MRI of the Pancreas

Richard Semelka1, Laurie Fisher2, Kathy Wilber1

1 University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina, 2 Siemens Uptime Service Center, Cary, North Carolina
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A18.1
DOI:  10.1002/0471142719.mia1801s00
Online Posting Date:  May, 2001
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Abstract

MRI provides comprehensive information on the full range of pancreatic diseases. This unit presents a protocol incorporating various types of sequences, including transverse and coronal data acquisitions, and with the routine use of intravenous gadolinium.

     
 
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Table of Contents

  • Basic Protocol 1: Imaging the Pancreas
  • Commentary
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Imaging the Pancreas

  Materials
  • Normal saline (0.9% NaCl), sterile, 40 ml minimum
  • Extravascular contrast agent (e.g., Magnevist, Omniscan, or Prohance), volume prescribed by patient weight
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Figures

Videos

Literature Cited

Literature Cited
   Gabata, T., Matsui, O., Kadoya, M., Yoshikawa, J., Miyayama, S., Takashima, T., Nagakawa, T., Kayahara, M., and Nonomura, A. 1994. Small pancreatic adenocarcinomas: Efficacy of MR imaging with fat suppression and gadolinium enhancement. Radiology 193:683‐688.
   Kelekis, N.L., Semelka, R.C., Molina, P.L., and Doer, M.E. 1995. ACTH‐secreting islet cell tumor: Appearances on dynamic gadolinium‐enhanced MRI. J. Magn. Reson. Imag. 13:641.
   Mitchell, D.G., Winston, C.B., Outwater, E.K., and Ehrlich, S.M. 1995. Delineation of pancreas with MR imaging: Multi‐observer comparison of five pulse sequences. J. Magn. Reson. Imag. 5:193‐199.
   Semelka, R.C. and Ascher, S.M. 1993. MRI of the pancreas: State of the art. Radiology 188:593‐602.
   Semelka, R.C., Kroeker, M.A., Shoenut, J.P., Kroeker, R., Yaffe, C.S., and Micflikier, A.B. 1991. Pancreatic disease: prospective comparison of CT, ERCP, and 1.5T imaging with dynamic gadolinium enhancement and fat suppression. Radiology 181:785‐791.
   Semelka, R.C., Cummings, M., Shoenut, J.P., Yaffe, C.S., Kroeker, M.A., and Greenberg, H.M. 1993a. Islet cell tumors: A comparison of detection by dynamic contrast‐enhanced CT and MR imaging with dynamic gadolinium enhancement and fat suppression. Radiology 186:799‐802.
   Semelka, R.C., Shoenut, J.P., Kroeker, M.A., and Micflikier, A.B. 1993b. Chronic pancreatitis: MR imaging features before and after administration of gadopentetate dimeglumine. J. Magn. Reson. Imag. 3:79‐82.
   Semelka, R.C., Kelekis, N.L., Molina, P.L., Sharp, T., and Calvo, B. 1996. Pancreatic masses with indeterminate findings on spiral CT, Is there a role for MRI? J. Magn. Reson. Imag. 6:585‐588.
   Shellock, F.G. 1996. Pocket Guide to MR Procedures and Metallic Objects. Lippincott‐Raven, Philadelphia.
   Winston, C.B., Mitchell, D.G., Outwater, E.K., and Ehrlich, S.M. 1995. Pancreatic signal intensity on T1‐weighted fat saturation MR images: Clinical correlation. J. Magn. Reson. Imag. 5:267‐271.
Key References
   Shellock, F.G. 1996.
  Covers a number of important patient management issues related to MR imaging, including recommended safety procedures, a list of metallic implants that have been tested for MR compatibility, and a list of other sources on MR safety.
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