Abstract:
:Our objective was to quantify water volume using magnetic resonance cholangiopancreatography (MRCP) sequences and apply this to secretin-stimulated studies with the aim of quantifying pancreatic exocrine function. A commercially available single-shot MRCP sequence was used in conjunction with a body phased-array coil and a 1.5-T MR system. Signal intensity was measured in samples of water, pancreatic, duodenal juice, and secretin-stimulated pancreatic juice. A water phantom was made and MR calculated volumes compared with known water volumes within the phantom. Changes in small intestinal volume in response to secretin were measured in a group of 11 patients with no evidence of pancreatic disease. Changes in water volume were plotted over time. The pancreatic duct diameter before and after secretin was noted and filling defects were sought. All patients also underwent an axial breath-hold T1-weighted gradient-echo sequence and the pancreatic parenchyma was evaluated for size and signal intensity. There was no difference in the signal intensity of the different juice samples. There was excellent correlation between known and calculated MRCP volumes (chi(2)=0.99). All patients demonstrated normal duct morphology on MRCP and normal pancreatic parenchyma on T1-weighted imaging. The mean flow rate in the patient population was 8.1+/-2.5 ml/s over a median of 7 min (range 5-9 min). The MRCP sequence can be used to measure water volume. Sequential MRCP measurements following secretin permitted calculation of volume change and flow rate. This should prove useful as an indicator of pancreatic exocrine function.
journal_name
Eur Radioljournal_title
European radiologyauthors
Punwani S,Gillams AR,Lees WRdoi
10.1007/s00330-002-1605-xsubject
Has Abstractpub_date
2003-02-01 00:00:00pages
273-6issue
2eissn
0938-7994issn
1432-1084journal_volume
13pub_type
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07277-8
更新日期:2020-10-02 00:00:00
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journal_title:European radiology
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更新日期:2021-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1997-01-01 00:00:00
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