Which of the following is true regarding principle of MRCP?

A. Use of IV Gadolinium contrast agent is used to enhance the biliary radicals and the pancreatic duct

B. Contrast agent is instilled percutaneously into the biliary radicals first and then MRI done

C. Intraluminal dye is used to create the three dimensional view of the biliary radicals and the pancreatic duct

D. Use of heavily T2 weighted images without contrast

Correct Answer: Use of heavily T2 weighted images without contrast

Description: No contrast material is used in MRCP. It is performed with the use of heavily T2-weighted MR pulse sequences. On heavily weighted T2 sequences, stationary or slow-flowing fluid within the bile and pancreatic ducts appear very bright relative to the low signal intensity produced by adjacent solid tissues. Magnetic resonance cholangiopancreatography (MRCP) Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive technique for evaluating the intrahepatic and extrahepatic bile ducts and the pancreatic duct. Unlike conventional endoscopic retrograde cholangiopancreatography (ERCP), MRCP does not require contrast material to be administered into the ductal system. Thus, the morbidity associated with endoscopic procedures and contrast materials is avoided. However, MRCP does not currently allow any intervention to be performed, such as stone extraction, stent insertion, or biopsy. The technique is performed with the use of heavily T2-weighted MR pulse sequences. These had the effect of making stationary or slow-flowing fluid within the bile and pancreatic ducts to appear very bright relative to the low signal intensity produced by adjacent solid tissues. Pulse sequences used in MRCP are RARE (rapid acquisition with relaxation enhancement) and HASTE (half-Fourier acquisition single-shot turbo spin-echo) MRCP has established a role in the investigation of many biliary disorders, serving as a non-invasive alternative to endoscopic retrograde cholangiopancreatography (ERCP).

Category: Surgery

Share:

← Previous MCQ

Next MCQ →

Get More

Subject Mock Tests

Practice with over 200,000 questions from various medical subjects and improve your knowledge.

Attempt a mock test now

Mock Exam

Take an exam with 100 random questions selected from all subjects to test your knowledge.

Coming Soon

Get More

Subject Mock Tests

Try practicing mock tests with over 200,000 questions from various medical subjects.

Attempt a mock test now

Mock Exam

Attempt an exam of 100 questions randomly chosen from all subjects.

Coming Soon