Utility of MR Cholangiography for Follow-up Examination after Metallic Stent Placement in the Bile Duct.
10.3348/jkrs.2002.47.3.279
- Author:
Chul Hi PARK
1
;
Dal Mo YANG
;
Hak Soo KIM
;
Seung Whi CHO
;
Hyung Sik KIM
;
Wook JIN
;
Hee Young HWANG
Author Information
1. Department of Radiology, Gachon Medical College Gil Medical Center, Korea. dmyang@ghil.com
- Publication Type:Original Article
- Keywords:
Bile ducts, obstruction;
Bile ducts, stents and prostheses;
Magnetic resonance (MR), cholangiopancreatography
- MeSH:
Artifacts;
Bile Ducts*;
Bile*;
Cholangiocarcinoma;
Cholangiography*;
Common Bile Duct;
Diamond;
Follow-Up Studies*;
Gallbladder Neoplasms;
Humans;
Pancreatic Neoplasms;
Stents*
- From:Journal of the Korean Radiological Society
2002;47(3):279-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of MR cholangiography for follow-up examination after metallic stent placement in the bile duct. MATERIALS AND METHODS: Between December 1999 and June 2000, 15 patients with biliary obstruction in whom metallic biliary stents had been placed underwent MR cholangiography during follow-up examination. The causes of obstruction were hilar cholangiocarcinoma (n=6), common bile duct cancer (n=5), gall bladder cancer (n=1) and pancreatic cancer (n=3). The types of self-expandable metallic stent employed were the nitinol stent (n=2), the Endocoil nitinol stent (n=3), the Ultraflexed Diamond stent (n=5), and the Wallstent (n=5). Using MR cholangiography, we measured the diameter of that part of the biliary stent which showed high signal intensity, assigning one point if this was less than one third of the stent diameter, two points if between one third and two thirds, and three points if more than two thirds. We decided that a higher score indicated fewer artifacts. RESULTS: The score was 1.7-3 (mean, 2.3) points for the Endocoil nitinol stent, 1.7-2.3 (mean, 2) for the nitinot stent, and 1-3 (mean, 1.7) for the Ultraflex Diamond stant. In most cases, two thirds of the stent diameter was observed. For the Wallstent, the score was 1-1.7 (mean, 1.3) points and the inner portion of the stent was almost invisible. CONCLUSION: MR cholangiography is not useful for follow-up examination after the placement of Wallstents and three other types of nitinol stent in the bile duct.
