Volume 43 Issue 10
Oct.  2022
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Haifeng MA, Kuiming JIANG. Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children[J]. Journal of Kunming Medical University, 2022, 43(10): 110-114. doi: 10.12259/j.issn.2095-610X.S20221014
Citation: Haifeng MA, Kuiming JIANG. Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children[J]. Journal of Kunming Medical University, 2022, 43(10): 110-114. doi: 10.12259/j.issn.2095-610X.S20221014

Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children

doi: 10.12259/j.issn.2095-610X.S20221014
  • Received Date: 2022-07-26
    Available Online: 2022-10-08
  • Publish Date: 2022-10-31
  •   Objective  To investigate the preoperative diagnostic value of 3.0T magnetic resonance cholangiopancreatography (MRCP) in the diagnosis of Pancreaticobiliary maljunction (PBM) in children.  Methods  A retrospective analysis of 25 cases of children with PBM (8 males and 17 females; age 1 month 3 days to 14 years old) of 25 children with PBM confirmed by the Guangdong Worman and Children Hospital were conducted. We reconstructed the image data and compared it with the intraoperative findings and intraoperative cholangiography. Two radiologists at or above the deputy chief physician analyzed the images, and then discussed the results of the imaging diagnosis.  Results  Among the 25 children diagnosed with PBM, conventional MR and MRCP accurately showed 18 of them (the coincidence rate was 72%), and intraoperative cholangiography accurately showed 22 cases (the coincidence rate was 88%). There was no statistically significant difference in coincidence rate (P > 0.05). Among them, 16 cases of MRCP showed consistent with intraoperative cholangiography, which can clearly show PBM, pancreatic duct, intrahepatic bile duct, and common bile duct, which can clarify the abnormal classification of PBM. Among the 25 children with PBM, 16 cases were type Ⅰ, 5 cases were type Ⅱ, 3 cases were type Ⅲ, and 1 case was type Ⅳ.   Conclusion  3.0T MR is an effective method for non-invasive diagnosis of PBM in children. It complements intraoperative cholangiography to achieve the purpose of preoperative diagnosis rate.
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