COMPARISON OF BREATH HOLD MULTI-SLICE HASTE MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY WITH ENDOSCOPIC CHOLANGIOPANCREATOGRAPHY: INITIAL EXPERIENCE

Authors

  • Kumar G Departments of Radiology and Medicine, University of Malaya Medical Center
  • Abdullah BJJ Departments of Radiology and Medicine, University of Malaya Medical Center
  • Rosmawati Medicine, University of Malaya Medical Center, Kuala Lumpur
  • Goh KL Departments of Radiology and Medicine, University of Malaya Medical Center
  • Moosa F Departments of Radiology and Medicine, University of Malaya Medical Center
  • Ahmad Sarji S Medicine, University of Malaya Medical Center, Kuala Lumpur
  • Bux SI Medicine, University of Malaya Medical Center, Kuala Lumpur

Abstract

OBJECTIVE : To compare in a prospective and double blinded fashion the accuracy of anew breath-hold multi-slice half Fourier acquisition single shot turbo spin-echo technique (HASTE) magnetic resonance cholangiopancreatography (BHHASTE MRCP) against endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of patients presenting with biliary and pancreatic pathology.

PATIENTS AND METHODS : A total of 20 patients had both breath-hold thin slice MRCP and ERCP. There was no preparation of these patients prior to the breath-hold multi-slice MRCP. The acquisition times for MRCP was 20 seconds. For the MRCP, both the source images and MIP images were evaluated. The results were reported independently by two radiologists. The presence of dilatation, stricture and intraductal abnormalities were recorded. The ERCP was used as the gold standard.

RESULTS : MRCP and ERCP finding concurred in all but one patient in whom ERCP failed. An accuracy of 100% (with a sensitivity and specificity of 100%). MRCP was able to show more dilated intrahepatic ducts than ERCP. The presence of fluid in the upper gastrointestinal tract did not obscure any pathology. There were three patients with subcapsular fluid noted. This finding on MRCP has not been previously reported.

CONCLUSION : BHHASTE MRCP is an excellent non-invasive technique to assess the biliary and pancreatic ducts and may be used to select those patients who require therapeutic ERCP. This may be done without the need for any oral preparation. This will reduce the cost as well as the complications. The additional ability to perform conventional axial MR images at the same sitting with not much extra scanning times makes this examination of choice as well as providing a “road map” for planning intervention. BHHASTE MRCP has overcome some of the problems of respiration and volume averaging.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Hintze RE, Adler A, Vettzke W et al. Clinical significance of MRCP compared to ERCP. Endoscopy 1997;29:182-187

Metha SN, Reinhold C, Barlum AN. Magnetic Resonance Cholangiopancreatogrphy. Gastrointestinal Endoscopic Clinics of North America 1997;7:247-270

Ng KK, Wan YL, Lui KW et al. Threedimensional Magnetic Resonance Cholangiopancreatogrphy for evaluation of obstructive jaundice. Journal of Formosa Med. Assoc. 1997;96:586-592

Pavone P, Laghi A, Catalano C et al. Noninvasive evaluation of the biliary tree with MRI: onitial experience. Ital J. Gastroenterol 1996;28:63-69

Guibauld L, Bret PM, Reinhold C et al. Bile duct obstruction and choledocholithiasis: diagnosis with MR _ cholangiography. Radiology 1995;197:109-115

Soto JA, Barish MA, Yucel EK et al. MR cholangiography: comparison with ERCP. Gastroenterology 1996;110:589-797

Axon ATR. Endoscopic retrograde cholangiopancreatography in chronic pancreatitis. _ Cambridge classification. Radiological Clinics of North America 1989;27:39-50

Cotton PB, Lehman G, Vennes J et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointestinal Endoscopy 1991;37:383-393

Lo SK, Chen J. The role of ERCP in choledocolithiasis. Abdominal Imaging 1996;21: 120-132

Wallner BK, Schumacher KA, Weidenmainer w et al. Dilated biliary tree. Evaluation with MR cholangiography with T2 weighted contrast enhanced fast sequence. Radiology 1991;181:805-808

Moritomo K, Shimoi M, Shirakawa T et al. Biliary obstruction: evaluation with three dimensional MR cholangiography. Radiology 1992;183:578-580

Hall-Craggs MA, Allen CM, Owens CM et al. MR cholangiography: clinical evaluation in 40 cases. Radiology 1993;189: 423-427

Bearcroft PW, Gimson A & Lomas DJ. Non-invasvie Cholangio-pancreatography by breath-hold magnetic resonance imaging: prelimary results. British Journal of Radiology 1997;52:345-350

Freeny PC. Classification of pancreatitis. Radiologic Clinics of North America 1989;27:1-3

Jones SN, Lees WR, Frost RA. Diagnosis and grading of chronic pancreatitis by morphological criteria derived from ultrasound and pancreatography. Clinical Radiology 1988;39:43-48

Soto JA, Yucel EK, Barish MA et al. MR cholangiopancreatography after unsuccessful or incomplete ERCP. Radiology 1996;199:91-98

Taourel P, Bret PM, Reinhold C et al. Anatomic variants of the biliary tree: Diagnosis with MR cholangiopancreatography. Radiology 1996;199521-527

Soto JA, Yucel EK, Barish MA et al. Pancreatic duct: MR cholangiopancreatography with a three dimensional fast spin-echo technique. Radiology 1995;196: 459-464

Bret PM, Reinhold C, Taourel P et al. Pancreas divisum: Evaluation with MR cholangiopancreatography. Radiology 1996;199: 99-103

Takehara Y, Ichijo K, Tooyama Net al. Breath-hold MR __ cholangiopancreatography with a long-echo-train fast spinecho sequence and a surface coil in chronic pancreatitis. Radiology 1994;123:73-78

Ishizu H, Takahashi M, Kondo Y etal. The role of Magnetic Resonance cholangiopancreatography after resection of the pancreas. Surgery Today 1997;27:285-287

Gore RM, Levine MS, Laufer I. Textbook of Gastrointestinal Radiology 1*. ed. Phildelphia. Saunders 1984:1587

Regan F, Fradin J, Khazan R et al. Cholelithiasis: evaluation with MR _ cholangiography. Am J Radiology 1996;167: 1441-1445

Soto JA, Barish ME, Yucel K et al. MR cholangiopancreatography: findings on 3D fst spin-echo imaging. Am J Radiology 1995:165:1397-1401

Laghi A, Pavone P, Catalano C et al. Magnetic Resonance Cholangiopancreatogrphy : Technique and clinical results. Asian Ocenian J Radiology 1997;1:11-16

Wallner BK, Schumacher KA, Weidenmaier W et al. MR cholangiography with T2 weighted contrast-enhanced fast seequence. Radiology 1991;181:805-808

Hirohashi S, Hirohashi R, Uchida H et al. MR cholangiopancreatography and MR urography: inproved enhancement with a negative oral contrast agent. Radiology 1997;203:281-285.

Downloads

Published

2023-04-10

How to Cite

1.
G K, BJJ A, Rosmawati, KL G, F M, Sarji S A, et al. COMPARISON OF BREATH HOLD MULTI-SLICE HASTE MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY WITH ENDOSCOPIC CHOLANGIOPANCREATOGRAPHY: INITIAL EXPERIENCE. ASEAN J Radiol [Internet]. 2023 Apr. 10 [cited 2024 Jul. 2];5(2):167-76. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/482

Issue

Vol. 5 No. 2 (1999): May-August

Section

Original Article

License

Copyright (c) 2023 The ASEAN Journal of Radiology

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)