Detection and localization of bile duct leaks after cholecystectomy using Gd-EOB-DTPA-enhanced MR cholangiography: retrospective study of 16 patients.

Abstract:

OBJECTIVE:To determine if gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance (MR) cholangiography can detect and localize bile duct leaks in postcholecystectomy patients. MATERIAL AND METHODS:Four blinded independent radiologists performed a retrospective review of 16 consecutive patients who underwent MR cholangiography with intravenous Gd-EOB-DTPA for the evaluation of possible biliary leak. Image quality, ductal opacification, and presence and location of any bile leak were evaluated. An independent observer determined the criterion standard using a consensus of all chart, clinical, and imaging findings. RESULTS:All 6 bile leaks confirmed at endoscopic retrograde cholangiopancreatography were diagnosed by all reviewers (sensitivity, 100%). Of the 10 patients with no leak, only one reader incorrectly diagnosed a bile leak in a single case (specificity, 98%). The accuracy for detection of the site of leak with Gd-EOB-DTPA-enhanced MR cholangiography was 80%. CONCLUSION:Gadolinium-EOB-DTPA-enhanced MR can detect bile leaks with a high sensitivity and specificity.

journal_name

J Comput Assist Tomogr

authors

Ratcliffe GE,Kirkpatrick ID,Anik Sahni V,Greenberg HM,Henderson B,Radulovic D,Mottola JC

doi

10.1097/RCT.0000000000000083

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

518-25

issue

4

eissn

0363-8715

issn

1532-3145

journal_volume

38

pub_type

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