MRI assessment of chronic pancreatitis

被引:44
作者
Balci, Cem [1 ]
机构
[1] Istanbul Bilim Univ, Dept Radiol, Istanbul, Turkey
关键词
magnetic resonance imaging; pancreatitis; diffusion magnetic resonance imaging; secretin; SUSPECTED CHRONIC-PANCREATITIS; EXOCRINE FUNCTION; SECRETIN; CHOLANGIOPANCREATOGRAPHY; DIAGNOSIS;
D O I
10.4261/1305-3825.DIR.3889-10.0
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Magnetic resonance imaging (MRI) plays an important role in the assessment of chronic pancreatitis. By standard MRI techniques, decreased parenchymal signal on T1-weighted fat-suppressed images and delayed gradual enhancement on serial contrast enhanced images represent fibrotic changes caused by chronic inflammation. Magnetic resonance cholangiopancreaticography (MRCP) can reveal ductal changes, including side branch ectasias, that are related to tissue fibrosis and destruction. The exocrine function of the gland and an increased number of side branch ectasias can be evaluated with secretin-stimulated MRCP. Diffusion weighted imaging is an emerging technology that can complement standard MRI to assess the parenchymal changes associated with chronic pancreatitis. The same technique can also quantify the parenchymal response to secretin stimulation. This article reviews standard imaging techniques and new advancements in MRI technology as they relate to the assessment of chronic pancreatitis.
引用
收藏
页码:249 / 254
页数:6
相关论文
共 17 条
[1]   Chronic Pancreatitis: Recent Advances and Ongoing Challenges - In brief [J].
Ahmad, SA ;
Wray, CJ ;
Rilo, HR ;
Choe, KA ;
Gelrud, A ;
Howington, J ;
Lowy, AM ;
Matthews, JB .
CURRENT PROBLEMS IN SURGERY, 2006, 43 (03) :127-238
[2]   Assessment of Chronic Pancreatitis: Utility of Diffusion-weighted MR Imaging with Secretin Enhancement [J].
Akisik, M. Fatih ;
Aisen, Alex M. ;
Sandrasegaran, Kumar ;
Jennings, S. Gregory ;
Lin, Chen ;
Sherman, Stuart ;
Lin, John A. ;
Rydberg, Magnus .
RADIOLOGY, 2009, 250 (01) :103-109
[3]   Normal pancreatic exocrine function does not exclude MRI/MRCP chronic pancreatitis findings [J].
Alkaade, Samer ;
Balci, Numan Cem ;
Momtahen, Amir Javad ;
Burton, Frank .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2008, 42 (08) :950-955
[4]   Diffusion-weighted MRI of the pancreas: Correlation with secretin endoscopic pancreatic function test (ePFT) [J].
Balci, N. Cem ;
Momtahen, Amir Javad ;
Akduman, E. Isin ;
Alkaade, Samer ;
Bilgin, Mehmet ;
Burton, Frank R. .
ACADEMIC RADIOLOGY, 2008, 15 (10) :1264-1268
[5]   Suspected chronic pancreatitis with normal MRCP: Findings on MRI in correlation with secretin MRCP [J].
Balci, N. Cern ;
Alkaade, Samer ;
Magas, Louis ;
Momtahen, Amir Javad ;
Burton, Frank R. .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2008, 27 (01) :125-131
[6]  
Balci Numan Cem, 2009, Top Magn Reson Imaging, V20, P25, DOI 10.1097/RMR.0b013e3181b483c2
[7]   Chronic pancreatitis:: Evaluation of pancreatic exocrine function with MR pancreatography after secretin stimulation [J].
Cappeliez, O ;
Delhaye, M ;
Devière, J ;
Le Moine, O ;
Metens, T ;
Nicaise, N ;
Cremer, M ;
Stryuven, J ;
Matos, C .
RADIOLOGY, 2000, 215 (02) :358-364
[8]   Secretin, 100 years later [J].
Chey, WY ;
Chang, TM .
JOURNAL OF GASTROENTEROLOGY, 2003, 38 (11) :1025-1035
[9]   The Effect of Prior Sphincterotomy on the Secretin-Stimulated Magnetic Resonance Cholangiopancreatography (s-MRCP) [J].
ChopraMd, Ashish ;
Alkaade, Samer ;
Balci, N. Cem ;
Burton, Frank .
ACADEMIC RADIOLOGY, 2009, 16 (11) :1381-1385
[10]   Advanced imaging of chronic pancreatitis [J].
Choueiri N.E. ;
Balci N.C. ;
Alkaade S. ;
Burton F.R. .
Current Gastroenterology Reports, 2010, 12 (2) :114-120