The Value of Magnetic Resonance Multiple Sequence Examination in the Diagnosis of Biliary Sludges_West China Medical Journal

Authors：

 XIONGYan ,  ZHUDan , XIAOJian-ming , XIEXiao-hong , PENGTao

Department of Radiology, Affiliated Hospital of Chengdu University, Chengdu, Sichuan 610081, P. R. China;

Corresponding?author：

ZHUDan, Email: doczdan@189.cn

Keywords：

Magnetic resonance; Biliary sludges; Diagnosis

DOI：

10.7507/1002-0179.20150137

Video：

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Objective To study the value of magnetic resonance multiple sequence examination in the diagnosis of biliary sludges. Methods The display rates of biliary sludges were obtained from 56 cases of biliary sludges between February 2011 and March 2013 examined with trans T1 weighted imaging (T1WI), T2 weighted imaging with fat suppression (T2WI-FS), true fast imaging with steady-state precession (True FISP), and MR cholangiopancreatography (MRCP) proved by operations or endoscopic retrograde cholangio-pancreatography. Then we carried out a statistical comparison study. Results The display rate combined with trans T1WI, T2WI-FS, True FISP, and MRCP sequence was statistically higher than any other single sequence (P<0.005). Diagnostic sensitivity, specificity and accuracy of MRI for biliary sludges were 85.7%, 84.1% and 84.5%, respectively. Conclusion To improve the display rate of biliary sludges on MRI, multiple sequences including trans T1WI, T2WI-FS, True FISP, and MRCP should be used.

Citation： XIONGYan, ZHUDan, XIAOJian-ming, XIEXiao-hong, PENGTao. The Value of Magnetic Resonance Multiple Sequence Examination in the Diagnosis of Biliary Sludges. West China Medical Journal, 2015, 30(3): 484-487. doi: 10.7507/1002-0179.20150137 Copy

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2.	Jungst C, Kullak-Ublick GA, Jngst D, et al. Gallstone disease:microlithiasis and sludge[J]. Best Pract Res Clin Gastroenterol, 2006, 20(6):1053-1062.
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6.	余小忠, 方金洲, 李岳興. MRCP在膽系結石中的應用價值及與CT、B超對比研究[J]. 醫學影像學雜志, 2011, 21(3):367-369.
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10.	李紅麗, 李鳳華, 唐韻. 膽總管乳頭狀腺瘤誤診泥沙樣結石1例的超聲表現[J]. 中國超聲醫學雜志, 2005, 21(9):670.
11.	張正節, 許祖梅, 宋嘉華, 等. 膽總管泥沙樣結石CT誤診分析(附6例報告)[J]. 現代醫用影像學, 2005, 14(4):159.
12.	郝粉娥, 牛廣明, 韓曉東, 等. MRCP結合薄層T2WI對膽總管下段結石的診斷[J]. 放射學實踐, 2009, 24(1):65-67.
13.	錢志明, 張同華, 陳建新, 等. True FISP與MRCP在膽總管結石中的應用[J]. 現代醫用影像學, 2011, 20(5):298-301.
14.	Watanabe Y, Nagayama M, Okumura A, et al. Mr imaging of acute biliary disorders[J]. Radiographics, 2007, 27(2):477-495.
15.	趙天平, 張勇, 杜紅, 等. 單次激發與多次激發MRCP診斷膽系結石的對照研究[J]. 中國誤診學雜志, 2006, 6(20):3908-3911.
16.	張勇, 程敬亮, 任翠萍, 等. MRI及MRCP診斷膽系泥沙樣結石的對照研究[J]. 臨床放射學雜志, 2008, 27(10):1328-1330.
17.	陳英敏, 吳晶, 劉連祥, 等. 膽囊及膽總管結石MRC:3D原始圖與MIP圖對比研究[J]. 放射學實踐, 2003, 18(8):595-597.

1. Keizman D, Ish-Shalom M, Konikoff FM. The clinical significance of bile duct sludge:is it different from bile duct stones?[J]. Surg Endosc, 2007, 21(5):769-773.
2. Jungst C, Kullak-Ublick GA, Jngst D, et al. Gallstone disease:microlithiasis and sludge[J]. Best Pract Res Clin Gastroenterol, 2006, 20(6):1053-1062.
3. Schmidt S, Chevallier P, Novellas S, et al. Choledocholithiasis:repetitive thick-slab single-shot projection magnetic resonance cholangiopancreaticography versus endoscopic ultrasonography[J]. Eur Radiol, 2007, 17(1):241-250.
4. Hong MJ, Kim SW, Kim HC, et al. Comparison of the clinical characteristics and imaging findings of acute cholangitis with and without biliary dilatation[J]. Br J Radiol, 2012, 85(120):E1219-E1225.
5. 尚新芳, 李金亭. 膽系泥沙樣結石的影像學診斷[J]. 中國介入影像與治療學, 2010, 7(6):691-694.
6. 余小忠, 方金洲, 李岳興. MRCP在膽系結石中的應用價值及與CT、B超對比研究[J]. 醫學影像學雜志, 2011, 21(3):367-369.
7. Aub C, Delorme B, Yzet T, et al. MR cholangiopancreatography versus endoscopic sonography in suspected common bile duct lithiasis:a prospective, comparative study[J]. AJR Am J Roentgenol, 2005, 184(1):55-62.
8. Canlas KR, Branch MS. Role of endoscopicretrograde cholangiopancreatograph in acute pancreatitis[J]. World J Gastroenterol, 2007, 13(47):6314-6320.
9. 董志堅, 馬寧強, 鞏寧, 等. MRCP結合薄層T2WI-STIR序列對膽總管泥沙樣結石的診斷準確性[J]. 實用醫學影像雜志, 2011, 12(4):227-229.
10. 李紅麗, 李鳳華, 唐韻. 膽總管乳頭狀腺瘤誤診泥沙樣結石1例的超聲表現[J]. 中國超聲醫學雜志, 2005, 21(9):670.
11. 張正節, 許祖梅, 宋嘉華, 等. 膽總管泥沙樣結石CT誤診分析(附6例報告)[J]. 現代醫用影像學, 2005, 14(4):159.
12. 郝粉娥, 牛廣明, 韓曉東, 等. MRCP結合薄層T2WI對膽總管下段結石的診斷[J]. 放射學實踐, 2009, 24(1):65-67.
13. 錢志明, 張同華, 陳建新, 等. True FISP與MRCP在膽總管結石中的應用[J]. 現代醫用影像學, 2011, 20(5):298-301.
14. Watanabe Y, Nagayama M, Okumura A, et al. Mr imaging of acute biliary disorders[J]. Radiographics, 2007, 27(2):477-495.
15. 趙天平, 張勇, 杜紅, 等. 單次激發與多次激發MRCP診斷膽系結石的對照研究[J]. 中國誤診學雜志, 2006, 6(20):3908-3911.
16. 張勇, 程敬亮, 任翠萍, 等. MRI及MRCP診斷膽系泥沙樣結石的對照研究[J]. 臨床放射學雜志, 2008, 27(10):1328-1330.
17. 陳英敏, 吳晶, 劉連祥, 等. 膽囊及膽總管結石MRC:3D原始圖與MIP圖對比研究[J]. 放射學實踐, 2003, 18(8):595-597.

West China Medical Journal

The Value of Magnetic Resonance Multiple Sequence Examination in the Diagnosis of Biliary Sludges

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