ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Incidental Extrabiliary System Lesions Detected By An Open Magnetic Resonance Imaging System During Magnetic Resonance Cholangiopancreaticography Examinations
Şebnem ÖRGÜÇ, MD,a Gökhan PEKİNDİL, MD,a Gülgün YILMAZ OVALI, MD,a
Selim SERTER, MD,a Murat ÜNLÜ, MDa
aaDepartment of Radiology, Celal Bayar University Medical Faculty, MANİSA
Objective: The purpose of this article is to determine the spectrum and the incidence of incidental extrabiliary lesions detected during magnetic resonance cholangiopancreaticography (MRCP) performed with an open magnetic resonance imaging (MRI) system.
Material and Methods: Incidental lesions were retrospectively evaluated in 242 patients who were referred to our department for MRCP examination with suspected pathologies of gallbladder and bile ducts.
Results: A total of 124 incidental lesions in 89 patients were detected. The incidence of incidental extrabiliary system lesions was 36.8% (89/242). Seventeen hepatic cysts, 5 hepatic hemangiomas, 3 hepatic metastasis, 4 chirrotic livers, 1 subcapsular hematoma of the liver, 3 hepatomegalies, 3 splenomegalies, 8 vertebral hemangiomas, 3 vertebral metastases, 1 discitis, 1 pseudomeningocele, 27 renal cysts, 2 renal atrophies, 2 hydronephrosis, 1 horseshoe kidney, 13 intraabdominal free fluid, 2 pleural effusions, 9 acute and 1 chronic pancreatitis, 2 pancreatic pseudocysts, 1 carcinoma of pancreatic corpus, 2 surrenal adenomas, 6 intraabdominal lymphaderomegalies (LAMs) 2 gastric carcinomas, 4 hydatic cysts (3 hepatic, 1 at the lung base) were determined.
Conclusion: Many incidental pathologies of the adjacent organs are detected during MRCP examinations of the gallbladder and bile ducts. Lesion detection and characterization is improved when MIP images are evaluated together with TSE axial slices and source images. Since clinically significant extrabiliary lesion detection may improve the management of several cases, the radiologist must also focus on the incidental findings during the interpretation of MRCP examinations.Keywords: Cholangiopancreatography, magnetic resonance,magnetic resonance imagingTurkiye Klinikleri J Med Sci 2006, 26:385-389
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