[Differential diagnoses of biliary tract diseases : Computed tomography and magnetic resonance imaging].

[Differential diagnoses of biliary tract diseases : Computed tomography and magnetic resonance imaging].
Radiologe. 2019 Feb 28;:
Authors: Lampichler K, Scharitzer M
Abstract
CLINICAL/METHODICAL ISSUE: Bile duct diseases can be found in all age groups and show an increased prevalence in northern Europe. Pathologies range from benign diseases to malignant tumors with very poor survival.
STANDARD RADIOLOGICAL METHODS: Magnetic resonance imaging (MRI) and computed tomography (CT) are the radiological methods of choice for a detailed evaluation of the bile duct system in addition to sonography. By assessing the lumen and the wall of the bile ducts as well as the surrounding structures, both obstructive and nonobstructive pathologies can be diagnosed and differentiated with high sensitivity and specificity.
METHODICAL INNOVATIONS: Technical developments with postprocessing modalities as well as the use of biliary-excreted liver-specific MR contrast agents improve the diagnosis of bile duct diseases and enable morphological and functional assessment.
PERFORMANCE: Due to high patient tolerance, minimal procedural risk in contrast to invasive endoscopic methods and the possibility of three-dimensional post-processing, beside CT, MRI with magnetic resonance cholangiography (MRC) represents the method of choice in patients with sonographically or clinically suspected bile duct disease and has significantly reduced the ...

Source: Der Radiologe - February 27, 2019 Category: Radiology Authors: Lampichler K, Scharitzer M Tags: Radiologe Source Type: research