Evaluation of the cystic duct and cysticohepatic junction with MR cholangiography: comparison of various techniques and clinical evaluation with respiratory-triggered three-dimensional multislab technique

The purpose of this study was to evaluate depiction of the cystic duct and cysticohepatic junction by MR cholangiography (MRC). In 10 volunteers, MR cholangiograms were obtained by breath-hold two-dimensional (2D), respiratory-triggered 2D, respiratory-triggered three-dimensional (3D) single slab, a...

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Published inNihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica Vol. 58; no. 8; p. 420
Main Authors Tsunoda, M, Sasai, N, Mitsumori, A, Akaki, S, Togami, I, Jyoja, I, Ishihara, S, Ootou, T, Dohi, T, Hiraki, Y
Format Journal Article
LanguageJapanese
Published Japan 01.07.1998
Subjects
Adult
Aged
Biliary Tract Diseases - diagnosis
Biliary Tract Diseases - pathology
Cystic Duct - pathology
Female
Hepatic Duct, Common - pathology
Humans
Image Enhancement - methods
Magnetic Resonance Imaging - methods
Male
Middle Aged
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Summary:The purpose of this study was to evaluate depiction of the cystic duct and cysticohepatic junction by MR cholangiography (MRC). In 10 volunteers, MR cholangiograms were obtained by breath-hold two-dimensional (2D), respiratory-triggered 2D, respiratory-triggered three-dimensional (3D) single slab, and 3D multislab techniques. The images then were compared qualitatively. MRC using the respiratory-triggered 3D multislab techniques was evaluated as better than the other techniques, and was performed in 35 patients. Depiction of the anatomy of the cystic duct and cysticohepatic junction were evaluated. In 8 of 35 patients, MRC images were compared with those obtained by endoscopic retrograde cholangiography (ERC). The cystic duct and cysticohepatic junction were visualized adequately in 93% of volunteers and patients by the respiratory-triggered 3D multislab technique. Anatomic variations in the cystic duct and cysticohepatic junction were evaluated. The frequency of anatomic variations was the same as previously reported. The anatomic evaluations obtained by MRC were correlated closely with those obtained by ERC in 8 patients. In conclusion, MRC with the respiratory-triggered 3D multislab techniques is useful in evaluation of the cystic duct and cysticohepatic junction.
ISSN:0048-0428