Biliary tract depiction in living potential liver donors at 3.0-T magnetic resonance cholangiography.

Abstract:

OBJECTIVES:To prospectively evaluate accuracy of biliary anatomy depiction and quality of biliary tract visualization of magnetic resonance cholangiography (MRC) at 3.0 T in living potential liver donors (LPLDs). MATERIALS AND METHODS:Our institutional review board approved this study and did not require patient's informed consent. Thirty-three LPLDs underwent MRC at 3.0-T magnetic resonance and intraoperative cholangiography as the reference standard. MRC protocol included breath-hold rapid acquisition with relaxation enhancement (RARE) and respiratory-triggered 3-dimensional turbo spin-echo (TSE) T2-weighted sequence. Two readers independently analyzed 2 MRC image sets with a 2-week interval for delineating biliary anatomy and scoring degree of visualization of biliary branches with a 4-point scale, and recorded the number of visible third-order branches. One month later, both readers independently evaluated combined both MRC image set to assess biliary anatomy. RESULTS:Biliary anatomy was correctly depicted by RARE sequence in 28 (84.8%) and 26 LPLDs (78.8%), by TSE sequence in 27 (81.8%) and 26 (78.8%), and by combined both sequences in 27 (81.8%) and 28 (84.8%), for readers 1 and 2, respectively. The mean second-order branch visualization scores for 2 readers were significantly higher for RARE images than for TSE (2.23 vs. 1.68, P = 0.02; 2.05 vs. 1.54, P = 0.02, respectively). The mean numbers of visible third-order branches were significantly higher for RARE images than TSE for both readers (4.36 vs. 3.04, P = 0.03; 4.72 vs. 3.32, P = 0.03, respectively). CONCLUSIONS:In LPLDs, MRC at 3.0 T with both RARE and TSE sequences enables accurate depiction of biliary anatomy. RARE sequence more clearly visualizes second- and third-order biliary branches than TSE sequence.

journal_name

Invest Radiol

journal_title

Investigative radiology

authors

Kim SY,Byun JH,Hong HS,Choi EK,Lee SS,Park SH,Lee MG

doi

10.1097/RLI.0b013e31817e9b52

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

594-602

issue

8

eissn

0020-9996

issn

1536-0210

pii

00004424-200808000-00008

journal_volume

43

pub_type

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