Magnetic resonance imaging and other medical imaging techniques in the diagnosis of gallstones
https://doi.org/10.31146/1682-8658-ecg-196-12-28-34
Abstract
Biliary diseases are one of the most common pathologies of the digestive system in the world. However, assessing the prevalence of biliary diseases is difficult, due to the asymptomatic course of the disease in some cases. Biliary diseases are a diagnostic problem, especially if a complicated course of the disease is suspected, and when the etiology cannot be established after laboratory examination and ultrasound imaging. Magnetic resonance imaging (MRI) is a highly specific non-invasive method for examining the gallbladder and imaging the bile ducts to identify gallstones, biliary strictures, tumors, and detect the level of obstruction. Magnetic resonance cholangiography/cholangiopancreatography (MRCP) is currently considered to be the most accurate non-invasive procedure for detecting bile duct stones, with high sensitivity, which allows to obtain a detailed image of the biliary tract. MRI is an established imaging technique for the biliary tract, has better contrast resolution, and is an excellent diagnostic tool. The choice of method to start the diagnosis with depends on many factors and requires careful interaction between the gastroenterologist and the radiologist to optimize the imaging technique.
About the Authors
E. B. Avalueva
North-Western State Medical University named after I. I. Mechnikov; Consultative and Diagnostic Center with a Polyclinic of the Administrative Department of the President of the Russian Federation
Russian Federation
Russian Federation
Avalueva Elena Borisovna, doctor of Medical Sciences, Professor of the Department of Internal Medicine Propedeutics, Gastroenterology and Dietetics n. a. S. M. Ryss
Saint-Petersburg, 191015, Kirochnay street, 41
St. Petersburg, 197110, Morskoy Avenue, 5
A. K. Karpenko
Consultative and Diagnostic Center with a Polyclinic of the Administrative Department of the President of the Russian Federation
Russian Federation
Russian Federation
Karpenko Alla Krasovna MD, PhD, Honored Doctor, Associate Professor of Department of Radio Diagnostics and Radio Therapy; of the Research and Сlinical and Еducational Сenter “Radial diagnostics and nuclear medicine” of Institute of High Medical Technologies; Head of Diagnostic department
St. Petersburg, 197110, Morskoy Avenue, 5
M. Y. Serkova
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
Serkova Margarita Yurievna, candidate of medical sciences, assistant of the Department of Internal Medicine Propedeutics, Gastroenterology and Dietetics n. a. S. M. Ryss
Saint-Petersburg, 191015, Kirochnay street, 41
I. V. Sazhina
Consultative and Diagnostic Center with a Polyclinic of the Administrative Department of the President of the Russian Federation
Russian Federation
Russian Federation
Sazhina Irina Vladimirovna candidate of medical sciences, radiologist
St. Petersburg, 197110, Morskoy Avenue, 5
I. G. Bakulin
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
Bakulin Igor Gennadievich, doctor of Medical Sciences, Professor of the Department of Internal Medicine Propedeutics, Gastroenterology and Dietetics n. a. S. M. Ryss
Saint-Petersburg, 191015, Kirochnay street, 41
S. I. Sitkin
North-Western State Medical University named after I. I. Mechnikov; Almazov National Medical Research Centre
Russian Federation
Russian Federation
Sitkin Stanislav Igorevich, Doctor of Medicine, Associate Professor of the Department of Internal Medicine Propedeutics, Gastroenterology and Dietetics n. a. S. M. Ryss; Head of the Epigenetics & Metagenomics Research Group of the Institute of Perinatology and Pediatrics
Saint-Petersburg, 191015, Kirochnay street, 41
St. Petersburg, St. Akkuratova, 2
References
1. Sonavane S.K., Menias C. O. Imaging biliary strictures – a pictorial review. Curr Probl Diagn Radiol. Jan-Feb 2014;43(1):14–34. doi:10.1067/j.cpradiol.2013.10.002.
2. Tazuma S. Gallstone disease: Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 2006;20(6):1075–83. doi:10.1016/j.bpg.2006.05.009. PMID:17127189.
3. Yeh B.M., Liu P. S., Soto J. A., Corvera C. A., et al. MR imaging and CT of the biliary tract. Radiographics. 2009 Oct;29(6):1669–88. doi:10.1148/rg.296095514.
4. Dumonceau J.M., Delhaye M., Charette N., Farina A. Challenging biliary strictures: pathophysiological features, differential diagnosis, diagnostic algorithms, and new clinically relevant biomarkers – part 1. Therap Adv Gastroenterol. 2020;13:1756284820927292. Published 2020 Jun 16. doi:10.1177/1756284820927292.
5. Caraiani C., Yi D., Petresc B., Dietrich C. Indications for abdominal imaging: When and what to choose?. J Ultrason. 2020;20(80): e43-e54. doi:10.15557/JoU.2020.0008.
6. ACR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF COMPUTED TOMOGRAPHY (CT) OF THE ABDOMEN AND COMPUTED TOMOGRAPHY (CT) OF THE PELVIS. Available at: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/ct-abd-pel.pdf Access: 05.05.2020
7. Schindera S. T., Miller C. M., Ho L. M., DeLong D.M., Merkle E. M. Magnetic resonance (MR) cholangiography: quantitative and qualitative comparison of 3.0 tesla with 1.5 tesla. Investig Radiol. 2007;42(6):399–405. doi:10.1097/01.rli.0000261940.98762.20. PMID:17507811.
8. ACR–SAR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MAGNETIC RESONANCE IMAGING (MRI) OF THE LIVER. Available at: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/mr-liver.pdf Access: 05.05.2020
9. Elbanna K. Y., Kielar A. Z. Computed Tomography Versus Magnetic Resonance Imaging for Hepatic Lesion Characterization/Diagnosis. Clin Liver Dis (Hoboken). 2021;17(3):159–164. Published 2021 Apr 13. doi:10.1002/cld.1089.
10. Kim C. W., Chang J. H., Lim Y. S., Kim T. H., Lee I. S., Han S. W. Common bile duct stones on multidetector computed tomography: attenuation patterns and detectability. World J Gastroenterol. 2013;19(11):1788–1796. doi:10.3748/wjg.v19.i11.1788.
11. Costi R., Gnocchi A., Di Mario F., Sarli L. Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World J Gastroenterol. 2014; 20(37):13382–13401. doi:10.3748/wjg.v20.i37.13382. PMID:25309071.
12. Soto J. A., Barish M. A., Yucel E. K., Siegenberg D., Ferrucci J. T., Chuttani R. Magnetic resonance cholangiography: comparison with endoscopic retrograde cholangiopancreatography. Gastroenterology. 1996 Feb;110(2):589–97. doi:10.1053/gast.1996.v110.pm8566608. PMID:8566608.
13. Verma D., Kapadia A., Eisen G. M., Adler D. G. EUS vs MRCP for detection of choledocholithiasis. Gastrointest Endosc. 2006 Aug;64(2):248–54. doi:10.1016/j.gie.2005.12.038. PMID:16860077.
14. Romagnuolo J., Bardou M., Rahme E., Joseph L., Reinhold C., Barkun A. N. Magnetic resonance cholangiopancreatography: a meta-analysis of test performance in suspected biliary disease. Ann Intern Med. 2003 Oct 7;139(7):547–57. doi:10.7326/0003–4819–139–7–200310070–00006. PMID:14530225.
Review
For citations:
Avalueva E.B., Karpenko A.K., Serkova M.Y., Sazhina I.V., Bakulin I.G., Sitkin S.I. Magnetic resonance imaging and other medical imaging techniques in the diagnosis of gallstones. Experimental and Clinical Gastroenterology. 2021;(12):28-34. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-196-12-28-34
Views:
486
Email this article 