The Special Sign of MRCP in Carcinoma of Pancreatic Head / 实用放射学杂志

Objective To research the special manifestations of magnetic resonance cholangiopancreatography(MRCP) in carcinoma of pancreatic head.Methods MRCP in 22 cases with pancreatic head carcinoma confirmed by operation and pathology (including SE sequences with T1WI and fat saturation,FSE with T2WI and fat saturation and MRCP in coronal sectior) were performed before operations.Additional CE MRA on abdominal vessels including abdominal ateries, portal veins and superior mesenteric arteries and their veins in 16 cases also examined before operations. Results Carcinomas of the pancreatic head were diagnosed correctly by MRCP in 21 cases, and 1 case was misdiagnosed as chronic pancreatitis. MRCP all demonstrated abrupt interruption at pancreatic head segments of dilated left common bile duct and main pancreatic duct at the pancreatic head ones, their left segments were dilate with higher signal and both didn't cross each other, because they were destroyed by carcinomas of pancreatic head. Destruction and no cross each other of pancreatic head segments of choledochus and main pancreas duct,it was called "no cross sign". CE MRA demonstrated destruction of abdominal ateries in 3 cases, portal vein in 3 cases and superior mesenteric vein in 4 cases and not being resected.Conclusion "No cross sign"on MRCP examination is of important value in diagnosis of carcinoma of the pancreatic head.

Clinical Significance of the Special Signs of MRCP in Carcinoma of Pancreatic Head / 实用放射学杂志

Objective To research special signs of MRCP,its pathological and clinical significance in carcinoma of pancreatic head.Methods 35 patients with pancreatic head carcinoma confirmed by operation and /or pathology were examined by MR before operation,including SE sequences T_1WI,FSE sequences T_2WI,T_2WI FS and MRCP.Results The special signs of MRCP in pancreatic head cancer were showed in all cases(100%),these signs included:type C1+P1 in 31 cases,type C2+P1 in 2 cases and type C2+P2 in 2 cases.The volumes of pancreatic cancer shown by MRCP were bigger than ones in operated.Conclusion MRCP features of carcinoma of pancreatic head are special.