MRI of the Pancreas
Richard Semelka1, Laurie Fisher2, Kathy Wilber1
1University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina
2Siemens Uptime Service Center, Cary, North Carolina
1University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina
2Siemens 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 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.
Materials
Basic Protocol: Imaging the Pancreas
Materials
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Normal saline (0.9% NaCl), sterile, 40 ml minimum
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Extravascular contrast agent (e.g., Magnevist, Omniscan, or Prohance), volume prescribed by patient weight
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Figures
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Figure A18.1.1Unenhanced transverse half-acquisition turbo spin echo image.
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Figure A18.1.2Unenhanced fat suppressed transverse spoiled gradient echo image.
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Figure A18.1.3Out-of-phase transverse spoiled gradient echo image.
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Figure A18.1.4Unenhanced transverse spoiled gradient echo image.
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Figure A18.1.5Immediate post contrast transverse spoiled gradient echo image.
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Figure A18.1.6Post contrast fat suppressed transverse spoiled gradient echo image.
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 T | |
| 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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What is MRCP in your question? Exacty what image quality do you want to improve? Have you tried the image parameters provided in the protocol?
sir i would like to know whether it is possible better quality MRCP result in hitachi Airis 2 MR System
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