MR cholangiography in the examination of patients with biliary-enteric anastomoses

Paolo Pavone, Andrea Laghi, Carlo Catalano, Laura Broglia, Valeria Panebianco, Antonella Messina, Filippo Maria Salvatori, Roberto Passariello

Research output: Contribution to journalArticlepeer-review


OBJECTIVE. The aim of our study was to determine the role of MR cholangiography in the noninvasive examination of patients with biliary- enteric anastomoses. SUBJECTS AND METHODS. Twenty-four patients (nine men and 15 women; mean age, 68.9 years old) with biliary-enteric anastomoses underwent MR cholangiography. We used a fat-suppressed three-dimensional turbo spin-echo sequence (3000/700 [TR/TE]; echo train length, 128) with no breath-hold, optimized with a 0.5-T magnet. Imaging studies were performed because of scheduled follow-up (five patients), persistent jaundice (six patients), cholangitis and abnormal liver function (eight patients), and a combination of transient jaundice, epigastric pain, and abnormal liver function (five patients). RESULTS. Image quality was graded from optimal to good in 21 (88%) of 24 cases and poor in three (13%) of 24 cases. The degree of bile duct dilatation was correctly assessed, with complete agreement between the two observers in all cases. MR cholangiography correctly showed bile duct irregularities in six of the eight patients with cholangitis (κ = .59), anastomotic strictures in all 19 patients with strictures (κ = .86), and 3- to 15-mm stones in nine of 10 patients (κ = .95). A slight overestimation of the strictures occurred in four of the 19 cases with strictures. CONCLUSION. MR cholangiography is a reliable imaging technique for the examination of patients with biliary-enteric anastomoses.

Original languageEnglish
Pages (from-to)807-811
Number of pages5
JournalAmerican Journal of Roentgenology
Issue number3
Publication statusPublished - Sep 1997

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology


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