Assessment of variations in intrahepatic bile duct by magnetic resonance cholangiopancreatography
Keywords:
cystic duct, common bile duct, magnetic resonance cholangiopancreatography, intra hepatic bile duc, variationsAbstract
For any biliary system or liver surgery, it is crucial to have a thorough understanding of the normal branching pattern of the intrahepatic bile duct and its deviations in order to prevent serious post-surgical problems and morbidity. Aim: This study's goal was to assess the variations in intrahepatic bile ducts appeared during Magnetic Resonance Cholangiopancreatography (MRCP) examinations. Place and Duration: In the Radiology department of Mian Gul Abdul Haq Jehanzeb Kidney Hospital Swat from January 2022 to June 2022. Methods: This cross-sectional, quantitative study was conducted among people who had been referred for MRCP examinations for a number of clinical reasons. A total of 70 patients done with MRCP examinations were selected by convenience sampling technique being used. The data of 1.5T Magnetom Amira Siemens MRI scanner was used for anlaysis. Using visual analysis, the 3D MRCP images were categorized into 7 Types using the Choi et al classification. Results: Among the 36(51.4%) patients in this analysis had Type 1/normal IHBD, 13(18.6%) had Type 2 IHBD, Type 3A was seen in 2(2.8%), and Type 3B was noticed in 5.7% of subjects.
Downloads
References
Swain B, Sahoo RK, Sen KK, Kumar M, Parihar SS, Dubey R. Evaluation of intrahepatic and extrahepatic biliary tree anatomy and its variation by magnetic resonance cholangiopancreatography in Odisha population: a retrospective study. Anatomy & Cell Biology. 2020 Mar;53(1):8.
Grigoriadis A, Morsbach F, Voulgarakis N, Said K, Bergquist A, Kartalis N. Inter-reader agreement of interpretation of radiological course of bile duct changes between serial follow-up magnetic resonance imaging/3D magnetic resonance cholangiopancreatography of patients with primary sclerosing cholangitis. Scandinavian Journal of Gastroenterology. 2020 Feb 1;55(2):228-35.
Paudel S, Joshi BR, Chand RB. Evaluation of intrahepatic bile duct variations in magnetic resonance cholangiopancreatography. Nepalese Journal of Radiology. 2020 Dec 1;10(1):27-33.
Pavlović T, Trtica S, Perić RT. Bile duct diameter changes after laparoscopic cholecystectomy: a magnetic resonance cholangiopancreatography prospective study. Croatian Medical Journal. 2020 Jun;61(3):239.
D’Angelo T, Racchiusa S, Mazziotti S, Cicero G. Magnetic resonance (MR) cholangiopancreatography demonstration of the cystic duct entering the right hepatic duct. The American Journal of Case Reports. 2017;18:242.
Naeem MQ, Ahmed MS, Hamid K, Shazlee MK, Qureshi F, Ullah MA. Prevalence of different hepatobiliary tree variants on magnetic resonance cholangiopancreatography in patients visiting a tertiary care teaching hospital in Karachi. Cureus. 2020 Dec 27;12(12).
Yoen H, Lee JM, Lee SM, Kang HJ, Bae JS, Kim E, Peeters JM, Yoon JH. Comparisons between image quality and diagnostic performance of 2D-and breath-hold 3D magnetic resonance cholangiopancreatography at 3T. European Radiology. 2021 Nov;31:8399-407.
Tamir S, Braun M, Issachar A, Bachar GN, Benjaminov O. Yield of magnetic resonance cholangiopancreatography for the investigation of bile duct dilatation in asymptomatic patients. United European Gastroenterology Journal. 2017 Apr;5(3):408-14.
Kang HJ, Lee JM, Ahn SJ, Bae JS, Kannengiesser S, Kiefer B, Suh KS. Clinical feasibility of gadoxetic acid–enhanced isotropic high-resolution 3-dimensional magnetic resonance cholangiography using an iterative denoising algorithm for evaluation of the biliary anatomy of living liver donors. Investigative Radiology. 2019 Feb 1;54(2):103-9.
Al-Muhanna AF, Lutfi AM, Al-Abdulwahhab AH, Al-Sharydah AM, Al-Quorain A, Al-Muhanna AF, Al-Dhaferi BF. Magnetic resonance and retrograde endoscopic cholangiopancreatography-based identification of biliary tree variants: are there type-related variabilities among the Saudi population?. Surgical and Radiologic Anatomy. 2019 Aug 7;41:869-77.
Itani M, Lalwani N, Anderson MA, Arif-Tiwari H, Paspulati RM, Shetty AS. Magnetic resonance cholangiopancreatography: pitfalls in interpretation. Abdominal Radiology. 2021 Oct 28:1-5.
He M, Xu J, Sun Z, Wang S, Zhu L, Wang X, Wang J, Feng F, Xue H, Jin Z. Comparison and evaluation of the efficacy of compressed SENSE (CS) and gradient‐and spin‐echo (GRASE) in breath‐hold (BH) magnetic resonance cholangiopancreatography (MRCP). Journal of Magnetic Resonance Imaging. 2020 Mar;51(3):824-32.
Tenca A, Mustonen H, Lind K, Lantto E, Kolho KL, Boyd S, Arola J, Jokelainen K, Färkkilä M. The role of magnetic resonance imaging and endoscopic retrograde cholangiography in the evaluation of disease activity and severity in primary sclerosing cholangitis. Liver International. 2018 Dec;38(12):2329-39.
Cawich SO, Sinanan A, Deshpande RR, Gardner MT, Pearce NW, Naraynsingh V. Anatomic variations of the intra-hepatic biliary tree in the Caribbean: A systematic review. World Journal of Gastrointestinal Endoscopy. 2021 Jun 6;13(6):170.
Kozaka K, Sheedy SP, Eaton JE, Venkatesh SK, Heiken JP. Magnetic resonance imaging features of small-duct primary sclerosing cholangitis. Abdominal Radiology. 2020 Aug;45:2388-99.
Pesce A, La Greca G, Esposto Ultimo L, Basile A, Puleo S, Palmucci S. Effectiveness of near-infrared fluorescent cholangiography in the identification of cystic duct-common hepatic duct anatomy in comparison to magnetic resonance cholangio-pancreatography: a preliminary study. Surgical Endoscopy. 2020 Jun;34:2715-21.
Zhu L, Wu X, Sun Z, Jin Z, Weiland E, Raithel E, Qian T, Xue H. Compressed-sensing accelerated 3-dimensional magnetic resonance cholangiopancreatography: application in suspected pancreatic diseases. Investigative radiology. 2018 Mar 1;53(3):150-7.
Zenouzi R, Liwinski T, Yamamura J, Weiler‐Normann C, Sebode M, Keller S, Lohse AW, Schramm C, International PSC Study Group (IPSCSG), Aabakken L, Arrivé L. Follow‐up magnetic resonance imaging/3D‐magnetic resonance cholangiopancreatography in patients with primary sclerosing cholangitis: challenging for experts to interpret. Alimentary pharmacology & therapeutics. 2018 Jul;48(2):169-78.
Shizuku M, Kurata N, Jobara K, Yoshizawa A, Ogura Y. A novel anatomic variation of the intrahepatic biliary tree in live liver donor surgery: A case report. International Journal of Surgery Case Reports. 2021 Feb 1;79:231-3.
Ahmad J, Rossi S, Rodgers SK, Ghabril M, Fontana RJ, Stolz A, Hayashi PH, Barnhart H, Kleiner DE, Bjornsson ES. Sclerosing cholangitis like changes on magnetic resonance cholangiography in patients with drug induced liver injury. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association. 2019 Mar;17(4):789.
Nagata S, Goshima S, Noda Y, Kawai N, Kajita K, Kawada H, Tanahashi Y, Matsuo M. Magnetic resonance cholangiopancreatography using optimized integrated combination with parallel imaging and compressed sensing technique. Abdominal Radiology. 2019 May 15;44:1766-72.
Adibelli ZH, Adatepe M, Isayeva L, Esen OS, Yildirim M. Pancreas divisum: A risk factor for pancreaticobiliary tumors–an analysis of 1628 MR cholangiography examinations. Diagnostic and interventional imaging. 2017 Feb 1;98(2):141-7.
Chen Z, Sun B, Xue Y, Duan Q, Zheng E, He Y, Li G, Zhang Z. Comparing compressed sensing breath-hold 3D MR cholangiopancreatography with two parallel imaging MRCP strategies in main pancreatic duct and common bile duct. European Journal of Radiology. 2021 Sep 1;142:109833.
Lee SL, Kim HK, Choi HH, Jeon BS, Kim TH, Choi JM, Ku YM, Kim SW, Kim SS, Chae HS. Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis. Pancreatology. 2018 Jan 1;18(1):22-8.
Gamal GH. Minimizing the postoperative biliary complications in living donor liver transplantation, by utility of preoperative non-enhanced magnetic resonance cholangiopancreatography. The Egyptian Journal of Radiology and Nuclear Medicine. 2017 Jun 1;48(2):339-45.
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.