Diagnostic value of magnetic resonance fiesta sequence combined with MRCP for mirizzi syndrome
- VernacularTitle:磁共振Fiesta序列结合MRCP对Mirizzi综合征的诊断价值
- Author:
Xiaoling OU
1
;
Dejun PAN
Author Information
1. 安徽医科大学附属巢湖医院放射科
- Keywords:
Mirizzi syndrome;
Fiesta;
MRCP;
Diagnosis
- From:
China Modern Doctor
2015;(12):1-4,8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of magnetic resonance Fiesta sequence combined with MRCP for Mirizzi syndrome. Methods Retrospective analysis was carried out for 18 patients who received MR examination before surgery in our hospital from June 2010 to April 2014 and were diagnosed as Mirizzi syndrome by surgical pathology. Various signs of Mirizzi in Fiesta and MRCP were analyzed and compared with surgical results. Diagnostic accuracy was compared between the combined use of Fiesta and MRCP and the use of Fiesta or MRCP alone. Results Among 18 patients with Mirizzi, 15 were type Ⅰ and 3 were type II. Calculi in gallbladder neck or cystic duct could be seen in all the 18 patients, common bile duct under pressure could be seen in 16 patients and unclear Calot triangle structure could be seen in 11 patients. Accuracy of Fiesta combined with MRCP for the diagnosis of Mirizzi syndrome was sig-nificantly higher than that of Fiesta or MRCP alone, and the differences were statistically significant (P<0.05). It was highly consistent with the surgical results. Conclusion Fiesta combined with MRCP has relatively high value for pre-operative diagnosis of Mirizzi syndrome.
