Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment
The aim of the study was to assess how realiable is differential diagnosis and prognosis for endoscopic treatment with MR signal characteristics as the qualitative parameter and magnetic resonance cholangiopancreatography (MRCP) images in cases of bile duct obstructions caused by solid masses. Mate...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/729279 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553930644520960 |
|---|---|
| author | Tomasz Gorycki Michał Studniarek |
| author_facet | Tomasz Gorycki Michał Studniarek |
| author_sort | Tomasz Gorycki |
| collection | DOAJ |
| description | The aim of the study was to assess how realiable is differential diagnosis and prognosis for endoscopic treatment with MR signal characteristics as the qualitative parameter and magnetic resonance cholangiopancreatography (MRCP) images in cases of bile duct obstructions caused by solid masses. Material and Methods. Retrospective study of MR and MRCP images in 80 patients (mean age 58 ys) was conducted. Mean signal intensity ratio (SIR) from planar MR images and MRCP linear measurements were compared between benign and malignant lesions and in groups including the size and number of stents placed during ERCP (< 10 F <) in 51 cases in which ERCP was performed. Results. Significantly higher SIR values were encountered in malignant lesions in T2W images () and STIR T2W images (). Malignant lesions were characterised by longer strictures () and greater proximal biliary duct dilatation (). High significance for predicting ERCP conditions was found with mean SIR in STIR T2W images and stricture length. Conclusion. Probability of malignancy of solid lesions obstructing biliary duct increased with higher SIR in T2W images and with longer strictures. Passing the stricture during ERCP treatment was easier and more probable in cases of shorter strictures caused by lesions with higher SIR in STIR T2W images. |
| format | Article |
| id | doaj-art-258bcc2e7f2044ec9fd6cc059618a7be |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-258bcc2e7f2044ec9fd6cc059618a7be2025-02-03T05:52:45ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/729279729279Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic TreatmentTomasz Gorycki0Michał Studniarek1Department of Radiology, Medical University of Gdańsk, 7 Dębinki Street, 80-950 Gdańsk, PolandDepartment of Radiology, Medical University of Gdańsk, 7 Dębinki Street, 80-950 Gdańsk, PolandThe aim of the study was to assess how realiable is differential diagnosis and prognosis for endoscopic treatment with MR signal characteristics as the qualitative parameter and magnetic resonance cholangiopancreatography (MRCP) images in cases of bile duct obstructions caused by solid masses. Material and Methods. Retrospective study of MR and MRCP images in 80 patients (mean age 58 ys) was conducted. Mean signal intensity ratio (SIR) from planar MR images and MRCP linear measurements were compared between benign and malignant lesions and in groups including the size and number of stents placed during ERCP (< 10 F <) in 51 cases in which ERCP was performed. Results. Significantly higher SIR values were encountered in malignant lesions in T2W images () and STIR T2W images (). Malignant lesions were characterised by longer strictures () and greater proximal biliary duct dilatation (). High significance for predicting ERCP conditions was found with mean SIR in STIR T2W images and stricture length. Conclusion. Probability of malignancy of solid lesions obstructing biliary duct increased with higher SIR in T2W images and with longer strictures. Passing the stricture during ERCP treatment was easier and more probable in cases of shorter strictures caused by lesions with higher SIR in STIR T2W images.http://dx.doi.org/10.1155/2013/729279 |
| spellingShingle | Tomasz Gorycki Michał Studniarek Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment Gastroenterology Research and Practice |
| title | Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment |
| title_full | Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment |
| title_fullStr | Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment |
| title_full_unstemmed | Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment |
| title_short | Bile Duct Strictures Caused by Solid Masses: MR in Differential Diagnosis and as a Prognostic Tool to Plan the Endoscopic Treatment |
| title_sort | bile duct strictures caused by solid masses mr in differential diagnosis and as a prognostic tool to plan the endoscopic treatment |
| url | http://dx.doi.org/10.1155/2013/729279 |
| work_keys_str_mv | AT tomaszgorycki bileductstricturescausedbysolidmassesmrindifferentialdiagnosisandasaprognostictooltoplantheendoscopictreatment AT michałstudniarek bileductstricturescausedbysolidmassesmrindifferentialdiagnosisandasaprognostictooltoplantheendoscopictreatment |