著者
Keiko SAKAMOTO Yoshinobu SHINAGAWA Kimiyo INOUE Ayako MORITA Hiroshi URAKAWA Ritsuko FUJIMITSU Kouichi TAKANO Kengo YOSHIMITSU
出版者
Japanese Society for Magnetic Resonance in Medicine
雑誌
Magnetic Resonance in Medical Sciences (ISSN:13473182)
巻号頁・発行日
vol.15, no.1, pp.137-143, 2016-01-01 (Released:2016-01-12)
参考文献数
14
被引用文献数
3 4

Purpose: We retrospectively evaluated the incidence and related factors of obliteration of the lower bile duct after oral administration of contrast medium (OCM) probably resulting from its regurgitation into the biliary system (OCMRB) as observed on images of MR cholangiopancreatography (MRCP).Methods: We retrospectively analyzed 305 MRCP images in 278 patients obtained between February 2010 and March 2011 using negative OCM with 1.0- and 1.5-tesla clinical units. OCMRB was defined as positive when visualization of the common bile duct was clear on precontrast 2-dimensional (2D) MRCP but obliterated on postcontrast 3-dimensional (3D) MRCP. Two abdominal radiologists reviewed all images in consensus. The incidence of OCMRB was correlated to various clinicoradiological factors.Results: We observed OCMRB on 11 MRCP images in 10 patients (3.6%). Among various clinicoradiological factors, the presence of juxtapapillary diverticula, pneumobilia, and history of intervention to the papilla were suggested as significant factors related to positive OCMRB with multivariate analysis (P < 0.05).Conclusion: OCMRB occurs in about 4% of the patients who undergo MRCP, typically in those with juxtapapillary diverticula, pneumobilia, and history of papillary intervention. Acquisition of MRCP images before OCM may secure visualization of the common bile duct in these patients.

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EST後に逆流したよって報告はありますよ なので、事前にわかっていれば陰性造影剤は使わないほうがいいかもです 陰性造影剤服用がいつなんどきも正義とはかぎりません、と言うのが以下の論文を踏まえた上での持論です https://t.co/zMZ2oLLpCv https://t.co/fLtpE50CGQ

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