Magnetic Resonance Cholangiopancreatography (MRCP): Biliary and Pancreatic Ducts

This book, based on the experience of a single large referral center, presents the characteristic findings obtained when using MR imaging and MR cholangiopancreatography (MRCP) to image the biliary tree and pancreatic ducts in a variety of disease settings. An introductory chapter is devoted to technical considerations, anatomy, and developmental anomalies. Subsequent chapters then present in detail the MR imaging and MRCP findings observed in choledocholithiasis, inflammatory and neoplastic disorders of the bile ducts, acute and chronic pancreatitis (according to etiology), and different pancreatic neoplasms. Dynamic MRCP with secretin stimulation is also illustrated, documenting both normal and abnormal responses of the pancreatic duct system to secretin. Readers will find this book to be an excellent aid to the interpretation of MR imaging and MRCP findings in patients with biliary and pancreatic disease. ​
Review
From the reviews:
“The purpose is to highlight the value of MRCP in the evaluation of patients with biliary and pancreatic diseases … . It is appropriate for practitioners in radiology who would be interpreting MRCP studies of patients, and it also should serve as a useful reference for residents and fellows in radiology on the use of MRCP to evaluate biliary and pancreatic diseases. … This book should be very useful for radiologists … .” (Bennett S. Greenspan, Doody’s Book Reviews, August, 2013)

From the Back Cover
This book, based on the experience of a single large referral center, presents the characteristic findings obtained when using MR imaging and MR cholangiopancreatography (MRCP) to image the biliary tree and pancreatic ducts in a variety of disease settings. An introductory chapter is devoted to technical considerations, anatomy, and developmental anomalies. Subsequent chapters then present in detail the MR imaging and MRCP findings observed in choledocholithiasis, inflammatory and neoplastic disorders of the bile ducts, acute and chronic pancreatitis (according to etiology), and different pancreatic neoplasms. Dynamic MRCP with secretin stimulation is also illustrated, documenting both normal and abnormal responses of the pancreatic duct system to secretin. Readers will find this book to be an excellent aid to the interpretation of MR imaging and MRCP findings in patients with biliary and pancreatic disease. ​

Preface:
It is now well accepted that magnetic resonance imaging (MRI) has become
an important imaging modality for study of the pancreas and the
bile ducts, yet this success story was probably not predictable. The
marked change in the role of MRI is attributable to the greater efficacy
of modern MRI systems and improved knowledge of diseases; particularly
important advances in MRI include the advent of rapid imaging, improved
image quality and the development of sequences suitable for the
study of the biliary tree and pancreatic ducts. As a consequence, while
there is no doubt that ultrasound and computed tomography continue to
represent the imaging methods of choice for most diseases, MRI can offer
invaluable support when the diagnosis is unclear and can supply significant
additional information of assistance in patient management.
In general, in diagnostic imaging, special emphasis is placed on the
technological evolution of imaging modalities; however, in the case of
this book, I have wished to put more emphasis on knowledge. The book
is in fact the result of a long journey in the study of pancreatic diseases
that began many years ago at the Policlinico G. B. Rossi and has involved
a variety of distinguished gastroenterologists, surgeons, pathologists
and radiologists whose expertise is recognized beyond the
boundaries of Italy. As a result of the progress made, the Pancreas Center
in Verona is today recognized as the “Istituto del Pancreas” – it is a
well-known and much-appreciated referral center both in Italy and
worldwide. Working in this context, much experience in MRI has been
gathered, such that a large series of cases is available for the different
pancreatic diseases, including even the rare ones.
The book is divided into two parts covering, respectively, the biliary
tree and the pancreatic ducts. Special attention is devoted to the
methodology and the applications of magnetic resonance cholangiopancreatography
(MRCP), from both the morphological and the functional
point of view. The MR/MRCP imaging findings are reported for diverse
conditions, including anatomical variants, inflammatory disease and
neoplasms, with highlighting of findings important for differential diagnosis
with other entities. Although MRCP is important, however, it
should be recognized that it cannot be considered separately from the
other imaging sequences normally employed for the examination of the
pancreas as part of the MR study.

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