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MR: What We Need to Know to Start to Interpret Radiological Pictures

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Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS

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Abstract

Magnetic resonance (MR) with cholangiopancreatography imaging has evolved considerably in the last decades. Improving in spatial resolution and speed of acquisition, MR provides comprehensive information to evaluate the full range of biliary and pancreatic diseases in a single session, without using any ionizing radiation. Furthermore, MR cholangiopancreatography (MRCP) has an accepted main role in the study of many biliary and pancreatic disorders, becoming a noninvasive diagnostic alternative to endoscopic retrograde cholangiopancreatography (ERCP).

A knowledge of the different MR imaging sequences and their potential clinical applications and limitations for cholangiopancreatographic evaluation is as essential as a familiarity with the spectrum of possible biliary and pancreatic findings. The main goals are to accurately identify and characterize the disease processes and to provide effective guidance for treatment.

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Authors and Affiliations

  1. Department of Radiology, Università Cattolica del Sacro Cuore, Rome, Italy

    Martina Sbarra, Matteo Napoleone, Alessandro Cina, Carmine Di Stasi, Gennaro Restaino & Riccardo Manfredi

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  1. Martina Sbarra
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  2. Matteo Napoleone
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  3. Alessandro Cina
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  4. Carmine Di Stasi
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  5. Gennaro Restaino
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  6. Riccardo Manfredi
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Corresponding author

Correspondence to Riccardo Manfredi .

Editor information

Editors and Affiliations

  1. Digestive and Interventional Endoscopy Unit, Grande Ospedale Metropolitano Niguarda, Piazza dell’Ospedale Maggiore, Milano, Italy

    Massimiliano Mutignani

  2. Hepatologie und Endokrinologie, Abteilung für Gastroenterologie, Robert-Bosch-Krankenhaus, Auerbachstraße, Stuttgart, Germany

    Jörg G. Albert

  3. Department of Gastroenterology, Azienda USL di Forlì-Cesena, Bologna, Italy

    Carlo Fabbri

1 Electronic Supplementary Material

Secretin-MRCP with physiological compliance of the MPD and normal duodenal filling beyond the genu inferius (MP4 1259 kb)

Secretin-MRCP with anomalous pancreaticobiliary junction due to the presence of common bile channel 15 mm length and reflux of pancreatic fluid in the biliary tree becoming progressively brighter after secretin administration (MP4 1558 kb)

Secretin-MRCP with sphincter of Oddi dysfunction due to a persistent dilatation of the MPD 10 min after secretin administration (MP4 2187 kb)

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Sbarra, M., Napoleone, M., Cina, A., Di Stasi, C., Restaino, G., Manfredi, R. (2020). MR: What We Need to Know to Start to Interpret Radiological Pictures. In: Mutignani, M., Albert, J.G., Fabbri, C. (eds) Endotherapy in Biliopancreatic Diseases: ERCP Meets EUS. Springer, Cham. https://doi.org/10.1007/978-3-030-42569-2_11

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  • DOI: https://doi.org/10.1007/978-3-030-42569-2_11

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  • Online ISBN: 978-3-030-42569-2

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