nach oben

Erschienen in:

28.11.2016

Improved diagnosis of common bile duct stone with single-shot balanced turbo field-echo sequence in MRCP

verfasst von: Yoshifumi Noda, Satoshi Goshima, Toshihisa Kojima, Shimpei Kawaguchi, Hiroshi Kawada, Nobuyuki Kawai, Hiromi Koyasu, Masayuki Matsuo, Kyongtae T. Bae

Erschienen in: Abdominal Radiology | Ausgabe 4/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the value of adding single-shot balanced turbo field-echo (b-TFE) sequence to conventional magnetic resonance cholangiopancreatography (MRCP) for the detection of common bile duct (CBD) stone.

Methods

One hundred thirty-seven consecutive patients with suspected CBD stone underwent MRCP including single-shot b-TFE sequence. Twenty-five patients were confirmed with CBD stone by endoscopic retrograde cholangiopancreatography or ultrasonography. Two radiologists reviewed two image protocols: protocol A (conventional MRCP protocol: unenhanced T1-, T2-, and respiratory-triggered three-dimensional fat-suppressed single-shot turbo spin-echo MRCP sequence) and protocol B (protocol A plus single-shot b-TFE sequence). The sensitivity, specificity, positive (PPV) and negative predictive value (NPV), and area under the receiver-operating-characteristic (ROC) curve (AUC) for the detection of CBD stone were compared.

Results

The sensitivity (72%) and NPV (94%) were the same between the two protocols. However, protocol B was greater in the specificity (99%) and PPV (94%) than protocol A (92% and 67%, respectively) (P = 0.0078 and 0.031, respectively). The AUC was significantly greater for protocol B (0.93) than for protocol A (0.86) (P = 0.026).

Conclusions

Inclusion of single-shot b-TFE sequence to conventional MRCP significantly improved the specificity and PPV for the detection of CBD stone.

Tsunoda K, Shirai Y, Hatakeyama K (2004) Prevalence of cholesterol gallstones positively correlates with per capita daily calorie intake. Hepato-gastroenterology 51(59):1271–1274PubMed

Caddy GR, Tham TC (2006) Gallstone disease: symptoms, diagnosis and endoscopic management of common bile duct stones. Best Pract Res Clin Gastroenterol 20(6):1085–1101. doi:10.1016/j.bpg.2006.03.002 CrossRefPubMed

Topal B, Van de Moortel M, Fieuws S, et al. (2003) The value of magnetic resonance cholangiopancreatography in predicting common bile duct stones in patients with gallstone disease. Br J Surg 90(1):42–47. doi:10.1002/bjs.4025 CrossRefPubMed

Miyazaki M, Isoda H (2011) Non-contrast-enhanced MR angiography of the abdomen. Eur J Radiol 80(1):9–23. doi:10.1016/j.ejrad.2011.01.093 CrossRefPubMed

Itatani R, Namimoto T, Takaoka H, et al. (2015) Clinical impact of 3-dimensional balanced turbo-field-echo magnetic resonance cholangiopancreatography at 3 T: prospective intraindividual comparison with 3-dimensional turbo-spin-echo magnetic resonance cholangiopancreatography. J Comput Assist. Tomogr 39(1):19–24CrossRefPubMed

Hanley JA, McNeil BJ (1983) A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148(3):839–843. doi:10.1148/radiology.148.3.6878708 CrossRefPubMed

Reinhold C, Taourel P, Bret PM, et al. (1998) Choledocholithiasis: evaluation of MR cholangiography for diagnosis. Radiology 209(2):435–442. doi:10.1148/radiology.209.2.9807570 CrossRefPubMed

Guibaud L, Bret PM, Reinhold C, Atri M, Barkun AN (1994) Diagnosis of choledocholithiasis: value of MR cholangiography. AJR Am J Roentgenol 163(4):847–850. doi:10.2214/ajr.163.4.8092021 CrossRefPubMed

Regan F, Fradin J, Khazan R, Bohlman M, Magnuson T (1996) Choledocholithiasis: evaluation with MR cholangiography. AJR Am J Roentgenol 167(6):1441–1445. doi:10.2214/ajr.167.6.8956574 CrossRefPubMed

10.

Becker CD, Grossholz M, Becker M, et al. (1997) Choledocholithiasis and bile duct stenosis: diagnostic accuracy of MR cholangiopancreatography. Radiology 205(2):523–530. doi:10.1148/radiology.205.2.9356639 CrossRefPubMed

11.

Soto JA, Yucel EK, Barish MA, Chuttani R, Ferrucci JT (1996) MR cholangiopancreatography after unsuccessful or incomplete ERCP. Radiology 199(1):91–98. doi:10.1148/radiology.199.1.8633178 CrossRefPubMed

12.

Zidi SH, Prat F, Le Guen O, et al. (1999) Use of magnetic resonance cholangiography in the diagnosis of choledocholithiasis: prospective comparison with a reference imaging method. Gut 44(1):118–122CrossRefPubMedPubMedCentral

13.

Glockner JF, Saranathan M, Bayram E, Lee CU (2013) Breath-held MR Cholangiopancreatography (MRCP) using a 3D Dixon fat-water separated balanced steady state free precession sequence. Magn Reson Imaging 31(8):1263–1270. doi:10.1016/j.mri.2013.06.008 CrossRefPubMedPubMedCentral

14.

Mandelia A, Gupta AK, Verma DK, Sharma S (2013) The value of magnetic resonance cholangio-pancreatography (MRCP) in the detection of choledocholithiasis. J Clin Diagn Res 7(9):1941–1945. doi:10.7860/JCDR/2013/6158.3365 PubMedPubMedCentral

15.

Sprinkart AM, Luetkens JA, Traber F, et al. (2015) Gradient Spin Echo (GraSE) imaging for fast myocardial T2 mapping. J Cardiovasc Magn Reson 17:12. doi:10.1186/s12968-015-0127-z CrossRefPubMedPubMedCentral

Titel: Improved diagnosis of common bile duct stone with single-shot balanced turbo field-echo sequence in MRCP
verfasst von: Yoshifumi Noda
Satoshi Goshima
Toshihisa Kojima
Shimpei Kawaguchi
Hiroshi Kawada
Nobuyuki Kawai
Hiromi Koyasu
Masayuki Matsuo
Kyongtae T. Bae
Publikationsdatum: 28.11.2016
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 4/2017
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-016-0990-6

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Improved diagnosis of common bile duct stone with single-shot balanced turbo field-echo sequence in MRCP