A comparison of endoscopic retrograde cholangiopancreatography (ERCP) with MRCP for the diagnosis of pancreatitis
- VernacularTitle:磁共振胰胆管造影与内窥镜逆行胰胆管造影对胰腺炎诊断价值的比较
- Author:
Jingxi SHI
;
Jing DU
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Magnetic res onance imaging;
Cholangiopancreatography, endoscopic retrograde
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectrueTo evaluate magnetic resonancec ho langiopancreatography (MRCP) in the diagnosis of acute or chronic pancreatitis . MethodsMRCP was undertaken in 30 patients with chronic and 9 with acute pancreatitis. Comparison was m ade with findings at ERCP.ResultsOf 196 segments of biliary-pancreatic duct analyzed, 17 were not seen at MR CP (sensitivity, 91%). Of the segments visualized at MRCP, 14 were incorrect ly characterized (accuracy, 92%). At MRCP, segments not detected or mischara cterized were either normal, slightly dilated, or narrowed. MRCP image quali ty was not interpretable in two cases due to artifacts. ConclusionVery good correlation between ERCP and MRCP findings was demonstrated. MRCP may substitude for ERCP, particularly in pa tients who cannot undergo ERCP or in whom ERCP has been unsuccessful.