Mabuchi T, Katada N, Nishimura D, Hoshino H, Shimizu F, Suzuki R, Sano H, Kato K
Koseiren Kamo Hospital.
Nihon Rinsho. 1998 Nov;56(11):2896-901.
MRCP has been recognized as a safe and noninvasive diagnostic method. In the present study we evaluated the usefulness of MRCP in diagnosis of chronic and acute pancreatitis. Two-dimensional fast asymmetric spin-echo (FASE) MRCP was performed in 40 patients with chronic pancreatitis and 13 with acute pancreatitis. In 29 patients (72.5%) with chronic pancreatitis and 9 (66.7%) with acute pancreatitis, main pancreatic duct (MPD) was visualized entirely. MRCP could demonstrate the characteristic findings of chronic pancreatitis such as dilatation and irregularity of MPD in most cases. In acute pancreatitis, MRCP indicated that MPD was normal in diameter, but irregular in configuration compared with that of the control group. MRCP may facilitate the diagnosis of chronic and acute pancreatitis.
磁共振胰胆管造影(MRCP)已被公认为一种安全且无创的诊断方法。在本研究中,我们评估了MRCP在慢性和急性胰腺炎诊断中的实用性。对40例慢性胰腺炎患者和13例急性胰腺炎患者进行了二维快速不对称自旋回波(FASE)MRCP检查。在29例(72.5%)慢性胰腺炎患者和9例(66.7%)急性胰腺炎患者中,主胰管(MPD)完全显影。MRCP在大多数情况下能够显示慢性胰腺炎的特征性表现,如MPD扩张和不规则。在急性胰腺炎中,MRCP显示MPD直径正常,但与对照组相比形态不规则。MRCP可能有助于慢性和急性胰腺炎的诊断。