NAVİGATÖR TETİKLEMELİ PACE TEKNİĞİ İLE ELDE OLUNAN MRKP TETKİKİNİN KOLEDOKOLİTİAZİS TANISINDA ETKİNLİĞİ
Öz
Amaç: Navigator tetiklemeli “Prospective Acquisition Correction Enhancement” tekniği, manyetik rezonans kolanjiyopankreatografi tetkiklerinde solunuma bağlı oluşan hareket artefaktlarını gidermek için geliştirilmiş olan bir yöntemdir. Bu çalışmada “Prospective Acquisition Correction Enhancement” tekniği ile elde olunan manyetik rezonans kolanjiyopankreotografi görüntülerinin koledokolitiazis tanısındaki etkinliğinin, altın standart olarak kabul edilen endoskopik retrograt kolanjiyopankreatografi tetkiki ile karşılaştırılması amaçlanmıştır.
Gereç ve Yöntem: Koledokolitiazis varlığının tanısında “Prospective Acquisition Correction Enhancement” tekniği ile yapılan manyetik rezonans kolanjiyopankreatografi tetkikinin tanısallık oranları altın standart olarak kabul edilen endoskopik retrograt kolanjiyopankreatografi tetkiki sonuçlarına göre karşılaştırıldı.
Bulgular: Çalışmaya dahil edilen 107 hastadan manyetik rezonans kolanjiyopankreatografi ile 40, endoskopik retrograt kolanjiyopankreatografi ile 36 hastaya koledokolitiazis tanısı konuldu. Manyetik rezonans kolanjiyopankreatografi ile koledokolitiazis tanısı konulan 40 hastanın 36’sında endoskopik retrograt kolanjiyopankreatografi taş varlığını gösterdi. “Prospective Acquisition Correction Enhancement” tekniği ile yapılan manyetik rezonans kolanjiyopankreatografi tetkikinin pozitif prediktif değeri %90, negatif prediktif değeri %98.5, sensitivitesi %97.3, spesifisitesi %94.3 ve tanısal doğruluk oranı %95.3 olarak hesaplandı.
Sonuç: Navigatör tetiklemeli “Prospective Acquisition Correction Enhancement” tekniği ile elde olunan manyetik rezonans kolanjiyopankreatografi tetkikinin koledokolitiazis tanısında yüksek doğruluğa sahip güvenilir bir yöntem olduğunu düşünmekteyiz.
Anahtar Kelimeler
Endoskopik retrograt kolanjiyopankreatografi Manyetik rezonans kolanjiyopankreatografi Navigatör tetikleme “Prospective Acquisition Correction Enhancement” tekniği
Kaynakça
- 1. Taylor AC, Little AF, Hennessy OF, et al. Prospective assesment of magnetic resonance cholangiopancreatography for noninvazive imaging of the biliary tree. Gastrointest Endosc. 2002; 55: 17-22.
- 2. Asbach P, Klessen C, Kroencke TJ, et al. Magnetic resonance cholangiopancreatography using a free-breathing T2-weighted turbo spinecho sequence with navigator triggered prospective acquisition correction. Magn Reson Imaging 2005; 23: 939-45.
- 3. Klessen C, Asbach P, Kroencke TJ, et al. Magnetic resonance imaging of the upper abdomen using a free-breathing T2-weighted turbo spin echosequence with navigator triggered prospective acquisition correction. J Magn Imaging 2005; 21: 576-82.
- 4. Kim BS, Kim JH, Choi GM, et al. Comparison of three free-breathing T2-weighted MRI sequences in the evaluation of focal liver lesions. AJR Am J Roentgenol. 2008; 190: 19-27.
- 5. Low RN, Alzate GD, Shimakawa A. Motion suppression in MR imaging of the liver: comparison of respiratory-triggered and non-triggered fast spinecho sequences. AJR Am J Roentgenol. 1997; 168: 225-31.
- 6. Bailes DR, Gilderdale DJ, Bydder GM, et al. Respiratory ordered phase encoding (ROPE): a method for reducing respiratory motion artefacts in MR imaging. J Comput Assist Tomogr. 1985; 9: 835-8.
- 7. Hinks RS, Constable RT. Gradient moment nulling in fast spin echo. Magn Reson Med. 1994; 32: 698-706.
- 8. Helmberger TK, Schroder J, Halzknecht N, et al. T2-weighted breath-hold imaging of the liver: a quantitative and qualitative comparison of fast spin echo and half Fourier single shot fast spin echo imaging. MAGMA. 1999; 9: 42-51.
- 9. Ehman RL, McNamara MT, Pallack M, et al. Magnetic resonance imaging with respiratory gating: tecniques and advantages. AJR Am J. Roentgenol. 1984; 143:1175-1182.
- 10. Parrish T, Hu X. A new T2 preparation tecnique for ultrafast gradient echo sequence. Magn Reson Med. 1994; 32: 652-7.
- 11. Edelman RR, Wielepolski P, Schmitt E. Echo-planar MR imaging. Radiology. 1994; 192: 600-12.
- 12. Rydberg JN, Lomas DJ, Coakley KJ et al. Comparison of breath-hold fast spin echo and convantional spin-echo pulse sequences for T2-weighted MR imaging of liver lesions. Radiology. 1995; 194: 431-7.
- 13. Kats J, Kroai M, Dijkstra AJ, et al. Magnetic resonance cholangiopancreatograhy in patients with suspected biliary obstruction. Gut. 1998; 43: 680-3.
- 14. Soto JA, Barish MA, Alvarez O, et al. Detection of choledocholithiasis with MR cholangiography: comparison of three-dimensional fast spin-echo and single- and multisection half-Fourier rapid acquisition with relaxation enhancement sequences. Radiology. 2000; 215: 737-45.
- 15. Reinhold C, Taourel P, Bret PM, et al. Choledocholithiasis: evaluation of MR cholangiopancreatograhy for diagnosis. Radiology. 1998; 209: 435-42.
- 16. Stiris MG, Tennoe B, Aadland E, et al. MR cholangiopancreatograhy and endoscopic retrograde cholangiopancreatograhy in patients with suspected common bile duct stones. Acta Radiol. 2000; 41: 269-72.
- 17. Varghase JC, Farrell MA, Courtney G, et al. A prospective comparison of magnetic resonance cholangiopancreatograhy with endoscopic retrograde cholangiopancreatography in the evaluation of patients with suspected biliary tract disease. Clin Radiol. 1999; 54: 513-20.
- 18. Nakaura T, Kidoh M, Maruyama N, Kawahara et al. Usefulness of the SPACE pulse sequence at 1.5T MR cholangiography: comparison of image quality and image acquisition time with conventional 3D-TSE sequence. J Magn Reson Imaging. 2013; 38: 1014-9.
- 19. Morita S, Ueno E, Suzuki K, et al. Navigator-triggered prospective acquisition correction (PACE) technique vs. conventional respiratory-triggered technique for free-breathing 3D MRCP: an initial prospective comparative study using healthy volunteers. J Magn Reson Imaging. 2008; 28: 673-7.
- 20. Kaltenthaler EC, Stephen JW, Chilcott J, et al. MRCP compared to diagnostic ERCP for diagnosis when biliary obstruction is suspected: a systematic review. BMC Med Imaging. 2006; 6: 9-12.
- 21. Mugler JP 3rd. Optimized three-dimensional fast-spin-echo MRI. J Magn Reson Imaging. 2014; 39: 745-67.
- 22. Chen Z, Sun B, Duan Q, et al. Three-Dimensional Breath-Hold MRCP Using SPACE Pulse Sequence at 3 T: Comparison With Conventional Navigator-Triggered Technique. AJR Am J Roentgenol. 2019; 213: 1247-52.
- 23. Yeniçeri Ö, Çullu N, Özşeker B, et al. The accuracy of 3T magnetic resonance cholangiopancreatography in suspected choledocholithiasis. Pol J Radiol. 2019; 84: e419-e23.
- 24. Lee SL, Kim HK, Choi HH, et al. Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis. Pancreatology. 2018; 18: 22-8.
- 25. Badger WR, Borgert AJ, Kallies KJ, et al. Utility of MRCP in clinical decision making of suspected choledocholithiasis: An institutional analysis and literature review. Am J Surg. 2017; 214: 251-5.
- 26. Kang SK, Heacock L, Doshi AM, et al. Comparative performance of non-contrast MRI with HASTE vs. contrast-enhanced MRI/3D-MRCP for possible choledocholithiasis in hospitalized patients. Abdom Radiol. 2017; 42: 1650-8.
- 27. Polistina FA, Frego M, Bisello M, et al. Accuracy of magnetic resonance cholangiography compared to operative endoscopy in detecting biliary stones, a single center experience and review of literature. World J Radiol. 2015; 7: 70-8.
- 28. Aydelotte JD, Ali J, Huynh PT, et al. Use of Magnetic Resonance Cholangiopancreatography in Clinical Practice: Not as Good as We Once Thought. J Am Coll Surg. 2015; 221: 215-9.
- 29. Meeralam Y, Al-Shammari K, Yaghoobi M. Diagnostic accuracy of EUS compared with MRCP in detecting choledocholithiasis: a meta-analysis of diagnostic test accuracy in head-to-head studies. Gastrointest Endosc. 2017; 86: 986-93.
Öz
Aim: The navigator-triggered Prospective Acquisition Correction Enhancement technique is a method used to eliminate respiratory motion artifacts caused in magnetic resonance cholangiopancreatography examinations. The purpose of this study was to compare the diagnostic accuracy of navigator-triggered Prospective Acquisition Correction Enhancement tecnique magnetic resonance cholangiopancreatography examination with endoscopic retrograde cholangiopancreatography as a gold standard reference in presence of choledocholithiasis.
Materıal and Method: The diagnostic rates of magnetic resonance cholangiopancreatography examination performed with Prospective Acquisition Correction Enhancement technique in the diagnosis of choledocholithiasis were compared according to the results of the endoscopic retrograde cholangiopancreatography examination, which was accepted as a gold standard reference.
Results: Among 107 patients included in the study, 40 patients with magnetic resonance cholangiopancreatography and 36 patients with endoscopic retrograde cholangiopancreatography were diagnosed with choledocholithiasis. endoscopic retrograde cholangiopancreatography showed the presence of choledocholithiasis in 36 patients among 40 patients diagnosed as choledocholithiasis with magnetic resonance cholangiopancreatography. The positive predictivity value of the magnetic resonance cholangiopancreatography examination performed with the Prospective Acquisition Correction Enhancement technique was 90%, the negative predictivity value was 98.5%, the sensitivity was 97.3%, the specificity was 94.3%, and the diagnostic accuracy was 95.3%.
Conclusıon: We think that navigator-triggered magnetic resonance cholangiopancreatography examination obtained with Prospective Acquisition Correction Enhancement technique is a reliable method with high accuracy in the diagnosis of choledocholithiasis.
Anahtar Kelimeler
Endoscopic retrograde cholangiopancreatography Magnetic resonance cholangiopancreatography Navigator – triggering Prospective Acquisition Correction Enhancement technique
Kaynakça
- 1. Taylor AC, Little AF, Hennessy OF, et al. Prospective assesment of magnetic resonance cholangiopancreatography for noninvazive imaging of the biliary tree. Gastrointest Endosc. 2002; 55: 17-22.
- 2. Asbach P, Klessen C, Kroencke TJ, et al. Magnetic resonance cholangiopancreatography using a free-breathing T2-weighted turbo spinecho sequence with navigator triggered prospective acquisition correction. Magn Reson Imaging 2005; 23: 939-45.
- 3. Klessen C, Asbach P, Kroencke TJ, et al. Magnetic resonance imaging of the upper abdomen using a free-breathing T2-weighted turbo spin echosequence with navigator triggered prospective acquisition correction. J Magn Imaging 2005; 21: 576-82.
- 4. Kim BS, Kim JH, Choi GM, et al. Comparison of three free-breathing T2-weighted MRI sequences in the evaluation of focal liver lesions. AJR Am J Roentgenol. 2008; 190: 19-27.
- 5. Low RN, Alzate GD, Shimakawa A. Motion suppression in MR imaging of the liver: comparison of respiratory-triggered and non-triggered fast spinecho sequences. AJR Am J Roentgenol. 1997; 168: 225-31.
- 6. Bailes DR, Gilderdale DJ, Bydder GM, et al. Respiratory ordered phase encoding (ROPE): a method for reducing respiratory motion artefacts in MR imaging. J Comput Assist Tomogr. 1985; 9: 835-8.
- 7. Hinks RS, Constable RT. Gradient moment nulling in fast spin echo. Magn Reson Med. 1994; 32: 698-706.
- 8. Helmberger TK, Schroder J, Halzknecht N, et al. T2-weighted breath-hold imaging of the liver: a quantitative and qualitative comparison of fast spin echo and half Fourier single shot fast spin echo imaging. MAGMA. 1999; 9: 42-51.
- 9. Ehman RL, McNamara MT, Pallack M, et al. Magnetic resonance imaging with respiratory gating: tecniques and advantages. AJR Am J. Roentgenol. 1984; 143:1175-1182.
- 10. Parrish T, Hu X. A new T2 preparation tecnique for ultrafast gradient echo sequence. Magn Reson Med. 1994; 32: 652-7.
- 11. Edelman RR, Wielepolski P, Schmitt E. Echo-planar MR imaging. Radiology. 1994; 192: 600-12.
- 12. Rydberg JN, Lomas DJ, Coakley KJ et al. Comparison of breath-hold fast spin echo and convantional spin-echo pulse sequences for T2-weighted MR imaging of liver lesions. Radiology. 1995; 194: 431-7.
- 13. Kats J, Kroai M, Dijkstra AJ, et al. Magnetic resonance cholangiopancreatograhy in patients with suspected biliary obstruction. Gut. 1998; 43: 680-3.
- 14. Soto JA, Barish MA, Alvarez O, et al. Detection of choledocholithiasis with MR cholangiography: comparison of three-dimensional fast spin-echo and single- and multisection half-Fourier rapid acquisition with relaxation enhancement sequences. Radiology. 2000; 215: 737-45.
- 15. Reinhold C, Taourel P, Bret PM, et al. Choledocholithiasis: evaluation of MR cholangiopancreatograhy for diagnosis. Radiology. 1998; 209: 435-42.
- 16. Stiris MG, Tennoe B, Aadland E, et al. MR cholangiopancreatograhy and endoscopic retrograde cholangiopancreatograhy in patients with suspected common bile duct stones. Acta Radiol. 2000; 41: 269-72.
- 17. Varghase JC, Farrell MA, Courtney G, et al. A prospective comparison of magnetic resonance cholangiopancreatograhy with endoscopic retrograde cholangiopancreatography in the evaluation of patients with suspected biliary tract disease. Clin Radiol. 1999; 54: 513-20.
- 18. Nakaura T, Kidoh M, Maruyama N, Kawahara et al. Usefulness of the SPACE pulse sequence at 1.5T MR cholangiography: comparison of image quality and image acquisition time with conventional 3D-TSE sequence. J Magn Reson Imaging. 2013; 38: 1014-9.
- 19. Morita S, Ueno E, Suzuki K, et al. Navigator-triggered prospective acquisition correction (PACE) technique vs. conventional respiratory-triggered technique for free-breathing 3D MRCP: an initial prospective comparative study using healthy volunteers. J Magn Reson Imaging. 2008; 28: 673-7.
- 20. Kaltenthaler EC, Stephen JW, Chilcott J, et al. MRCP compared to diagnostic ERCP for diagnosis when biliary obstruction is suspected: a systematic review. BMC Med Imaging. 2006; 6: 9-12.
- 21. Mugler JP 3rd. Optimized three-dimensional fast-spin-echo MRI. J Magn Reson Imaging. 2014; 39: 745-67.
- 22. Chen Z, Sun B, Duan Q, et al. Three-Dimensional Breath-Hold MRCP Using SPACE Pulse Sequence at 3 T: Comparison With Conventional Navigator-Triggered Technique. AJR Am J Roentgenol. 2019; 213: 1247-52.
- 23. Yeniçeri Ö, Çullu N, Özşeker B, et al. The accuracy of 3T magnetic resonance cholangiopancreatography in suspected choledocholithiasis. Pol J Radiol. 2019; 84: e419-e23.
- 24. Lee SL, Kim HK, Choi HH, et al. Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis. Pancreatology. 2018; 18: 22-8.
- 25. Badger WR, Borgert AJ, Kallies KJ, et al. Utility of MRCP in clinical decision making of suspected choledocholithiasis: An institutional analysis and literature review. Am J Surg. 2017; 214: 251-5.
- 26. Kang SK, Heacock L, Doshi AM, et al. Comparative performance of non-contrast MRI with HASTE vs. contrast-enhanced MRI/3D-MRCP for possible choledocholithiasis in hospitalized patients. Abdom Radiol. 2017; 42: 1650-8.
- 27. Polistina FA, Frego M, Bisello M, et al. Accuracy of magnetic resonance cholangiography compared to operative endoscopy in detecting biliary stones, a single center experience and review of literature. World J Radiol. 2015; 7: 70-8.
- 28. Aydelotte JD, Ali J, Huynh PT, et al. Use of Magnetic Resonance Cholangiopancreatography in Clinical Practice: Not as Good as We Once Thought. J Am Coll Surg. 2015; 221: 215-9.
- 29. Meeralam Y, Al-Shammari K, Yaghoobi M. Diagnostic accuracy of EUS compared with MRCP in detecting choledocholithiasis: a meta-analysis of diagnostic test accuracy in head-to-head studies. Gastrointest Endosc. 2017; 86: 986-93.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2022 |
| Gönderilme Tarihi | 17 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 55 Sayı: 3 |
