Multimodal imaging study on localization and qualitative diagnosis of biliary obstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CAI Yue ,  SONG Bin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

SONG Bin, Email: cjr.songbin@vip.163.com

Keywords：

biliary obstruction; CT; magnetic resonance imaging; magnetic resonance cholangiopancreatography

DOI：

10.7507/1007-9424.202102016

Video：

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Objective To evaluate the diagnostic value of CT, MRI, and magnetic resonance cholangiopancreatography (MRCP) in the localization and qualitative diagnosis of biliary obstruction.Methods A total of 80 patients with biliary obstruction in our hospital from January 2018 to June 2020 were retrospectively collected. The patients were all examined by CT, MRI, and MRCP. The imaging images of all patients were interpreted by two radiologists with more than 5 years of working experience. Taking the results of operation and histopathology as the gold standard, the diagnostic value of CT, MRI+MRCP, CT+MRI+MRCP in the localization and qualitative diagnosis of biliary obstruction lesions were evaluated.Results Compared with the location results of surgery and histopathology, the coincidence rates of CT+MRI+MRCP and MRI+MRCP were higher than that of CT (P<0.05), but there was no significant difference between CT+MRI+MRCP and MRI+MRCP (P>0.05); compared with the benign and malignant results of surgery and histopathology, the coincidence rates of CT, CT+MRI+MRCP and MRI+MRCP were close, and there was no statistical significance among them (P>0.05).Conclusions MRI+MRCP and CT+MRI+MRCP have the same value in the localization and qualitative diagnosis of biliary obstruction. However, MRI+MRCP have the advantages ofnon-radiation or contrast media, it is more suitable for patients who are worried about the impact of radiation, have contrast media allergy or renal insufficiency.

Citation： CAI Yue, SONG Bin. Multimodal imaging study on localization and qualitative diagnosis of biliary obstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(5): 669-672. doi: 10.7507/1007-9424.202102016 Copy

1.	湯升. 核磁共振膽胰管成像作用于膽道梗阻疾病診斷中的價值. 中國全科醫學, 2020, 23(S1): 198-200.
2.	李冬陽. MRCP 聯合 MSCT 檢查對膽道梗阻性疾病患者診斷準確率的影響. 中國醫療器械信息, 2019, 25(17): 48-49.
3.	Chalfant JS, Skaggs AW, Loehfelm TW, et al. Incidentally detected biliary ductal dilatation on contrast-enhanced CT: what is the incidence of occult obstructing malignancy? Abdom Radiol (NY), 2019, 44(12): 4022-4027.
4.	王天寶. MSCT 聯合低場 MRCP 技術對膽道梗阻性疾病患者診斷準確率的影響. 現代醫用影像學, 2019, 28(8): 1759-1760.
5.	郭麗, 晏杰, 張忠明, 等. 多排螺旋 CT、MRI 在診斷肝外膽道梗阻性病變中價值對比分析. 臨床醫藥文獻電子雜志, 2019, 6(36): 160, 173.
6.	吳喜珍. 多排螺旋 CT、MRI 在診斷肝外膽道梗阻性病變中價值比較分析. 影像研究與醫學應用, 2018, 2(11): 63-65.
7.	阮吉陸, 彭宇. 膽道梗阻性疾病行 MRI 檢查的診斷作用分析與研究. 當代醫學, 2019, 25(13): 171-172.
8.	濮忠東, 許云飛. 多排螺旋 CT 和磁共振成像檢查方法在診斷膽道梗阻性病變中的應用價值比較. 現代醫藥衛生, 2018, 34(18): 2879-2881.
9.	Xu X, Li L, Zhang XN. Correlation analysis of preoperative magnetic resonance cholangiopancreatography and prognosis in hilar cholangiocarcinoma. Clin Invest Med, 2019, 42(4): E14-E21.
10.	王正前, 朱建設. 多層螺旋 CT 與磁共振 MRCP 對膽道梗阻性疾病臨床診斷的應用價值. 中國實驗診斷學, 2018, 22(12): 2073-2075.
11.	徐曉啟, 徐夢輝. CT 與 MRI 聯合 MRCP 對膽道梗阻病變定性診斷準確率的影響. 現代醫用影像學, 2018, 27(6): 1899-1900.
12.	廖建偉, 王文獻, 何艷, 等. 高分辨 MR 多序列成像結合 MRCP、MRVE 在膽道梗阻性疾病診斷中的應用. 影像研究與醫學應用, 2020, 4(22): 41-43.
13.	馬文偉. CT 與 MRI 聯合 MRCP 在膽道梗阻惡性病變定性診斷準確率中的應用. 首都食品與醫藥, 2018, 25(13): 67.
14.	劉有德, 耿學龍, 蔣銳. 320 排螺旋 CT、MRI 及 MRCP 診斷膽道梗阻性疾病的價值對比分析. 影像研究與醫學應用, 2019, 3(15): 39-40.
15.	李巨春, 李興權, 陳喬坤. 飲水低張 MRCP 結合 MRI 在低位膽道梗阻性疾病中的臨床應用價值. 影像研究與醫學應用, 2019, 3(22): 165-166.
16.	劉松, 王路虎. 磁共振胰膽管成像 (MRCP) 對膽道梗阻性疾病的診斷價值. 影像研究與醫學應用, 2019, 3(15): 60-61.
17.	王麟杰. 磁共振胰膽管成像 (MRCP) 對膽道梗阻性疾病的診斷價值. 影像研究與醫學應用, 2019, 3(5): 183-184.
18.	D’Antuono F, De Luca S, Mainenti PP, et al. Comparison between multidetector CT and high-field 3T MR imaging in diagnostic and tumour extension evaluation of patients with cholangiocarcinoma. J Gastrointest Cancer, 2020, 51(2): 534-544.
19.	Zenouzi R, Welle CL, Venkatesh SK, et al. Magnetic resonance imaging in primary sclerosing cholangitis-current state and future directions. Semin Liver Dis, 2019, 39(3): 369-380.
20.	楊永濤, 王青, 陳玥如, 等. 膽道梗阻性疾病患者 MRCP 與 DWI 檢查的圖像分析及聯合診斷價值. 實用臨床醫學, 2019, 20(5): 58-60, 65.
21.	周愛平, 王春, 馬周鵬, 等. MR 動態增強結合 MRCP 對 64 例壺腹周圍癌的診斷及鑒別分析. 中國中西醫結合外科雜志, 2020, 26(4): 755-759.
22.	陳淑寬, 宋振強, 張龍. 常規 MRI 序列、MRCP 序列及 DWI 序列在術前診斷良惡性壺腹周圍病變中的應用. 中國 CT 和 MRI 雜志, 2020, 18(6): 104-106, 152.
23.	Tonolini M, Ierardi AM, Patella F, et al. Early cross-sectional imaging following open and laparoscopic cholecystectomy: a primer for radiologists. Insights Imaging, 2018, 9(6): 925-941.
24.	胡劍峰, 申愛強, 丁洪彬. MRI 多序列結合 MRCP 對肝內膽管結石并膽道梗阻的診斷價值. 中國 CT 和 MRI 雜志, 2016, 14(12): 83-84, 113.
25.	尤云峰. MRCP 聯合常規 MRI 多種序列對膽總管下段結石的診斷價值. 臨床醫學研究與實踐, 2020, 5(20): 129-131.

1. 湯升. 核磁共振膽胰管成像作用于膽道梗阻疾病診斷中的價值. 中國全科醫學, 2020, 23(S1): 198-200.
2. 李冬陽. MRCP 聯合 MSCT 檢查對膽道梗阻性疾病患者診斷準確率的影響. 中國醫療器械信息, 2019, 25(17): 48-49.
3. Chalfant JS, Skaggs AW, Loehfelm TW, et al. Incidentally detected biliary ductal dilatation on contrast-enhanced CT: what is the incidence of occult obstructing malignancy? Abdom Radiol (NY), 2019, 44(12): 4022-4027.
4. 王天寶. MSCT 聯合低場 MRCP 技術對膽道梗阻性疾病患者診斷準確率的影響. 現代醫用影像學, 2019, 28(8): 1759-1760.
5. 郭麗, 晏杰, 張忠明, 等. 多排螺旋 CT、MRI 在診斷肝外膽道梗阻性病變中價值對比分析. 臨床醫藥文獻電子雜志, 2019, 6(36): 160, 173.
6. 吳喜珍. 多排螺旋 CT、MRI 在診斷肝外膽道梗阻性病變中價值比較分析. 影像研究與醫學應用, 2018, 2(11): 63-65.
7. 阮吉陸, 彭宇. 膽道梗阻性疾病行 MRI 檢查的診斷作用分析與研究. 當代醫學, 2019, 25(13): 171-172.
8. 濮忠東, 許云飛. 多排螺旋 CT 和磁共振成像檢查方法在診斷膽道梗阻性病變中的應用價值比較. 現代醫藥衛生, 2018, 34(18): 2879-2881.
9. Xu X, Li L, Zhang XN. Correlation analysis of preoperative magnetic resonance cholangiopancreatography and prognosis in hilar cholangiocarcinoma. Clin Invest Med, 2019, 42(4): E14-E21.
10. 王正前, 朱建設. 多層螺旋 CT 與磁共振 MRCP 對膽道梗阻性疾病臨床診斷的應用價值. 中國實驗診斷學, 2018, 22(12): 2073-2075.
11. 徐曉啟, 徐夢輝. CT 與 MRI 聯合 MRCP 對膽道梗阻病變定性診斷準確率的影響. 現代醫用影像學, 2018, 27(6): 1899-1900.
12. 廖建偉, 王文獻, 何艷, 等. 高分辨 MR 多序列成像結合 MRCP、MRVE 在膽道梗阻性疾病診斷中的應用. 影像研究與醫學應用, 2020, 4(22): 41-43.
13. 馬文偉. CT 與 MRI 聯合 MRCP 在膽道梗阻惡性病變定性診斷準確率中的應用. 首都食品與醫藥, 2018, 25(13): 67.
14. 劉有德, 耿學龍, 蔣銳. 320 排螺旋 CT、MRI 及 MRCP 診斷膽道梗阻性疾病的價值對比分析. 影像研究與醫學應用, 2019, 3(15): 39-40.
15. 李巨春, 李興權, 陳喬坤. 飲水低張 MRCP 結合 MRI 在低位膽道梗阻性疾病中的臨床應用價值. 影像研究與醫學應用, 2019, 3(22): 165-166.
16. 劉松, 王路虎. 磁共振胰膽管成像 (MRCP) 對膽道梗阻性疾病的診斷價值. 影像研究與醫學應用, 2019, 3(15): 60-61.
17. 王麟杰. 磁共振胰膽管成像 (MRCP) 對膽道梗阻性疾病的診斷價值. 影像研究與醫學應用, 2019, 3(5): 183-184.
18. D’Antuono F, De Luca S, Mainenti PP, et al. Comparison between multidetector CT and high-field 3T MR imaging in diagnostic and tumour extension evaluation of patients with cholangiocarcinoma. J Gastrointest Cancer, 2020, 51(2): 534-544.
19. Zenouzi R, Welle CL, Venkatesh SK, et al. Magnetic resonance imaging in primary sclerosing cholangitis-current state and future directions. Semin Liver Dis, 2019, 39(3): 369-380.
20. 楊永濤, 王青, 陳玥如, 等. 膽道梗阻性疾病患者 MRCP 與 DWI 檢查的圖像分析及聯合診斷價值. 實用臨床醫學, 2019, 20(5): 58-60, 65.
21. 周愛平, 王春, 馬周鵬, 等. MR 動態增強結合 MRCP 對 64 例壺腹周圍癌的診斷及鑒別分析. 中國中西醫結合外科雜志, 2020, 26(4): 755-759.
22. 陳淑寬, 宋振強, 張龍. 常規 MRI 序列、MRCP 序列及 DWI 序列在術前診斷良惡性壺腹周圍病變中的應用. 中國 CT 和 MRI 雜志, 2020, 18(6): 104-106, 152.
23. Tonolini M, Ierardi AM, Patella F, et al. Early cross-sectional imaging following open and laparoscopic cholecystectomy: a primer for radiologists. Insights Imaging, 2018, 9(6): 925-941.
24. 胡劍峰, 申愛強, 丁洪彬. MRI 多序列結合 MRCP 對肝內膽管結石并膽道梗阻的診斷價值. 中國 CT 和 MRI 雜志, 2016, 14(12): 83-84, 113.
25. 尤云峰. MRCP 聯合常規 MRI 多種序列對膽總管下段結石的診斷價值. 臨床醫學研究與實踐, 2020, 5(20): 129-131.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Multimodal imaging study on localization and qualitative diagnosis of biliary obstruction

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