疗方案。MRCP将成为首先使用的检查方法，并且从现在起会更加普及。
