Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Becker, C. D.
Right arrow Articles by Terrier, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Becker, C. D.
Right arrow Articles by Terrier, F.

Radiology, Vol 205, 523-530, Copyright © 1997 by Radiological Society of North America

ARTICLES

Choledocholithiasis and bile duct stenosis: diagnostic accuracy of MR cholangiopancreatography

CD Becker, M Grossholz, M Becker, G Mentha, R de Peyer and F Terrier
Department of Radiology, University Hospital, Geneva, Switzerland.

PURPOSE: To evaluate the accuracy of magnetic resonance (MR) cholangiopancreatography for detecting bile duct calculi and stenosis. MATERIALS AND METHODS: At MR cholangiopancreatography, 108 patients suspected of having bile duct calculi or stenosis were examined with two-dimensional fast spin-echo MR sequences and respiratory gating. On the basis of findings at surgery and/or intraoperative, endoscopic retrograde, and/or percutaneous cholangiography, final diagnoses were normal bile ducts (n = 38), choledocholithiasis (n = 23), Mirizzi syndrome (n = 3), benign or malignant bile duct stenosis (n = 40), choledochal cyst (n = 1), and bile duct dilatation without calculi or stenosis (n = 3). MR cholangiopancreatographic images were analyzed retrospectively by three reviewers who were unaware of final diagnoses. RESULTS: Choledocholithiasis was diagnosed with a sensitivity of 88%- 92% and a specificity of 91%-98%. False-negative readings occurred because small or impacted calculi at the distal common bile duct or ampulla were difficult to detect or distinguish from stenosis. Bile duct stenosis was diagnosed with a sensitivity of 93%-100% and a specificity of 98%. Presence or absence of bile duct abnormality was assessed with a sensitivity of 97%-99% and a specificity of 95%-97%. Interobserver agreement was very good (kappa = 0.86-0.96). CONCLUSION: With MR cholangiopancreatography, bile duct calculi and stenoses can be diagnosed with high accuracy and good interobserver agreement.


This article has been cited by other articles:


Home page
 RadioGraphicsHome page
Y. Watanabe, M. Nagayama, A. Okumura, Y. Amoh, T. Katsube, T. Suga, S. Koyama, K. Nakatani, and Y. Dodo
MR Imaging of Acute Biliary Disorders
RadioGraphics, March 1, 2007; 27(2): 477 - 495.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. Zhang, G. M. Israel, E. M. Hecht, G. A. Krinsky, J. S. Babb, and V. S. Lee
Isotropic 3D T2-Weighted MR Cholangiopancreatography with Parallel Imaging: Feasibility Study.
Am. J. Roentgenol., December 1, 2006; 187(6): 1564 - 1570.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
Y. K. Kim, C. S. Kim, J. M. Lee, S. W. Ko, G. H. Chung, S. O. Lee, Y. M. Han, and S. Y. Lee
Value of adding T1-weighted image to MR cholangiopancreatography for detecting intrahepatic biliary stones.
Am. J. Roentgenol., September 1, 2006; 187(3): W267 - W274.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
C. Aube, B. Delorme, T. Yzet, P. Burtin, J. Lebigot, P. Pessaux, C. Gondry-Jouet, J. Boyer, and C. Caron
MR Cholangiopancreatography Versus Endoscopic Sonography in Suspected Common Bile Duct Lithiasis: A Prospective, Comparative Study
Am. J. Roentgenol., January 1, 2005; 184(1): 55 - 62.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
A. Ahmetoglu, P. Kosucu, S. Kul, H. Dinc, A. Sari, M. Arslan, E. Alhan, and H. R. Gumele
MDCT Cholangiography with Volume Rendering for the Assessment of Patients with Biliary Obstruction
Am. J. Roentgenol., November 1, 2004; 183(5): 1327 - 1332.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
M.-S. Park, T. K. Kim, K. W. Kim, S. W. Park, J. K. Lee, J.-S. Kim, J. H. Lee, K. A. Kim, A. Y. Kim, P. N. Kim, et al.
Differentiation of Extrahepatic Bile Duct Cholangiocarcinoma from Benign Stricture: Findings at MRCP versus ERCP
Radiology, October 1, 2004; 233(1): 234 - 240.
[Abstract] [Full Text] [PDF]

Home page
 ImagingHome page
R Razzaq, MBchB, MRCP, FRCR and S A Sukumar
Imaging of the jaundiced adult
Imaging, September 1, 2004; 16(4): 287 - 300.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
J. Romagnuolo, M. Bardou, E. Rahme, L. Joseph, C. Reinhold, and A. N. Barkun
Magnetic Resonance Cholangiopancreatography: A Meta-Analysis of Test Performance in Suspected Biliary Disease
Ann Intern Med, October 7, 2003; 139(7): 547 - 557.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
T. K. Kim, B. S. Kim, J. H. Kim, H. K. Ha, P. N. Kim, A. Y. Kim, and M.-G. Lee
Diagnosis of Intrahepatic Stones: Superiority of MR Cholangiopancreatography over Endoscopic Retrograde Cholangiopancreatography
Am. J. Roentgenol., August 1, 2002; 179(2): 429 - 434.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
J. H. Kim, M.-J. Kim, S. I. Park, J.-J. Chung, S. Y. Song, K. S. Kim, H. S. Yoo, J. T. Lee, and K. W. Kim
MR Cholangiography in Symptomatic Gallstones: Diagnostic Accuracy according to Clinical Risk Group
Radiology, August 1, 2002; 224(2): 410 - 416.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
R. C. Carlos, H. K. Hussain, J. H. Song, and I. R. Francis
Gadolinium-Ethoxybenzyl-Diethylenetriamine Pentaacetic Acid as an Intrabiliary Contrast Agent: Preliminary Assessment
Am. J. Roentgenol., July 1, 2002; 179(1): 87 - 92.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. H. Kim, M.-J. Kim, S. I. Park, J.-J. Chung, S. Y. Song, H. S. Yoo, and J. T. Lee
Using Kinematic MR Cholangiopancreatography to Evaluate Biliary Dilatation
Am. J. Roentgenol., April 1, 2002; 178(4): 909 - 914.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
M. Becker, F. Marchal, C. D. Becker, P. Dulguerov, G. Georgakopoulos, W. Lehmann, and F. Terrier
Sialolithiasis and Salivary Ductal Stenosis: Diagnostic Accuracy of MR Sialography with a Three-dimensional Extended-Phase Conjugate-Symmetry Rapid Spin-Echo Sequence
Radiology, November 1, 2000; 217(2): 347 - 358.
[Abstract] [Full Text]

Home page
 Am. J. Roentgenol.Home page
J. A. Soto, O. Alvarez, F. Munera, S. M. Velez, J. Valencia, and N. Ramirez
Diagnosing Bile Duct Stones: Comparison of Unenhanced Helical CT, Oral Contrast-Enhanced CT Cholangiography, and MR Cholangiography
Am. J. Roentgenol., October 1, 2000; 175(4): 1127 - 1134.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
K. M. Vitellas, M. T. Keogan, C. E. Spritzer, and R. C. Nelson
MR Cholangiopancreatography of Bile and Pancreatic Duct Abnormalities with Emphasis on the Single-Shot Fast Spin-Echo Technique
RadioGraphics, July 1, 2000; 20(4): 939 - 957.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
J. A. Soto, M. A. Barish, O. Alvarez, and S. Medina
Detection of Choledocholithiasis with MR Cholangiography: Comparison of Three-dimensional Fast Spin-Echo and Single- and Multisection Half-Fourier Rapid Acquisition with Relaxation Enhancement Sequences
Radiology, June 1, 2000; 215(3): 737 - 745.
[Abstract] [Full Text]

Home page
 RadioGraphicsHome page
G. A. Bortoff, M. Y. M. Chen, D. J. Ott, N. T. Wolfman, and W. D. Routh
Gallbladder Stones: Imaging and Intervention
RadioGraphics, May 1, 2000; 20(3): 751 - 766.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
J. A. Soto, O. Alvarez, J. E. Lopera, F. Munera, J. C. Restrepo, and G. Correa
Biliary Obstruction: Findings at MR Cholangiography and Cross-sectional MR Imaging
RadioGraphics, March 1, 2000; 20(2): 353 - 366.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
N. Demartines, L. Eisner, K. Schnabel, R. Fried, M. Zuber, and F. Harder
Evaluation of Magnetic Resonance Cholangiography in the Management of Bile Duct Stones
Arch Surg, February 1, 2000; 135(2): 148 - 152.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
A. R. Margulis and J. H. Sunshine
Radiology at the Turn of the Millennium1
Radiology, January 1, 2000; 214(1): 15 - 23.
[Abstract] [Full Text]

Home page
 RadiologyHome page
M.-J. Kim, D. G. Mitchell, K. Ito, and E. K. Outwater
Biliary Dilatation: Differentiation of Benign from Malignant Causes-Value of Adding Conventional MR Imaging to MR Cholangiopancreatography1
Radiology, January 1, 2000; 214(1): 173 - 181.
[Abstract] [Full Text]

Home page
 RadiologyHome page
A. S. Fulcher and M. A. Turner
Orthotopic Liver Transplantation: Evaluation with MR Cholangiography
Radiology, June 1, 1999; 211(3): 715 - 722.
[Abstract] [Full Text]

Home page
 RadiologyHome page
G. T. Sica, J. Braver, M. J. Cooney, F. H. Miller, J. L. Chai, and D. F. Adams
Comparison of Endoscopic Retrograde Cholangiopancreatography with MR Cholangiopancreatography in Patients with Pancreatitis
Radiology, March 1, 1999; 210(3): 605 - 610.
[Abstract] [Full Text]

Home page
 GutHome page
S H Zidi, F Prat, O Le Guen, Y Rondeau, L Rocher, J Fritsch, A D Choury, and G Pelletier
Use of magnetic resonance cholangiography in the diagnosis of choledocholithiasis: prospective comparison with a reference imaging method
Gut, January 1, 1999; 44(1): 118 - 122.
[Abstract] [Full Text] [PDF]

Home page
 RadioGraphicsHome page
A. S. Fulcher, M. A. Turner, and G. W. Capps
MR Cholangiography: Technical Advances and Clinical Applications
RadioGraphics, January 1, 1999; 19(1): 25 - 44.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1997 by the Radiological Society of North America.