MRCP bei primärer sklerosierender Cholangitis

Weber, C.; Krupski, G.; Lorenzen, Johan M.; Grotelüschen, Rainer; Seitz, Uwe; Rogiers, Xavier; Adam, G.

doi:10.1055/s-2003-37228

Cited by 10 publications

(10 citation statements)

References 11 publications

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“…Although ERCP offers superior spatial resolution, the resolution of SSFSE is improved when a 512-matrix acquisition or a small field of view is employed [26]. The SSFSE technique has recently been reported to show good results with primary sclerosing cholangitis [27]. However, although the single-shot sequence has high sensitivity, the specificity of the method is low for the detection of primary sclerosing cholangitis [27].…”

Section: Discussionmentioning

confidence: 99%

“…The SSFSE technique has recently been reported to show good results with primary sclerosing cholangitis [27]. However, although the single-shot sequence has high sensitivity, the specificity of the method is low for the detection of primary sclerosing cholangitis [27]. The 3D T2 TSE technique is still the method of choice for patients who are unable to hold their breath.…”

Section: Discussionmentioning

confidence: 99%

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Complementary role of helical CT cholangiography to MR cholangiography in the evaluation of biliary function and kinetics

Eracleous¹,

Genagritis²,

Papanikolaou

et al. 2005

Eur Radiol

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To explore the potential role of computed tomographic cholangiography (CTC) in relation to magnetic resonance cholangiography (MRC) in cases in which knowledge of biliary kinetics and functional information are important for therapeutic decisions, 31 patients (14 men and 17 women) underwent MRC followed by CTC. We examined nine post-cholecystectomy cases with right upper quadrant abdominal pain, six cases with a previous biliary-enteric anastomosis and clinical evidence of cholangitis, eight biliary strictures with pain or symptoms of cholangitis, four cases with strong clinical evidence of sclerosing cholangitis, three cases with suspected post-laparoscopic cholecystectomy bile leakage, and one case with chronic pancreatitis and a common bile duct stent associated with cholangitis. In relation to MRC, CTC provided additional biliary functional information as follows: abnormal biliary drainage through the ampulla in 7/9 cholecystectomy cases, impaired drainage in 3/6 biliary-enteric anastomoses, and complete obstruction in 2/8 biliary strictures. CTC diagnosed early sclerosing cholangitis in 4/4 cases and confirmed suspected bile leakage in 1/3 post-laparoscopic cholecystectomy patients, and the patency of the biliary stent in the patient with chronic pancreatitis. Thus, CTC provides clinically important information about the function and kinetics of bile and complements findings obtained by MRC.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Complementary role of helical CT cholangiography to MR cholangiography in the evaluation of biliary function and kinetics

Eracleous¹,

Genagritis²,

Papanikolaou

et al. 2005

Eur Radiol

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“…Auch für die Diagnose der Hepatikolithiasis und der primär sklerosierenden Cholangitis (PSC) liegen gute Daten vor [30,40]. In der Untersuchung von Weber et al [40] …”

Section: Erkrankungen Der Gallenwegeunclassified

Magnetresonanztomographie in der Gastroenterologie

Layer

Adamek

2010

Gastroenterologe

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“…Auch für die Diagnose der Hepatikolithiasis und der primär sklerosierenden Cholangitis (PSC) liegen erfolgversprechende Daten vor [19][20][21][22] [22]. In dieser Studie wurden jedoch bei sechs Patienten (9%) steinassoziierte Cholangiokarzinome nicht erkannt, so dass dies als eine wichtige Limitation zu vermerken ist.…”

Section: Erkrankungen Der Gallenwegeunclassified

MRT in der Gastroenterologie

et al. 2005

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Magnetic resonance imaging (MRI) has been called the most important development in medical diagnosis since the discovery of the X-ray more than 100 years ago. The effectiveness of MRI has been expanded to a variety of gastrointestinal disorders. The gastroenterologist's attention is currently focused on biliopancreatic and bowel diseases. Magnetic resonance cholangiopancreatography (MRCP) has become a competitive replacement for diagnostic endoscopic retrograde cholangiopancreatography (ERCP) in a variety of hepatobiliary and pancreatic diseases. MR enteroscopy has the potential to become the preferred method for evaluating the entire small bowel, while on the other hand virtual colonoscopy is far from being promoted as a tool for general screening purposes in suspected colon diseases. In summary, whether or not the survival of endoscopy is under debate, MRI could mark a historic turning point in gastroenterology. So, MRI hardware might interdisciplinarily be used by, e. g., radiologists and gastroenterologists.

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MRCP bei primärer sklerosierender Cholangitis

Abstract: MRCP seems to be a reliable non-invasive imaging method to diagnose and follow PSC. The RARE sequence showed the highest diagnostic accuracy of the T2-weighted sequences.

Cited by 10 publications

References 11 publications

Complementary role of helical CT cholangiography to MR cholangiography in the evaluation of biliary function and kinetics

Complementary role of helical CT cholangiography to MR cholangiography in the evaluation of biliary function and kinetics

Magnetresonanztomographie in der Gastroenterologie

MRT in der Gastroenterologie

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