Abstract
The cholangiographic findings of IgG4-related sclerosing cholangitis (IgG4-SC) are heterogeneous and can mimic other biliary diseases, making it difficult to diagnose IgG4-SC on the basis of biliary changes on cholangiography alone [1–3]. MRI with MR cholangiopancreatography (MRCP) can simultaneously provide imaging of wall thickening of the bile ducts and its enhancement patterns, the pattern and degree of biliary strictures, and other IgG4-related disease in different intra-abdominal organs, such as autoimmune pancreatitis, IgG4-related renal disease, and retroperitoneal fibrosis [4]. Therefore, MRI with MRCP is a useful noninvasive diagnostic tool for IgG4-SC.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kim JH, Byun JH, Kim SY, Lee SS, Kim HJ, Kim MH, et al. Sclerosing cholangitis with autoimmune pancreatitis versus primary sclerosing cholangitis: comparison on endoscopic retrograde cholangiography, MR cholangiography, CT, and MRI. Acta Radiol. 2013;54:601–7.
Nakazawa T, Ohara H, Sano H, Aoki S, Kobayashi S, Okamoto T, et al. Cholangiography can discriminate sclerosing cholangitis with autoimmune pancreatitis from primary sclerosing cholangitis. Gastrointerst Endosc. 2004;60:937–44.
Hamano H, Kawa S, Uehara T, Ochi Y, Takayama M, Komatsu K, et al. Immunoglobulin G4-related lymphoplasmacytic sclerosing cholangitis that mimics infiltrating hilar cholangiocarcinoma: part of a spectrum of autoimmune pancreatitis? Gastrointerst Endosc. 2005;62:152–7.
Zen Y, Kawakami H, Kim JH. IgG4-related sclerosing cholangitis: all we need to know. J Gastroenterol. 2016;51:295–312.
Tokala A, Khalili K, Menezes R, Hirschfield G, Jhaveri K. Comparative MRI analysis of morphologic patterns of bile duct disease in IgG4-related systemic disease versus primary sclerosing cholangitis. AJR Am J Roentgenol. 2014;202:536–43.
Martínez-de-Alegría A, Baleato-González S, García-Figueiras R, Bermúdez-Naveira A, Abdulkader-Nallib I, Daz-Peromingo J. IgG4-related disease from head to toe. Radiographics. 2015;35:2007–35.
Vlachou PA, Khalili K, Jang HJ, Fischer S, Hirschfield GM, Kim TK. IgG4-related sclerosing disease: autoimmune pancreatitis and extrapancreatic manifestations. Radiographics. 2011;31:1379–402.
Ohara H, Okazaki K, Tsubouchi H, Inui K, Kawa S, Kamisawa T, et al. Clinical diagnostic criteria of IgG4-related sclerosing cholangitis 2012. J Hepatobiliary Pancreat Sci. 2012;19:536–42.
Tanaka A, Tazuma S, Okazaki K, Nakazawa T, Inui K, Chiba T, et al. Clinical features, response to treatment, and outcomes of IgG4-related sclerosing cholangitis. Clin Gastroenterol Hepatol. 2017;15:920–6.
Kim JH, Byun JH, Lee SJ, Park SH, Kim HJ, Lee SS, et al. Differential diagnosis of sclerosing cholangitis with autoimmune pancreatitis and periductal infiltrating cancer in the common bile duct at dynamic CT, endoscopic retrograde cholangiography and MR cholangiography. Eur Radiol. 2012;22:2502–13.
Moon SH, Kim MH, Lee JK, Baek S, Woo YS, Cho DH, et al. Development of a scoring system from differentiating IgG4-related sclerosing cholangitis from primary sclerosing cholangitis. J Gastroenterol. 2017;52:483–93.
Yata M, Suzuki K, Furuhashi N, Kawakami K, Kawai Y, Naganawa S. Comparison of the multideteror-row computed tomography findings of IgG4-related sclerosing cholangitis and extrahepatic cholangiocarcinoma. Clin Radiol. 2016;71:203–10.
Oh HC, Kim MH, Lee KT, Lee JK, Moon SH, Song TJ, et al. Clinical clues to suspicion of IgG4-associated sclerosing cholangitis disguised as primary sclerosing cholangitis or hilar cholangiocarcinoma. J Gastroenterol Hepatol. 2010;25:1831–7.
Seo N, Kim JH, Byun JH, Lee SS, Kim HJ, Lee MG. Immunoglobulin G4-related kidney disease: a comprehensive pictorial review of the imaging spectrum, mimickers, and clinicopathological characteristics. Korean J Radiol. 2015;16:1056–67.
Sohn JH, Byun JH, Yoon SE, Choi EK, Park SH, Kim MH, et al. Abdominal extrapancreatic lesions associated with autoimmune pancreatitis: radiological findings and changes after therapy. Eur J Radiol. 2008;67:497–507.
Seo N, Kim SY, Lee SS, Byun JH, Kim JH, Kim HJ, et al. Sclerosing cholangitis: clinicopathologic features, imaging spectrum, and systemic approach to differential diagnosis. Korean J Radiol. 2016;17:25–38.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Science+Business Media Singapore
About this chapter
Cite this chapter
Byun, J.H. (2019). Imaging: MRI with MRCP. In: Kamisawa, T., Kim, MH. (eds) IgG4-Related Sclerosing Cholangitis. Springer, Singapore. https://doi.org/10.1007/978-981-10-4548-6_9
Download citation
DOI: https://doi.org/10.1007/978-981-10-4548-6_9
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-4547-9
Online ISBN: 978-981-10-4548-6
eBook Packages: MedicineMedicine (R0)