Yıl: 2016 Cilt: 22 Sayı: 6 Sayfa Aralığı: 489 - 494 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification

Öz:
PURPOSE Preoperative detection of intrahepatic bile duct (IHBD) variations is essential to reduce surgical mor-bidity and mortality rates. Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive and reliable method for demonstrating the normal IHBD anatomy and its variations. This retrospec-tive study aimed to identify and classify novel variations, except those already reported in the liter-ature, using MRCP.METHODSMRCP examinations, which were conducted in two different centers in the last five years, were ret-rospectively evaluated. IHBD variations were recorded with respect to the Yoshida classification. In addition, newly detected variations that were not included in this classification were identified and classified.RESULTSMRCP examinations of 2624 patients were screened, and 2143 were determined to be eligible for evaluation. Of 2143 patients, 987 were males (average age, 54±18 years) and 1156 were females (mean age, 57±17 years). In this study, 10 novel variations that were not included in the Yoshida classification were identified in 14 patients.CONCLUSIONMRCP is an effective, reliable, and noninvasive imaging method for evaluating the IHBD anatomy and its variations. Novel variations described in this study may help to better understand the biliary anatom
Anahtar Kelime:

Konular: Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Lyu S-Y, Pan K-T, Chu S-Y, et al. Common and rare variants of the biliary tree: magnetic res- onance cholangiographic findings and clinical implications. J Radiol 2012; 37:59-67.
  • Hyodo T, Kumano S, Kushihata F, et al. CT and MR cholangiography: advantages and pitfalls in perioperative evaluation of biliary tree. Br J Radiol 2012; 85:887-896. [CrossRef]
  • Lindsell DR. The diagnostic accuracy of mag- netic resonance cholangiopancreatography (MRCP) and ultrasound compared with direct cholangiography in the detection of choledo- cholithiasis. Clin Radiol 2000; 55:579. [CrossRef]
  • Angulo P, Pearce DH, Johnson CD, et al. Mag- netic resonance cholangiography in patients with biliary disease: its role in primary scleros- ing cholangitis. J Hepatol 2000; 33:520-527. [CrossRef]
  • Sirinek KR, Schwesinger WH. Has intraoperative cholangiography during laparoscopic chole- cystectomy become obsolete in the era of pre- operative endoscopic retrograde and magnet- ic resonance cholangiopancreatography? J Am Coll Surg 2015; 220:522-528. [CrossRef]
  • Yoshida J, Chijiiwa K, Yamaguchi K, Yokohata K, Tanaka M. Practical classification of the branch- ing types of the biliary tree: an analysis of 1,094 consecutive direct cholangiograms. J Am Coll Surg 1996; 182:37-40.
  • Mortele KJ, Rocha TC, Streeter JL, Taylor AJ. Multimodality imaging of pancreatic and bili- ary congenital anomalies. Radiographics 2006; 26:715-731. [CrossRef]
  • Huang TL, Cheng YF, Chen CL, Chen TY, Lee TY. Variants of the bile ducts: clinical applica- tion in the potential donor of living-related hepatic transplantation. Transplant Proc 1996; 28:1669-1670.
  • Mortele KJ, Ros PR. Anatomic variants of the biliary tree: MR cholangiographic findings and clinical applications. Am J Roentgenol 2001; 177:389-394. [CrossRef]
  • Choi JW, Kim TK, Kim KW, et al. Anatomic vari- ation in intrahepatic bile ducts: an analysis of intraoperative cholangiograms in 300 consec- utive donors for living donor liver transplanta- tion. Korean J Radiol 2003; 4:85-90. [CrossRef]
  • Lee CM, Chen HC, Leung TK, Chen YY. Magnetic resonance cholangiopancreatography of ana- tomic variants of the biliary tree in Taiwanese. J Formos Med Assoc 2004; 103:155-159.
  • Puente SG, Bannura GC. Radiological anatomy of the biliary tract: variations and congenital abnormalities. World J Surg 1983; 7:271-276. [CrossRef]
  • Ohkubo M, Nagino M, Kamiya J, et al. Surgical anatomy of the bile ducts at the hepatic hilum as applied to living donor liver transplantation. Ann Surg 2004; 239:82-86. [CrossRef]
  • Carroll BJ, Birth M, Phillips EH. Common bile duct injuries during laparoscopic cholecystec- tomy that result in litigation. Surg Endosc 1998; 12:310-313. [CrossRef]
  • Keulemans YC, Bergman JJ, de Wit LT, et al. Im- provement in the management of bile duct injuries? J Am Coll Surg 1998; 187:246-254. [CrossRef]
  • Connor S, Garden OJ. Bile duct injury in the era of laparoscopic cholecystectomy. The Br J Surg 2006; 93:158-168. [CrossRef]
  • Mariolis-Sapsakos T, Kalles V, Papatheodorou K, et al. Anatomic variations of the right he- patic duct: results and surgical implications from a cadaveric study. Anat Res Int 2012; 2012:838179.
  • Nakamura T, Tanaka K, Kiuchi T, et al. Anatom- ical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases. Transplantation 2002; 73:1896- 1903. [CrossRef]
  • Varotti G, Gondolesi GE, Goldman J, et al. An- atomic variations in right liver living donors. J Am Coll Surg 2004; 198:577-582. [CrossRef]
  • Lee VS, Morgan GR, Teperman LW, et al. MR im- aging as the sole preoperative imaging modali- ty for right hepatectomy: a prospective study of living adult-to-adult liver donor candidates. Am J Roentgenol 2001; 176:1475-1482. [CrossRef]
  • Minutoli F, Naso S, Visalli C, et al. A new variant of cholecystohepatic duct: MR cholangiogra- phy demonstration. Surg Radiol Anat 2015; 37:539-541. [CrossRef]
  • Kapoor V, Baron RL, Peterson MS. Bile leaks after surgery. Am J Roentgenol 2004; 182:451- 458. [CrossRef]
  • Hirao K, Miyazaki A, Fujimoto T, Isomoto I, Hayashi K. Evaluation of aberrant bile ducts before laparoscopic cholecystectomy: helical CT cholangiography versus MR cholangiog- raphy. Am J Roentgenol 2000; 175:713-720. [CrossRef]
  • Turner MA, Fulcher AS. The cystic duct: normal anatomy and disease processes. Radiographics 2001; 21:3-22. [CrossRef]
  • Kwon AH, Uetsuji S, Ogura T, Kamiyama Y. Spi- ral computed tomography scanning after in- travenous infusion cholangiography for biliary duct anomalies. Am J Surg 1997; 174:396-401. [CrossRef]
  • Chandio A, Javaid A, Mustafa S, Naqvi S, Aftab F. Biliary Tract Variations and its Correlation with Clinical Presentations. Surgery Curr Res 2014; 4:2161-1076.
  • Dusunceli E, Erden A, Erden I. Anatomic varia- tions of the bile ducts: MRCP findings. Diagn Interv Radiol 2004; 10:296-303.
  • Arrive L, Hodoul M, Arbache A, Slaviko- va-Boucher L, Menu Y, El Mouhadi S. Magnetic resonance cholangiography: Current and fu- ture perspectives. Clin Res Hepatol Gastroen- terol 2015; 39:659-664. [CrossRef]
  • Silva AC, Friese JL, Hara AK, Liu PT. MR chol- angiopancreatography: improved ductal distention with intravenous morphine admin- istration. Radiographics 2004; 24:677-687. [CrossRef]
  • Agarwal S, Nag P, Sikora S, Prasad TL, Kumar S, Gupta RK. Fentanyl-augmented MRCP. Abdom Imaging 2006; 31:582-587. [CrossRef]
  • Lee NJ, Kim KW, Kim TK, et al. Secretin-stimu- lated MRCP. Abdom Imaging 2006; 31:575- 581. [CrossRef]
APA NAYMAN A, ÖZBEK O, Erol S, KARAKUŞ H, KAYA H (2016). Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. , 489 - 494.
Chicago NAYMAN Alaaddin,ÖZBEK Orhan,Erol Seyit,KARAKUŞ Hayrettin,KAYA Hasan Emin Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. (2016): 489 - 494.
MLA NAYMAN Alaaddin,ÖZBEK Orhan,Erol Seyit,KARAKUŞ Hayrettin,KAYA Hasan Emin Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. , 2016, ss.489 - 494.
AMA NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. . 2016; 489 - 494.
Vancouver NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. . 2016; 489 - 494.
IEEE NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H "Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification." , ss.489 - 494, 2016.
ISNAD NAYMAN, Alaaddin vd. "Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification". (2016), 489-494.
APA NAYMAN A, ÖZBEK O, Erol S, KARAKUŞ H, KAYA H (2016). Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. Diagnostic and Interventional Radiology, 22(6), 489 - 494.
Chicago NAYMAN Alaaddin,ÖZBEK Orhan,Erol Seyit,KARAKUŞ Hayrettin,KAYA Hasan Emin Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. Diagnostic and Interventional Radiology 22, no.6 (2016): 489 - 494.
MLA NAYMAN Alaaddin,ÖZBEK Orhan,Erol Seyit,KARAKUŞ Hayrettin,KAYA Hasan Emin Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. Diagnostic and Interventional Radiology, vol.22, no.6, 2016, ss.489 - 494.
AMA NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. Diagnostic and Interventional Radiology. 2016; 22(6): 489 - 494.
Vancouver NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification. Diagnostic and Interventional Radiology. 2016; 22(6): 489 - 494.
IEEE NAYMAN A,ÖZBEK O,Erol S,KARAKUŞ H,KAYA H "Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification." Diagnostic and Interventional Radiology, 22, ss.489 - 494, 2016.
ISNAD NAYMAN, Alaaddin vd. "Magnetic resonance cholangiopancreatography evaluation of intrahepatic bile duct variations with updated classification". Diagnostic and Interventional Radiology 22/6 (2016), 489-494.