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• Clinical Article •
The value of compression-sensing magnetic resonance cholangiopancreatography in diagnosing benign and malignant obstruction of common bile duct
HUANG Mengyue  ZHANG Yong  GAO Xuemei  CHENG Jingliang  LIU Jingjing  HUANG Mengna 

Cite this article as: HUANG M Y, ZHANG Y, GAO X M, et al. The value of compression-sensing magnetic resonance cholangiopancreatography in diagnosing benign and malignant obstruction of common bile duct[J]. Chin J Magn Reson Imaging, 2023, 14(3): 100-104, 110. DOI:10.12015/issn.1674-8034.2023.03.017.


[Abstract] Objective To investigate the diagnostic efficacy of breath-hold magnetic resonance cholangiopancreatography with compressed sensing (BH-CS-MRCP) in the differential diagnosis of benign and malignant common bile duct obstruction.Materials and Methods The patients with common bile duct were selected, and subjected to BH-CS-MRCP, navigator-triggered magnetic resonance cholangiopancreatography with compressed sensing (NT-CS-MRCP) and traditional MRCP (T-MRCP) scans, and the scanning time was recorded. The image quality, the visibility of the bile duct and pancreatic duct, the visibility and sharpness of obstructive lesions, and the benign and malignant judgment of obstructive lesions were independently evaluated by two radiologists. One-way ANOVA was used to compare the differences in the evaluation indexes of the three sequences, and the sensitivity, specificity, and accuracy were calculated.Results Sixty-eight patients with common bile duct obstruction [age (59.97±15.75) years] were included in the study, including 42 males, 26 females, 49 benign obstructions, and 19 malignant obstructions. The mean acquisition time of BH-CS-MRCP (17 s), NT-CS-MRCP (210.61±38.52) s and T-MRCP (443.65±78.45) s were obtained, respectively. BH-CS-MRCP, NT-CS-MRCP, and T-MRCP showed no significant differences in the total quality, bile duct (common bile duct, primary bile duct, secondary bile duct), and main pancreatic duct (P＞0.05). There were no significant differences in the sharpness and visibility of the obstruction lesions among the three sequences (P＞0.05). The sensitivity, specificity, and accuracy of both BH-CS-MRCP and NT-CS-MRCP in the diagnosis of benign and malignant common bile duct obstruction were 84.21%, 91.84%, and 89.71%, respectively. The sensitivity, specificity, and accuracy of T-MRCP were 84.21%, 89.58%, and 86.76%.Conclusions Compared with T-MRCP, BH-CS-MRCP and NT-CS-MRCP can acquire comparable image quality and better differential diagnostic efficiency of benign and malignant of common bile duct obstruction in a shorter time.
[Keywords] bile duct obstruction；compressed sensing；magnetic resonance cholangiopancreatography；magnetic resonance imaging；diagnostic performan；differential diagnosis

HUANG Mengyue   ZHANG Yong   GAO Xuemei   CHENG Jingliang   LIU Jingjing*   HUANG Mengna  

Department of MRI, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China

Corresponding author: Liu JJ, E-mail: liujingjing198631@126.com

Conflicts of interest   None.

ACKNOWLEDGMENTS Medical Science and Technology Project of Henan Province in 2021 (No. SBGJ202102111).
Received  2022-10-13
Accepted  2023-03-03
DOI: 10.12015/issn.1674-8034.2023.03.017
Cite this article as: HUANG M Y, ZHANG Y, GAO X M, et al. The value of compression-sensing magnetic resonance cholangiopancreatography in diagnosing benign and malignant obstruction of common bile duct[J]. Chin J Magn Reson Imaging, 2023, 14(3): 100-104, 110. DOI:10.12015/issn.1674-8034.2023.03.017.

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