http://www.cnr.it/ontology/cnr/individuo/prodotto/ID14011
Comparative diagnostic evaluation with MR cholangiopancreatography, ultrasonography and CT in patients with pancreatobiliary disease (Articolo in rivista)
- Type
- Label
- Comparative diagnostic evaluation with MR cholangiopancreatography, ultrasonography and CT in patients with pancreatobiliary disease (Articolo in rivista) (literal)
- Anno
- 2009-01-01T00:00:00+01:00 (literal)
- Alternative label
Maurea, S; Caleo, O; Mollica, C; Imbriaco, M; Mainenti, PP; Palumbo, C; Mancini, M; Camera, L; Salvatore, M (2009)
Comparative diagnostic evaluation with MR cholangiopancreatography, ultrasonography and CT in patients with pancreatobiliary disease
in La Radiologia medica (Testo stamp.)
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Maurea, S; Caleo, O; Mollica, C; Imbriaco, M; Mainenti, PP; Palumbo, C; Mancini, M; Camera, L; Salvatore, M (literal)
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- Pagina fine
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
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- Google Scholar (literal)
- PubMed (literal)
- ISI Web of Science (WOS) (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- Dipartimento di Scienze Biomorfologiche e Funzionali (DSBMF), Università degli Studi di Napoli Federico II, Istituto di Biostrutture e
Bioimmagini, Consiglio Nazionale delle Ricerche (CNR); Fondazione SDN (IRCCS), Napoli, Italy (literal)
- Titolo
- Comparative diagnostic evaluation with MR cholangiopancreatography, ultrasonography and CT in patients with pancreatobiliary disease (literal)
- Abstract
- Purpose. The aim of this study was to directly compare the
results of magnetic resonance cholangiopancreatography
(MRCP) with those of ultrasonography (US) and multislice
computed tomography (MSCT) in the diagnosis of
pancreaticobiliary diseases.
Materials and methods. A total of 70 patients (41 men, 29
women) aged 22-89 years were studied either before
(n=59) or after cholecystectomy (n=11) for biliary lithiasis.
Clinical signs and symptoms were jaundice (n=15),
abdominal pain (n=37) and proven biliary lithiasis (n=18).
MRCP was performed in all patients, whereas abdominal
US was performed in 55 (group 1) and MSCT in 37 (group
2) patients. A regional evaluation of the main structures of
the pancreaticobiliary system was performed: gallbladder
and cystic duct, intra- and extrahepatic bile ducts and main
pancreatic duct. Histology (n=27), biopsy (n=5),
endoscopic retrograde cholangiopancreatography (ERCP)
(n=28) and/or clinical-imaging follow-up (n=10) were
considered standards of reference. In particular, patients
were classified as showing benign (n=47) or malignant
(n=12) lesions or normal biliary anatomy (n=11).
Results. In group 1, the results of MRCP and US were
concordant in the majority (92%) of cases; however,
statistically significant discordance (p<0.01) was found in
the evaluation of the extrahepatic ducts, with nine cases
(16%) of middle-distal common bile duct stones being
detected on MRCP only. In group 2, the results of MRCP
and MSCT were also concordant in most cases (87%).
However, findings were significantly discordant when the
intra- and extrahepatic ducts were analysed, with seven
(19%) and six (16%) cases, respectively, of lithiasis being
detected on MRCP only (p<0.01 for both).
Conclusions. The results of our study confirm the
diagnostic potential of MRCP in the study of the
pancreaticobiliary duct system. In particular, the
comparison between MRCP and US and MSCT indicates
the superiority of MRCP in evaluating bile ducts and
detecting stones in the common bile duct. (literal)
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