Gallstone disease MRI: Difference between revisions
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{{Gallstone disease}} | {{Gallstone disease}} | ||
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==Overview== | |||
[[Magnetic resonance imaging]] (MRI) cholangiography is a technique used to visualize gallstones in the [[Biliary|biliary apparatus]]. Recently, noninvasive [[magnetic resonance cholangiopancreatography]] ([[MRCP]]) has been used to visualize gallstones that travel outside the [[gallbladder]] and into the surrounding [[Biliary duct|biliary ducts]] and [[pancreas]]. | |||
==MRI== | |||
*With or without [[Contrast medium|contrast material]], [[MRI]] is able to show the [[bile]] in the [[bile ducts]] from many different angles and can be as good a modality for detecting stones in the [[bile ducts]] as [[ultrasound]] imaging, excluding the much more interventional transhepatic [[cholangiogram]].<ref name="pmid25719222">{{cite journal |vauthors=Gurusamy KS, Giljaca V, Takwoingi Y, Higgie D, Poropat G, Štimac D, Davidson BR |title=Endoscopic retrograde cholangiopancreatography versus intraoperative cholangiography for diagnosis of common bile duct stones |journal=Cochrane Database Syst Rev |volume= |issue=2 |pages=CD010339 |year=2015 |pmid=25719222 |doi=10.1002/14651858.CD010339.pub2 |url=}}</ref> | |||
*Problems with [[MRI]] include limited availability in certain areas, limited [[Cholangiogram|cholangiographic]] skills and experience, and relatively high costs. | |||
===Magnetic Resonance Cholangiopancreaticogram (MRCP)=== | |||
*[[Magnetic resonance cholangiopancreatography]] ([[MRCP]]) is an imaging technique that uses [[magnetic resonance imaging]] to visualize the [[Bile duct|biliary]] and [[Pancreas|pancreatic ducts]] in a non-invasive manner.<ref name="pmid11606850">{{cite journal |vauthors=Prasad SR, Sahani D, Saini S |title=Clinical applications of magnetic resonance cholangiopancreatography |journal=J. Clin. Gastroenterol. |volume=33 |issue=5 |pages=362–6 |year=2001 |pmid=11606850 |doi= |url=}}</ref><ref name="pmid10195719">{{cite journal |vauthors=Machi J, Tateishi T, Oishi AJ, Furumoto NL, Oishi RH, Uchida S, Sigel B |title=Laparoscopic ultrasonography versus operative cholangiography during laparoscopic cholecystectomy: review of the literature and a comparison with open intraoperative ultrasonography |journal=J. Am. Coll. Surg. |volume=188 |issue=4 |pages=360–7 |year=1999 |pmid=10195719 |doi= |url=}}</ref><ref name="pmid18398646">{{cite journal |vauthors=Videhult P, Sandblom G, Rasmussen IC |title=How reliable is intraoperative cholangiography as a method for detecting common bile duct stones? : A prospective population-based study on 1171 patients |journal=Surg Endosc |volume=23 |issue=2 |pages=304–12 |year=2009 |pmid=18398646 |doi=10.1007/s00464-008-9883-2 |url=}}</ref> | |||
*This procedure can help determine if gallstones are lodged in any of the ducts surrounding the [[gallbladder]]. | |||
[[Image:m.jpg|thumb|center|500px|MRCP showing gallstones obstructing areas of the biliary tree. Source: commons.wikimedia.org by Hellerhoff - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=7474091 ]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | |||
{{WH}} | |||
{{WS}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Hepatology]] | |||
[[Category:Surgery]] | |||
[[Category:Disease]] | |||
[[Category:Radiology]] | |||
Latest revision as of 21:48, 29 July 2020
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American Roentgen Ray Society Images of Gallstone disease MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Magnetic resonance imaging (MRI) cholangiography is a technique used to visualize gallstones in the biliary apparatus. Recently, noninvasive magnetic resonance cholangiopancreatography (MRCP) has been used to visualize gallstones that travel outside the gallbladder and into the surrounding biliary ducts and pancreas.
MRI
- With or without contrast material, MRI is able to show the bile in the bile ducts from many different angles and can be as good a modality for detecting stones in the bile ducts as ultrasound imaging, excluding the much more interventional transhepatic cholangiogram.[1]
- Problems with MRI include limited availability in certain areas, limited cholangiographic skills and experience, and relatively high costs.
Magnetic Resonance Cholangiopancreaticogram (MRCP)
- Magnetic resonance cholangiopancreatography (MRCP) is an imaging technique that uses magnetic resonance imaging to visualize the biliary and pancreatic ducts in a non-invasive manner.[2][3][4]
- This procedure can help determine if gallstones are lodged in any of the ducts surrounding the gallbladder.
References
- ↑ Gurusamy KS, Giljaca V, Takwoingi Y, Higgie D, Poropat G, Štimac D, Davidson BR (2015). "Endoscopic retrograde cholangiopancreatography versus intraoperative cholangiography for diagnosis of common bile duct stones". Cochrane Database Syst Rev (2): CD010339. doi:10.1002/14651858.CD010339.pub2. PMID 25719222.
- ↑ Prasad SR, Sahani D, Saini S (2001). "Clinical applications of magnetic resonance cholangiopancreatography". J. Clin. Gastroenterol. 33 (5): 362–6. PMID 11606850.
- ↑ Machi J, Tateishi T, Oishi AJ, Furumoto NL, Oishi RH, Uchida S, Sigel B (1999). "Laparoscopic ultrasonography versus operative cholangiography during laparoscopic cholecystectomy: review of the literature and a comparison with open intraoperative ultrasonography". J. Am. Coll. Surg. 188 (4): 360–7. PMID 10195719.
- ↑ Videhult P, Sandblom G, Rasmussen IC (2009). "How reliable is intraoperative cholangiography as a method for detecting common bile duct stones? : A prospective population-based study on 1171 patients". Surg Endosc. 23 (2): 304–12. doi:10.1007/s00464-008-9883-2. PMID 18398646.