MRCP pp 77-125 | Cite as

The Pancreas

  • Jinkan Sai
  • Joe Ariyama


MRCP using the single-shot fast spin echo techniques (RARE, HASTE, FASE, SSFSE) allows routine visualization of the normal pancreatic duct system, including the main pancreatic duct, Santorini’s duct, and side branches in the pancreatic head [1].


Chronic Pancreatitis Pancreatic Duct Pancreatic Carcinoma Main Pancreatic Duct Pancreatic Ductal Adenocarcinoma 
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  1. 1.
    Miyazaki K, Yamashita Y, Tsuchigame T, et al (1996) MR cholangiopancreatography using HASTE (half-Fourier acquisition single-shot turbo spin-echo) sequences. AJR Am J Roentgenol 166: 1297–1303PubMedGoogle Scholar
  2. 2.
    Sai J, Ariyama J, Suyama M, et al (1999) MR cholangiopancreatography of the normal pancreatic duct system. Med Rev 69: 27–31Google Scholar
  3. 3.
    Takehara Y, Ichijo K, Tooyama N, et al (1994) Breath-hold MR cholangiography with a long-echo-train fast spin-echo sequence and a surface coil in chronic pancreatitis. Radiology 192: 73–78PubMedGoogle Scholar
  4. 4.
    Agha FD, Williams KD (1987) Pancreas divisum: incidence, detection, and clinical significance. Am J Gastrocnterol 82: 315–320Google Scholar
  5. 5.
    Delhaye M, Engelholm L, Cremer M (1985) Pancreas divisum: congenital anatomy variant or anomaly: contribution of endoscopic retrograde dorsal pancreatography. Gastroenterology 89: 951–958PubMedGoogle Scholar
  6. 6.
    Bret PM, Reinhold C, Taourel P, et al (1996) Pancreas divisum: evaluation with MR cholangiopancreatography. Radiology 199: 99–103PubMedGoogle Scholar
  7. 7.
    Barish M, Soto J, Ferrucci J (1997) Magnetic resonance pancreatography. Endoscopy 29: 487–495PubMedCrossRefGoogle Scholar
  8. 8.
    Sai J, Ariyama J, Suyama M, et al (1998) Clinical usage of MR cholangiopancreatography (in Japanese). Nippon Rinsho 56: 2768–2772PubMedGoogle Scholar
  9. 9.
    Takehara Y (1996) MR pancreatography: technique and applications (1996) Top Magn Reson Imag 8: 290–301Google Scholar
  10. 10.
    Wagner CW, Golladay ES (1988) Pancreas divisum and pancreatitis in children. Am Surg 54: 22–26PubMedGoogle Scholar
  11. 11.
    Hirohashi S, Hirohashi R, Uchida H, et al (1997) Pancreatitis: evaluation with MR cholangiopancreatography in children. Radiology 203: 411–415PubMedGoogle Scholar
  12. 12.
    Axon ATR, Classen M, Cotton PB, et al (1984) Pancreatography in chronic pancreatitis: international definitions. Gut 25: 1107–1112PubMedCrossRefGoogle Scholar
  13. 13.
    Sica GT, Braver J, Cooney MJ, et al (1999) Comparison of endoscopic retrograde cholangiopancreatography with MR cholangiopancreatography in patients with pancreatitis. Radiology 210: 605–610PubMedGoogle Scholar
  14. 14.
    Soto JA, Barish MA, Yucel EK, et al (1995) Pancreatic duct: MR cholangio-pancreatography with a three-dimensional fast spin-echo technique. Radiology 196: 459–464Google Scholar
  15. 15.
    Sai J, Ariyama J (1999) MRCP in the diagnosis of pancreatobiliary diseases: its progression and limitation (in Japanese). Jpn J Gastroenterol 96: 259–265Google Scholar
  16. 16.
    Taylor AJ, Carmody TJ, Schmalz MJ, et al (1992) Filling defects in the pancreatic duct on endoscopic retrograde pancreatography. AJR Am J Roentgenol 159: 1203–1208PubMedGoogle Scholar
  17. 17.
    Ferrucci JT, Wittenberg J, Black EB, et al (1979) Computed body tomography in chronic pancreatitis. Radiology 130: 175–182PubMedGoogle Scholar
  18. 18.
    Neff CC, Simeone JF, Wittenberg J, et al (1984) Inflammatory pancreatic mass: problems in differentiating focal pancreatitis from carcinoma. Radiology 150: 35–38PubMedGoogle Scholar
  19. 19.
    Yamaguchi K, Chijiwa K, Saiki S, et al (1996) Mass-forming pancreatitis masquerades as pancreatic carcinoma. Int J Pancreatol 20: 27–35PubMedGoogle Scholar
  20. 20.
    Freeny PC, Bilbao MK, Katon RM (1976) Blind evaluation of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of pancreatic carcinoma: the double duct and other signs. Radiology 119: 271–274PubMedGoogle Scholar
  21. 21.
    Rails PW, Halls J, Renner I, et al (1980) Endoscopie retrograde cholangiopancreatography ( ERCP) and pancreatic disease. Radiology 134: 347–352Google Scholar
  22. 22.
    Ishihara T, Yamaguchi T, Tsuyuguchi T, et al (1996) Characteristic findings of endoscopie retrograde pancreatography in the diagnosis of chronic pancreatitis with inflammatory mass (in Japanese). Jpn J Gastroenterol 93: 725–731Google Scholar
  23. 23.
    Yamaguchi K (1992) Pancreatic carcinoma associated with chronic pancreatitis. Int J Pancreatol 12: 297–303PubMedGoogle Scholar
  24. 24.
    Cotton PB (1977) ERCP: progress report. Gut 18: 316–341PubMedCrossRefGoogle Scholar
  25. 25.
    Sai J, Ariyama J, Suyama M, et al (1999) MR cholangiopancreatography in the diagnosis of mass forming pancreatitis (in Japanese). J Bil Paner 20: 293–295Google Scholar
  26. 26.
    Takehara Y (1998) Can MRCP replace ERCP ? J Magn Reson Imaging 8: 517–534.PubMedCrossRefGoogle Scholar
  27. 27.
    Baron PL, Aabakken LE, Cole DJ, et al (1997) Differentiation of benign from malignant pancreatic masses by endoscopie ultrasound. Ann Surg Oncol 4: 639–643PubMedCrossRefGoogle Scholar
  28. 28.
    Koito K, Namieno T, Nagakawa T, et al (1997) Inflammatory pancreatic masses: differentiation from ductal carcinomas with contrast-enhanced sonography using carbon dioxide microbubbles. AJR Am J Roentgenol 169: 1263–1267PubMedGoogle Scholar
  29. 29.
    Stollfuss JC, Glatting G, Friess H, et al (1995) 2-(fluorine-18)-fluoro-2-deoxy-D-glucose PET in detection of pancreatic cancer: value of quantitative image interpretation. Radiology 195: 339–344Google Scholar
  30. 30.
    Ikeda S, Matsumoto S, Yoshimoto H, et al (1984) Endoscopie balloon catheter pancreatography using catheter retaining technique. Usefulness of supine spot films by compression for complete evaluation of pancreatic ducts and branches (in Japanese). Stom Intes 19: 1231–1242Google Scholar
  31. 31.
    Murakami K, Shiota K, Kubota T, et al (1994) A case of localized chronic pancreatitis masquerading as pancreatic cancer. J Jpn Paner Soc 9: 337–341Google Scholar
  32. 32.
    Becker V (1980) Sonderformen der chronischen Pankreatitis. Dtsch Arzteblatt 46: 2711–2718Google Scholar
  33. 33.
    Stolte M, Weiss W, Volkholz H, et al (1982) A special form of segmental pancreatitis. Groove pancreatitis. Hepatogastroenterology 29: 198–208Google Scholar
  34. 34.
    Yamaguchi K, Tanaka M (1992) Groove pancreatitis masquerading as pancreatic carcinoma. Am J Surg 163: 312–316PubMedCrossRefGoogle Scholar
  35. 35.
    Inci H, Honda H, Kuroiwa T, et al (1998) MRI of groove pancreatitis. J Comput Assist Tomogr 22: 651–655CrossRefGoogle Scholar
  36. 36.
    Sai J, Ariyama J, Suyama M, et al (1997) 3D-MR cholangiopancreatography in the diagnosis of cystic tumor of the pancreas (in Japanese). Endoscopia Digestiva 9: 39–44Google Scholar
  37. 37.
    Sugiyama M, Atomi Y, Hachiya J (1998) Intraductal papillary tumors of the pancreas: evaluation with magnetic resonance cholangiopancreatography. Am J Gastroenterol 93: 156–159PubMedCrossRefGoogle Scholar
  38. 38.
    Koito K, Namieno T, Ichimura T, et al (1998) Mucin-producing pancreatic tumors: comparison of MR cholangiopancreatography with endoscopie retrograde cholangiopancreatography. Radiology 208: 231–237PubMedGoogle Scholar
  39. 39.
    Onaya H, Itai Y, Niitsu M, et al (1998) Ductectatic mucinous cystic neoplasms of the pancreas: evaluation with MR cholangiopancreatography. AJR Am J Roentgenol 171: 171–177PubMedGoogle Scholar
  40. 40.
    Yeo CJ, Bastidas JA, Lynch-Nyhan A, et al (1990) The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gyneco Obstet 170: 411–417Google Scholar
  41. 41.
    van Sonnenberg E, Wittich GR, Casola G, et al (1989) Percutaneous drainage of infected and noninfected pancreatic pseudocyst: experience in 101 cases. Radiology 170: 757–761Google Scholar
  42. 42.
    Bret PM, Reinhold C (1997) Magnetic resonance cholangiopancreatography. Endoscopy 29: 472–486PubMedCrossRefGoogle Scholar
  43. 43.
    Fulcher AS, Capps GW, Turner MA (1999) Thoracopancreatic fistula: clinical and imaging findings. J Comput Assist Tomogr 23: 181–187PubMedCrossRefGoogle Scholar
  44. 44.
    Warshaw AL, Compton CC, Lewandrowski K, et al (1990) Cystic tumors of the pancreas: New clinical, radio-logic, and pathologic observations in 67 patients. Ann Surg 212: 432–445PubMedCrossRefGoogle Scholar
  45. 45.
    Prinson CW, Munson JL, Deveney CW (1990) Endoscopie retrograde cholangiopancreatography in the preoperative diagnosis of pancreatic neoplasms associated with cysts. Am J Surg 159: 510–513CrossRefGoogle Scholar
  46. 46.
    Martin I, Hannond P, Scott J, et al (1998) Cystic tumours of the pancreas. Br J Surg 85: 1484–1486PubMedCrossRefGoogle Scholar
  47. 47.
    Hulke J (1892) Pancreatic cyst. Lancet 2: 1273Google Scholar
  48. 48.
    Jordan GL Jr (1960) Pancreatic cysts. In: Howard JM, Jordan GL Jr (eds) Surgical disease of the pancreas. Lippincott, Philadelphia, pp 283–320Google Scholar
  49. 49.
    Sperti C, Pasquali C, Costantino V, et al (1995) Solitary true cyst of the pancreas in adults. Int J Pancreatol 18: 161–167PubMedGoogle Scholar
  50. 50.
    Ohhashi K, Murakami Y, Maruyama M, et al (1982) Four cases of mucous-secreting pancreatic cancer (in Japanese). Prog Dig Endosc 20: 348–351Google Scholar
  51. 51.
    Yamada M, Kozuka S, Yamao K, et al (1991) Mucin-producing tumor of the pancreas. Cancer 68: 159–168PubMedCrossRefGoogle Scholar
  52. 52.
    Itai Y, Ohhashi K, Nagai H, et al (1986) Ductectatic mutinous cystadenoma and cystadenocarcinoma of the pancreas. Radiology 161: 697–700PubMedGoogle Scholar
  53. 53.
    Yamaguchi K, Ogawa Y, Chijiwa K, et al (1996) Mucin-hypersecreting tumors of the pancreas: assessing the grade of malignancy preoperatively. Am J Surg 171: 427–431PubMedCrossRefGoogle Scholar
  54. 54.
    Sai J, Ariyama J (1992) Diagnosis and therapy of the cystic tumor of the pancreas (in Japanese). Jpn J Gastroenterol 89: 1694Google Scholar
  55. 55.
    Usuki N, Okabe Y, Miyamoto T (1998) Intraductal mucin-producing tumor of the pancreas: diagnosis by MR cholangiopancreatography. J Comput Assist Tomogr 22: 875–879PubMedCrossRefGoogle Scholar
  56. 56.
    Compagno J, Oertel JE (1978) Mucinous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). A clinicopathological study of 41 cases. Am J Clin Pathol 69: 573–580PubMedGoogle Scholar
  57. 57.
    Friedman AC, Lichtenstein JE, Dachman AH (1983) Cystic neoplasms of the pancreas. Radiological-pathological correlation. Radiology 149: 45–50PubMedGoogle Scholar
  58. 58.
    Bergmann LS, Russell JC, Gladstone A, et al (1992) Cystadenomas of the pancreas. Am Surg 58: 65–71PubMedGoogle Scholar
  59. 59.
    Prinson CW, Munson JL, Deveney CW (1990) Endoscopie retrograde cholangiopancreatography in the preoperative diagnosis of pancreatic neoplasms associated with cysts. Am J Surg 159: 510–513CrossRefGoogle Scholar
  60. 60.
    Minami M, Itai Y, Ohtomo K, et al (1989) Cystic neoplasms of the pancreas: comparison of MR imaging with CT. Radiology 171: 53–56PubMedGoogle Scholar
  61. 61.
    Compagno J, Oertel JE (1978) Microcytic adenomas of the pancreas (glycogen-rich cystadenomas): a clinico-pathologic study of 34 cases. Am J Clin Pathol 69: 289–298PubMedGoogle Scholar
  62. 62.
    Johnson CD, Stephens DH, Charboneau JW, et al (1988) Cystic pancreatic tumors: CT and sonographic assessment. AJR Am J Roentgenol 151: 1133–1138Google Scholar
  63. 63.
    Mathieu D, Guigui B, Valette PJ, et al (1989) Pancreatic cystic neoplasms. Radiol Clin N Am 27: 163–176PubMedGoogle Scholar
  64. 64.
    George DH, Murphy F, Michalski R, et al (1989) Serous cystadenoma of the pancreas: a new entity? Am J Surg Pathol 24: 61–66CrossRefGoogle Scholar
  65. 65.
    Kamei K, Funabiki T, Ochiai M, et al (1991) Multifocal pancreatic serous cystadenoma with atypical cells and focal perineural invasion. Int J Pancreatol 10: 161–172PubMedGoogle Scholar
  66. 66.
    Gazelle GS, Mueller PR, Raafat N, et al (1993) Cystic neoplasms of the pancreas: evaluation with endoscopie retrograde pancreatography. Radiology 188: 633–636PubMedGoogle Scholar
  67. 67.
    Freeney PC, Ball TJ (1978) Evaluation of endoscopie retrograde cholangiopancreatography and angiography in the diagnosis of pancreatic carcinoma. AJR Am J Roentgenol 130: 683–691Google Scholar
  68. 68.
    Warshaw AL, Fernandez-del Castillo C (1992) Pancreatic carcinoma. N Engl J Med 326: 455–465PubMedCrossRefGoogle Scholar
  69. 69.
    Manabe T, Miyashita T, Ohshio G, et al (1988) Small carcinoma of the pancreas. Cancer 62: 135–141PubMedCrossRefGoogle Scholar
  70. 70.
    Nakaizumi A, Tatsuta M, Uehara H, et al (1992) A prospective trial of early detection of pancreatic cancer by ultrasonographic examination combined with measurement of serum elastase 1. Cancer 69: 936–940PubMedCrossRefGoogle Scholar
  71. 71.
    Ariyama J, Suyama M, Satoh K, et al (1998) Endoscopic ultrasound and intraductal ultrasound in the diagnosis of small pancreatic tumors. Abdom Imaging 23: 380–386PubMedCrossRefGoogle Scholar
  72. 72.
    Gabata T, Matsui O, Kadoya M, et al (1994) Small pancreatic adenocarcinomas: efficacy of MR imaging with fat suppression and gadolinium enhancement. Radiology 193: 683–688PubMedGoogle Scholar
  73. 73.
    Tsuchiya R, Noda T, Harada N, et al (1985) Collective review of small carcinomas of the pancreas. Ann Surg 203: 77–81CrossRefGoogle Scholar
  74. 74.
    Ariyama J, Suyama M, Ogawa K, et al (1990) The detection and prognosis of small pancreatic carcinoma. Int J Pancreatol 7: 37–47PubMedGoogle Scholar
  75. 75.
    Sai J, Ariyama J, Suyama M, et al (1998) MR cholangiopancreatography in the diagnosis of pancreatic ductal adenocarcinoma (in Japanese). J Bil Tract Pancr 19: 39–44Google Scholar
  76. 76.
    Sai J, Ariyama J, Suyama M, et al (1995) Diagnosis of the small pancreatic cancer (in Japanese). J Bil Tract Pancr 16: 219–225Google Scholar
  77. 77.
    Ariyama J, Shirakabe H, Ikenobe H, et al (1977) The diagnosis of the small resectable pancreatic carcinoma. Clin Radiol 28: 437–444PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2000

Authors and Affiliations

  • Jinkan Sai
    • 1
  • Joe Ariyama
    • 1
  1. 1.Department of GastroenterologyJuntendo UniversityBunkyo-ku, TokyoJapan

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