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MRCP exam

J A Milburn, J A Bailey, Wk Dunn, I C Cameron, D S Gomez
INTRODUCTION Magnetic resonance cholangiopancreatography (MRCP) is commonly used to evaluate the biliary tree, although indications for patients who require inpatient imaging are not fully defined. The aim of this study was to evaluate inpatient MRCP performed on surgical patients and to devise a treatment pathway for these patients. MATERIAL AND METHODS All adult inpatient MRCP examinations between January 2012 and December 2013 were reviewed. Demographic, clinical and radiological data were collated. RESULTS During the study period, 271 inpatient MRCP were requested, of which 234 examinations were included...
September 23, 2016: Annals of the Royal College of Surgeons of England
Katerina Polakova, Ingrid Mocikova, Dana Purova, Pavel Tucek, Pavel Novak, Katerina Novotna, Izak Niko, Radoslav Bielik, Radek Zboril, Miroslav Herman
BACKGROUND AND AIMS: Magnetic resonance cholangiopancreatography (MRCP) is often used for imaging of the biliary tree and is required by surgeons before liver transplantation. Advanced liver cirrhosis and ascites in patients however present diagnostic problems for MRCP. The aim of this study was to find out if the use of our negative per-oral contrast agent containing superparamagnetic iron oxide nanoparticles (SPIO) in MRCP is helpful for imaging of hepatobiliary tree in patients with liver cirrhosis...
September 15, 2016: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
Milena Di Leo, Maria Chiara Petrone, Raffaella Alessia Zuppardo, Giulia Martina Cavestro, Paolo Giorgio Arcidiacono, Pier Alberto Testoni, Alberto Mariani
BACKGROUND: Magnetic resonance cholangio-pancreatography (MRCP) findings in people with chronic asymptomatic pancreatic hyperenzymemia (CAPH) have shifted the hypothesis that CAPH is always non-pathological. However, there have been no studies including both secretin-MRCP (S-MRCP) and endoscopic ultrasonography (EUS) to examine the pancreatic morphology in these subjects. AIM: To prospectively assess the diagnostic approach for CAPH using both pancreatic EUS and S-MRCP...
August 12, 2016: Digestive and Liver Disease
Z H Adibelli, M Adatepe, L Isayeva, O S Esen, M Yildirim
PURPOSE: This retrospective study was conducted to evaluate the relationships between pancreas divisum, biliary duct anatomical variations and pancreaticobiliary tumors using magnetic resonance cholangiopancreatography (MRCP). MATERIALS AND METHOD: The MRCP examinations of 1628 patients were retrospectively reviewed for the presence of pancreas divisum, biliary duct anatomical variations and pancreaticobiliary tumors. Of these, 90 patients (31 men, 59 women) with a mean age of 62...
September 5, 2016: Diagnostic and Interventional Imaging
Jessica Schreiber-Zinaman, Andrew B Rosenkrantz
PURPOSE: The purpose of the study was to identify the frequency and reasons for extra sequences in clinical liver MRI and MRCP examinations. METHODS: A total of 250 consecutive liver MRI and 250 consecutive MRCP examinations performed at a single institution were reviewed. Extra sequences performed in comparison with our standard institutional protocol were identified. Reasons for the extra sequences were identified. Overall trends were assessed. RESULTS: In significantly greater fractions of exams (p = 0...
August 23, 2016: Abdominal Radiology
Alaaddin Nayman, Orhan Özbek, Seyit Erol, Hayrettin Karakuş, Hasan Emin Kaya
PURPOSE: Preoperative detection of intrahepatic bile duct (IHBD) variations is essential to reduce surgical morbidity and mortality rates. Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive and reliable method for demonstrating the normal IHBD anatomy and its variations. This retrospective study aimed to identify and classify novel variations, except those already reported in the literature, using MRCP. METHODS: MRCP examinations, which were conducted in two different centers in the last five years, were retrospectively evaluated...
August 18, 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
A Claire den Dulk, Martin N J M Wasser, François E J A Willemssen, Melanie A Monraats, Marianne de Vries, Rivka van den Boom, Jan Ringers, Hein W Verspaget, Herold J Metselaar, Bart van Hoek
UNLABELLED: Nonanastomotic biliary strictures (NAS) remain a frequent complication after orthotopic liver transplantation (OLT). The aim of this study was to evaluate whether magnetic resonance cholangiopancreatography (MRCP) could be used to detect NAS and to grade the severity of biliary strictures. METHODS: In total, 58 patients after OLT from 2 Dutch transplantation centers in whom endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography and MRCP were performed within less than 6 months apart were included in the study...
November 2015: Transplantation Direct
Yuhua Hao, Wanguo Bao, Meishan Jin, Yuxiang Li, Feng Wang
A man with only yellowing of the skin and eye sclera was diagnosed with clonorchiasis, which rarely manifested jaundice as the initial symptom. However, because of a lack of evidence for a diagnostic gold standard, the time until definitive diagnosis was more than a week. The diagnostic process relied on inquiring about the patient's history, including the place of residence, dietary habits, and symptoms, as well as on serological findings, an imaging examination, and pathological findings. MRCP and CT results showed mild dilatation of intrahepatic ducts and increased periductal echogenicity...
June 2016: Korean Journal of Parasitology
Yuichi Takano, Masatsugu Nagahama, Eiichi Yamamura, Naotaka Maruoka, Kazuaki Yokomizo, Hiroki Mizukami, Jun-Ichi Tanaka, Nobuyuki Ohike
The case patient was a previously healthy 82-year-old male. Abdominal ultrasound during a medical check-up revealed a dilatation of the main pancreatic duct, and the patient was referred to our hospital for closer examination. Contrast-enhanced computed tomography (CT) revealed a low-density mass of 20 mm in the pancreatic head-body transitional area. Magnetic resonance cholangiopancreatography (MRCP) revealed marked dilatation of the main pancreatic duct and branches in the body-tail. On endoscopic ultrasonography (EUS), a hypoechoic mass with irregular shape was detected, which was consistent with the area of pancreatic duct stenosis...
August 2016: Clinical Journal of Gastroenterology
Anju Verma, Ann Griffin, Jane Dacre, Andrew Elder
BACKGROUND: International Medical Graduates (IMGs) are known to perform less well in many postgraduate medical examinations when compared to their UK trained counterparts. This "differential attainment" is observed in both knowledge-based and clinical skills assessments. This study explored the influence of culture and language on IMGs clinical communication skills, in particular, their ability to seek, detect and acknowledge patients' concerns in a high stakes postgraduate clinical skills examination...
2016: BMC Medical Education
Rong Qin Zheng, Masatoshi Kudo, Hirokazu Onda, Tatsuo Inoue, Kiyoshi Maekawa, Yasunori Minami, Hobyung Chung, Masayuki Kitano, Toshihiko Kawasaki
To evaluate the imaging findings of biliary hamartomas (von Meyenburg complexes, vMCs) and discuss their differential diagnosis from other related diseases, imaging findings of biliary hamartomas on ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy were prospectively analyzed in six patients. On ultrasound images, five of the six cases showed multiple small hyper- and hypoechoic lesions with comet-tail echoes, especially when magnified using the zoom function...
December 2005: Journal of Medical Ultrasonics
Martin Rydlo, Jana Dvořáčková, Tomáš Kupka, Pavel Klvaňa, Jaroslav Havelka, Magdalena Uvírová, Edvard Geryk, Daniel Czerný, Tomáš Jonszta, Martina Bojková, Vladimír Hrabovský, Veronika Jelínková, Arnošt Martínek, Petr Dítě
Cholangiocarcinoma (CC) is a rare malignant tumour arising from cholangiocytes, and its prognosis is usually unfavourable, mostly as a result of late diagnosis of the tumour. The current incidence of cholangiocarcinoma in the Czech Republic is 1.4/100,000 inhabitants per year; in less than 30 % of patients with CC, one of the known risk factors can be identified, most frequently, primary sclerosing cholangitis. Only patients with early diagnosed and surgically amenable cholangiocarcinoma are likely to have a longer survival time; in their case, survival for more than five years has been achieved in 20 % to 40 %...
February 2016: Vnitr̆ní Lékar̆ství
T Nakayama, T Yoshiura, A Nishie, Y Asayama, K Ishigami, D Kakihara, Y Takayama, M Hatakenaka, M Obara, H Honda
AIM: To evaluate the effectiveness of motion-sensitised driven-equilibrium (MSDE)-prepared balanced magnetic resonance cholangiopancreatography (MRCP) in a gadolinium ethoxybenzyl diethylene triamine pentaacetic acid (Gd-EOB-DTPA)-enhanced study compared to conventional T2-weighted MRCP. MATERIALS AND METHODS: Fifteen patients (seven male and eight female patients) prospectively underwent conventional three-dimensional turbo spin-echo T2-weighted MRCP and MSDE-balanced MRCP using a 1...
May 1, 2016: Clinical Radiology
Kunihiro Watanabe, Yoshiyuki Ishimori, Hitoshi Sakurai, Yuji Iwai, Kazuo Miida, Kouki Kurita
Manganese chloride tetrahydrate (MCT) is one of the oral negative contrast agents which is indispensable for imaging of magnetic resonance cholangiopancreatography (MRCP). In this study, improvement of the image quality of MRCP by using low-temperature MCT is verified. All MR imagings were performed using 1.5 T scanner. The T(1) and T(2) values of the different temperature MCTs were measured in the phantom study. Different concentrations of MCT-doped water (30%, 50%, 70%, and 90%) were measured at several temperature conditions (10°C, 15°C, 23°C, 35°C, and 40°C)...
April 2016: Nihon Hoshasen Gijutsu Gakkai Zasshi
Tzu-Hsueh Tsai, Jui-Sheng Hsu, Ming-Lai Lai, Gin-Chung Liu, Ming-Chen Paul Shih, Chiao-Yun Chen
PURPOSE: To investigate the added value of diffusion-weighted imaging (DWI) when used with conventional T2-weighted magnetic resonance (MR) imaging (T2WI) and MR cholangiopancreatography (MRCP) for diagnosing bile duct dilatations. METHODS: Our institutional review board approved this retrospective study protocol and waived the informed consent requirement. The study included 151 consecutive patients (70 men, 81 women) with intra- and/or extra-hepatic bile duct dilatation examined using MR imaging...
March 2016: Abdominal Radiology
Phil Em Smith, John C Mucklow
Written knowledge assessments for physicians in training typically involve multiple-choice questions that use a clinical scenario in a single-best-answer format. The Royal College of Physicians Part 1 MRCP(UK) examination includes basic sciences themes that are challenging to assess through a clinical scenario. A realistic clinical setting based on everyday clinical practice and integral to the question is the clearest demonstration that the knowledge being assessed is clinically relevant. However, without special attention to detail, the scenario in a clinical science question can appear redundant or artificial...
April 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
Takeshi Saito, Keita Terui, Tetsuya Mitsunaga, Mitsuyuki Nakata, Hideo Yoshida
OBJECTIVE: Roles of magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), drip infusion cholangiography with computed tomography (DIC-CT), and intraoperative cholangiopancreatography (IOCP) in visualizing pancreaticobiliary anatomy for pediatric choledocal cyst (CC) operations were examined. METHODS: From 1980-2013, 117 pediatric CC patients (median age, 3 years) underwent hepaticojejunostomy at our institution, with imaging modalities of ERCP (n = 81 over 34 years), MRCP, DIC-CT, and IOCP (n = 45, 20, and 45 cases over the last 12 years)...
June 2016: Journal of Hepato-biliary-pancreatic Sciences
A G Schreyer, L Grenacher, M Juchems
BACKGROUND: Acute and chronic pancreatitis are becoming increasingly more severe diseases in the western world with far-reaching consequences for the individual patient as well as the socioeconomic situation. This article gives an overview of the contribution of radiological imaging to the diagnostics and therapy of both forms of the disease. RESULTS: Acute pancreatitis can be subdivided into severe (20%) and mild manifestations. The diagnostics should be performed with computed tomography (CT) or magnetic resonance imaging (MRI) for assessing necrosis or potential infections only in severe forms of pancreatitis...
April 2016: Der Radiologe
Xiao-Liang Zhu, Wen-Bo Meng, Lei Zhang, Wen-Ce Zhou, Xun Li
BACKGROUND: Intraductal papillary mucinous neoplasm (IPMN) is a rare tumor that originates in the pancreatic duct. The diagnosis of benign, borderline or malignant to IPMN is significant in terms of making an appropriate treatment plan and prognosis. This article summarizes our clinical experience of a case report and discussion by literature review. Methods and case report: A 73 year old male patient was admitted for an occupying lesion of the pancreas. The magnetic resonance cholangiopancreatography (MRCP) scan considered IPMN, endoscopic retrograde cholangiopancreatography (ERCP) also confirmed diagnosis of IPMN...
2015: International Journal of Clinical and Experimental Medicine
Takashi Murakami, Masato Yamazaki, Kazuto Yamazaki, Kenichi Matsuo, Atsushi Hirano, Yukihiko Hiroshima, Daisuke Kawaguchi, Yasuo Ishida, Yutaka Suzuki, Masanori Sugiyama, Keiji Koda, Kuniya Tanaka
We encountered a 62-year-old female patient with a distinctive pancreatic myoepithelial hamartoma characterized by dilated loops formed by pancreatic branch ducts. The patient, who experienced recurrent acute pancreatitis caused by pancreatic juice stasis, underwent subtotal stomach-preserving pancreatoduodenectomy, achieving remission of pancreatitis. Computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) demonstrated a honeycomb appearance of the pancreatic head, consisting largely of loop-forming dilated pancreatic branch ducts...
May 2016: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
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