Magnetic Resonance Cholangiography Comparison With Endoscopic…磁共振胆管造影与内镜检查的比较.pdfVIP

GASTROENTEROLOGY 1996;110:589–597 Magnetic Resonance Cholangiography: Comparison With Endoscopic Retrograde Cholangiopancreatography JORGE A. SOTO,* MATTHEW A. BARISH,* E. KENT YUCEL,* DAVID SIEGENBERG,‡ JOSEPH T. FERRUCCI,* and RAM CHUTTANI‡ Departments of *Radiology and ‡Medicine, Boston University Medical Center, Boston, Massachusetts Background Aims: Magnetic resonance cholangiogra- detection of biliary ductal dilatation, but results in the phy (MRC) is a noninvasive diagnostic modality capable diagnosis of choledocholithiasis are conflicting, with sen- of producing high-quality images of the biliary tree. The sitivities ranging from 71%6 to 100%.5 The capability purpose of this study was to determine in a prospec- of MRC to complement or replace diagnostic ERCP and tive, blinded fashion the sensitivity and specificity of PTC has not been explored. three-dimensional fast spin-echo (3D FSE) MRC for the Three-dimensional fast spin-echo (3D FSE) MRC evaluation of biliary tract abnormalities. Methods: yields better quality projectional images than similar Forty-six patients referred for elective direct cholangi- sequences obtained with two-dimensional fast spin-echo ography (45 endoscopic retrograde cholangiopancrea- 5,6 7 tography and 1 percutaneous transhepatic cholangiog- (2D FSE) used in other studies. In a previous report, raphy) were studied prospectively with 3D FSE MRC