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Clinical Article
The value of MRI combined with MRCP in the diagnosis of ampullar area focus
ZHOU Jian-chang  JI Li-ping  LI Hui-zhang 

DOI:10.3969/j.issn.1674-8034.2015.05.008.


[Abstract] Objective: To assess the value of magnetic resonance cholangiopan-creatography (MRCP) combind with MRI sequence in the diagnosis of ampullar area focus.Materials and Methods: Fifty-one patients with the ampullar area focus, which were examined by MRI combined with MRCP. ERCP, ultrasonography and pathology, and all the reports were compared with other examinations. Conventional MRI includes axil (T1WI, T2WI, T2WI+FS), coronal(T1WI). MRCP examination includes 3D and 2D MRCP examination.Result: MRI combined with MRCP scan demonstrated 4 cases of ampullar cancer, 13 cases of pancreatic head cancer, 9 cases of lower bile duct cancer,1 case of duodenum papilla cancer, 19 cases of calculus, 5 cases of inflammation.Conclusions: MRCP combined with MRI has a high value in the diagnosis and differential diagnosis of ampullar area focus, it can not only demonstrate the location and the range of ampullar area focus, but also can make the degree of straitness and the character clear.
[Keywords] Cholangiopancreatography, magnetic resonance imaging;Ampulla of vater;Bile duct diseases

ZHOU Jian-chang Department of Radiology, The Second Affiliated Hospital of Hebei North University, Zhang Jia-kou 075100, China

JI Li-ping Department of Radiology, The Second Affiliated Hospital of Hebei North University, Zhang Jia-kou 075100, China

LI Hui-zhang* Department of Radiology, Beijing Hospital, Beijing 100730, China

*Correspondence to: Li HZ, E-mail: huizhang62@sina.com

Conflicts of interest   None.

Received  2015-01-19
Accepted  2015-04-12
DOI: 10.3969/j.issn.1674-8034.2015.05.008
DOI:10.3969/j.issn.1674-8034.2015.05.008.

[1]
Soto JA, Barish MA, Yucel EK, et al. Pancereatic duct:MR cholangiopan-creatography with a three dimensional fast spin echo technique. Radiology, 1995, 196(2): 459-464.
[2]
王占秋,卢武胜,刘兰祥,等. MRI不同检查方法诊断壶腹区域病变的价值.华西医学, 2008, 23(5): 1097-1098.
[3]
郭廷贞,郭锡城,王莉,等.低张MR胰胆管水成像技术结合肝脏三维容积转移期动态技术增强扫描在壶腹周围病变诊断中的价值.实用医学影像杂志, 2012, 6(13): 170-173.
[4]
Kim TK, Kim BS, Kim JH, et al. Diagnosis of intrahepatic stones: superiority of MR cholangiopancreatography over endoscopic retro-grade cholangiopancreatography. AJR Am J Roentgenol, 2002, 179(2): 429-4345.
[5]
于本霞,夏玉军,刘奉立,等.磁共振胆管成像对胆道梗阻的诊断价值.医学影像杂志, 2013, 23(10): 1572-1574.
[6]
张继军,苏明,邱晓丽,等. 64层螺旋CT、MRI及MRCP对低位胆道梗阻性疾病的诊断价值.新疆医学, 2014, (44): 33-36.
[7]
Guo QQ, Yuan CX, Song JH. Value of MRI in combination with MR cholangio-pancreatography in the diagnosis of polypoid ampullary carcinoma. J Mod Med Image, 2013, 22(1): 21-24.

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