Assessment of Imaging Quality and Application Value of Magnetic Resonance Cholangiopancreatic in Acute Biliary Pancreatitis
Abstract
pancreatitis (ABP) and identify influencing factors, as well as to analyse gallstone characteristics. Methods: Patients with ABP who underwent routine MRCP examinations at Guang'an People's Hospital were enrolled according to predefined inclusion criteria. MRCP images were
assessed for overall quality, visibility of the pancreaticobiliary ducts, and stone detectability. Image quality was compared between groups
based on the presence or absence of respiratory artefacts, diffuse ascites or peripancreatic fluid collection. Gallstone characteristics, including
common bile duct dilatation, gallbladder enlargement, multiple gallstones, and sludge-like stones, were evaluated. Additional groupings were
made based on pancreatic necrosis and severity, and gallstone features were compared across these groups. The ?2 test or Fisher's exact test
was used, with P < 0.05 considered statistically significant. Results: Image quality differed significantly between groups with respiratory artefacts and those with diffuse ascites or peripancreatic fluid collection. No statistically significant differences in gallstone characteristics were
found between groups with or without pancreatic necrosis or between severe and non-severe ABP. Conclusion: MRCP is a useful tool for
analysing the characteristics of gallstone-induced pancreatitis; however, respiratory artefacts and diffuse ascites or peripancreatic fluid collections may compromise image quality.
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[1] Szatmary P, Grammatikopoulos T, Cai W, et al. Acute Pancreatitis: Diagnosis and Treatment. Drugs, 2022, 82(12): 1251-1276.
[2] Fugazzola P, Podda M, Tian BW, et al. Clinical update on acute cholecystitis and biliary pancreatitis: between certainties and grey areas.
EClinicalMedicine, 2024, 77: 102880.
[3] Wan J, Ouyang Y, Yu C, et al. Comparison of EUS with MRCP in idiopathic acute pancreatitis: a systematic review and meta-analysis.
Gastrointest Endosc, 2018, 87(5): 1180-1188.e1189.
[4] Vidal BPC, Lahan-Martins D, Penachim TJ, et al. MR Cholangiopancreatography: What Every Radiology Resident Must Know. Radiographics, 2020, 40(5): 1263-1264.
[5] Colvin SD, Smith EN, Morgan DE, et al. Acute pancreatitis: an update on the revised Atlanta classification. Abdom Radiol (NY), 2020,
45(5): 1222-1231.
[6] Shiraishi K, Nakaura T, Yoshida N, et al. Deep Learning Reconstruction for Enhanced Resolution and Image Quality in Breath-Hold
MRCP: A Preliminary Study. J Comput Assist Tomogr, 2025, 49(3): 367-376.
[7] Itani M, Lalwani N, Anderson MA, et al. Magnetic resonance cholangiopancreatography: pitfalls in interpretation. Abdom Radiol (NY),
2023, 48(1): 91-105.
[8] Wang K, Li X, Liu J, et al. Predicting the image quality of respiratory-gated and breath-hold 3D MRCP from the breathing curve: a prospective study. Eur Radiol, 2023, 33(6): 4333-4343.
[9] Irie H, Honda H, Kuroiwa T, et al. Pitfalls in MR cholangiopancreatographic interpretation. Radiographics, 2001, 21(1): 23-37.
[10] Watanabe Y, Dohke M, Ishimori T, et al. High-resolution MR cholangiopancreatography. Crit Rev Diagn Imaging, 1998, 39(2-3): 115-
258.
[11] Ma Y, Yue P, Zhang J, et al. Early prediction of acute gallstone pancreatitis severity: a novel machine learning model based on CT features and open access online prediction platform. Ann Med, 2024, 56(1): 2357354.
[12] Isogai M. Pathophysiology of severe gallstone pancreatitis: A new paradigm. World J Gastroenterol, 2024, 30(7): 614-623.
[13] ?orniak M, Sirtl S, Beyer G, et al. Consensus definition of sludge and microlithiasis as a possible cause of pancreatitis. Gut, 2023,
72(10): 1919-1926.
DOI: http://dx.doi.org/10.70711/pmr.v3i3.8641
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