J Korean Radiol Soc.  2008 Jul;59(1):29-35. 10.3348/jkrs.2008.59.1.29.

The Utility of Three-Dimensional of the T1-Weighted MR Cholangiography with Gd-EOB-DTPA for the Evaluation of a Common Bile Duct Obstruction

• Cho JH
• Kwon HJ
• Yoon SK
• Lee JH
• Kang MJ
• Oh JY
• Lee SW
• Noh MH
• Nam KJ

• KMID: 1479061
• DOI: http://doi.org/10.3348/jkrs.2008.59.1.29

Abstract

PURPOSE
To prospectively assess the utility of the three-dimensional T1 weighted magnetic resonance cholangiography (MRC) with Gd-EOB-DTPA (Primovist(R)) in patients suspected of having a mild common bile duct obstruction.
MATERIALS AND METHODS
A total of 30 patients suspected of having a mild common bile duct obstruction were enrolled in this study. A T2 weighted MRC and a three-dimensional T1 weighted MRC with Gd-EOB-DTPA (Primovist(R)) were performed. Within 48 h of the MRC, we performed direct cholangiographies by way of an endoscopic retrograde cholangiography and a surgical cholangiography. Reviews of the data by two experienced radiologists were in consensus.
RESULTS
Within 40-60 min of the injection of contrast fluid, the contrast showed the maximum intensity within a common bile duct in 26 of the 30 patients (87%). However, the contrast was poorly visible for as long as 2 hours after injection in 4 of the 30 patients (13%). The sensitivity, specificity, as well as the positive and negative predictive values of the three-dimensional T1 weighted MR cholangiography were 92%, 40%, 88%, and 50%, respectively.
CONCLUSION
The three-dimensional, T1 weighted MRC with Gd-EOB-DTPA (Primovist(R)) may be a useful ancillary diagnostic modality for evaluating a patient with mild common bile duct obstruction.

Keyword

Bile ducts; Magnetic resonance (MR); Cholangiography

MeSH Terms

Bile Ducts
Cholangiography
Cinnarizine
Common Bile Duct
Gadolinium DTPA
Humans
Magnetic Resonance Spectroscopy
Prospective Studies
Sensitivity and Specificity
Cinnarizine
Gadolinium DTPA