What is an MRI Cholangio Pancreatogram for?
MRCP stands for magnetic resonance cholangio pancreatography (col-an-jee-oh pan-kree-at-og-raf-ee). It is a special type of MRI that gives detailed pictures of your pancreas, gallbladder and bile ducts. You usually have an MRI scan of your tummy (abdomen) at the same time as the MRCP.
What is MRCP for choledocholithiasis?
MRCP is a reliable evaluation for the detection of common bile duct (CBD) stones, reducing the misdiagnosis of retained choledocholithiasis with normal biochemical predictors and US examination.
What organs does a HIDA scan show?
A HIDA, or hepatobiliary, scan is a diagnostic test. It’s used to capture images of the liver, gallbladder, bile ducts, and small intestine to help diagnose medical conditions related to those organs. Bile is a substance that helps digest fat.
Is ERCP better than surgery?
Authors’ conclusions. Open bile duct surgery seems superior to ERCP in achieving common bile duct stone clearance based on the evidence available from the early endoscopy era. There is no significant difference in the mortality and morbidity between laparoscopic bile duct clearance and the endoscopic options.
Which is better MRCP or CT scan?
MRCP has an overall accuracy far superior to CT scans in depicting calculi in CBD, as Norero emphasized too . The effectiveness of MRCP is the greatest especially in very small calculi compared to CT. Regarding the number of stones, CT can show that too. We demonstrated one, two or more calculi.
Is ERCP risky?
Is An ERCP Safe? An ERCP is considered a low-risk procedure; however, complications can occur. These can include pancreatitis, infections, bowel perforation, and bleeding.
What are the indications for intraductal invasion of cholangiocarcinoma?
For an intraductal cholangiocarcinoma consider: 1 intraductal invasion by hepatocellular carcinoma (HCC) extraductal mass 2 hepatolithiasis no enhancement higher attenuation 3 biliary cystadenoma or cystadenocarcinoma intratumoral cysts do not communicate with the biliary tree 4 benign stricture
What is the pathophysiology of cholangiocarcinoma?
Pathology. Histologically, cholangiocarcinomas are divided into well, moderately and poorly differentiated adenocarcinomas 2. In specimens of bile ducts from patients with hepatolithiasis, biliary intraepithelial neoplasia (BilIN) is common finding and is considered to be a precursor lesion of cholangiocarcinoma.
What is direct cholangiography?
Direct cholangiography is a blanket term for any imaging obtained with intra-biliary tree contrast and includes: All these modalities not only allow evaluation of the biliary tree but are invaluable in planning treatment as assessing for resectability.
What is cholangiocarcinoma with no hemorrhage?
Cholangiocarcinomas are typically sclerotic masses without hemorrhage or macroscopic necrosis 2 . In general, the active tumor is at the periphery, with the central portions having been replaced by fibrosis, accounting for the capsular retraction that may be seen in intrahepatic tumors.