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Comparison of Endoscopic Retrograde Cholangiopancreatography with MR Cholangiopancreatography in Patients with Pancreatitis

¹ Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115.

View larger version (180K): [in a new window]   Figure 1a. Patient 5. Images in a 35-year-old woman with chronic pancreatitis. (a) ERCP image shows subtle dilatation of the terminal ends of the secondary branches (open arrow) and a mild stricture in the pancreatic body (arrow). (b) Corresponding MRCP image demonstrates incomplete visualization (arrows) of the PD (detection). On the basis of this study, it also would be unclear if the nonvisualized segments are normal or have a stricture (characterization).

View larger version (158K): [in a new window]   Figure 1b. Patient 5. Images in a 35-year-old woman with chronic pancreatitis. (a) ERCP image shows subtle dilatation of the terminal ends of the secondary branches (open arrow) and a mild stricture in the pancreatic body (arrow). (b) Corresponding MRCP image demonstrates incomplete visualization (arrows) of the PD (detection). On the basis of this study, it also would be unclear if the nonvisualized segments are normal or have a stricture (characterization).

View larger version (167K): [in a new window]   Figure 2a. Patient 13. Images in a 50-year-old man with a clinical diagnosis of chronic pancreatitis and biopsy-proved carcinoma in the pancreatic head. (a) ERCP image shows a narrowed distal common bile duct (arrow) and PD (arrowhead) with proximal dilatation (double duct sign). (b) Corresponding MRCP image demonstrates a very similar appearance.

View larger version (188K): [in a new window]   Figure 2b. Patient 13. Images in a 50-year-old man with a clinical diagnosis of chronic pancreatitis and biopsy-proved carcinoma in the pancreatic head. (a) ERCP image shows a narrowed distal common bile duct (arrow) and PD (arrowhead) with proximal dilatation (double duct sign). (b) Corresponding MRCP image demonstrates a very similar appearance.

View larger version (166K): [in a new window]   Figure 3a. Patient 15. Images in a 31-year-old woman with pancreas divisum and persistent abdominal pain. (a) At ERCP, only the major papilla could be cannulated, and the ventral duct (open arrow) appears normal. (b) Corresponding MRCP image demonstrates a mildly irregular and dilated dorsal PD (arrows). Findings were proved at surgery.

View larger version (153K): [in a new window]   Figure 3b. Patient 15. Images in a 31-year-old woman with pancreas divisum and persistent abdominal pain. (a) At ERCP, only the major papilla could be cannulated, and the ventral duct (open arrow) appears normal. (b) Corresponding MRCP image demonstrates a mildly irregular and dilated dorsal PD (arrows). Findings were proved at surgery.