By Riccardo Manfredi
This ebook, in line with the event of a unmarried huge referral heart, offers the attribute findings acquired whilst utilizing MR imaging and MR cholangiopancreatography (MRCP) to picture the biliary tree and pancreatic ducts in numerous sickness settings. An introductory bankruptcy is dedicated to technical concerns, anatomy, and developmental anomalies. next chapters then found in aspect the MR imaging and MRCP findings saw in choledocholithiasis, inflammatory and neoplastic problems of the bile ducts, acute and protracted pancreatitis (according to etiology), and diverse pancreatic neoplasms. Dynamic MRCP with secretin stimulation is usually illustrated, documenting either general and irregular responses of the pancreatic duct approach to secretin. Readers will locate this publication to be an exceptional relief to the translation of MR imaging and MRCP findings in sufferers with biliary and pancreatic affliction.
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Extra info for Magnetic Resonance Cholangiopancreatography (MRCP): Biliary and Pancreatic Ducts
Example text
C An MRCP image shows a loop (arrow) of the main pancreatic duct. Note the large cystic serous neoplasm in the tail of the pancreas (arrowhead). d An MRCP image shows a bifid pancreatic duct in the tail (arrowhead) of the dorsal pancreatic duct. Note the incomplete pancreas divisum, with a short branch connection between the ventral and dorsal pancreatic ducts (arrow) R. Manfredi et al. 48 a b Fig. 38 Anomalous junction of the pancreaticobiliary ductal system. 5 cm long common canal (arrow) distal to the union of distal common bile duct and the pancreatic duct.
17. 18. 19. 20. 21. 22. 23. 49 Turner MA, Fulcher AS (2001) The cystic duct: normal anatomy and disease processes. Radiographics 21:3–22; questionnaire 288–294 van Hoe L, Vanbeckevoort D, Mermuys, K, van Steenbergen W (2006) MR cholangiopancreatography. Atlas with cross-sectional imaging correlation. Springer, Berlin, pp 52–305 Hellerhoff KJ, Helmberger H 3rd, Rösch T et al (2002) Dynamic MR pancreatography after secretin administration: image quality and diagnostic accuracy. AJR Am J Roentgenol 179:121–129 Van Hoe L, Gryspeerdt S, Vanbeckevoort D et al (1998) Normal Vaterian sphincter complex: evaluation of morphology and contractility with dynamic single-shot MR cholangiopancreatography.
19 Parallel course of the cystic duct. Magnetic resonance cholangiopancreatography (a) and coronal half-Fourier acquisition single-shot turbo-spin-echo (HASTE) T2-weighted (b) images show the parallel course of the cystic duct (arrow) and the common hepatic duct a b Fig. 20 Low insertion of the cystic duct. a A magnetic resonance cholangiopancreatography image shows a low medial fusion of the cystic duct (arrow) with the distal third of the extrahepatic bile duct. b A coronal half-Fourier acquisition single-shot turbo-spin-echo (HASTE) T2-weighted image confirms the presence of a low medial insertion of the cystic duct (arrow) with the common hepatic duct its junction with the extrahepatic bile duct in most cases.