Abstract:
Gallstone-related disease comprises a spectrum of conditions resulting from biliary stone formation, leading to obstruction and inflammatory complications. These can significantly impact patient quality of life and carry high morbidity if not accurately detected. Appropriate imaging is essential for evaluating the extent of gallstone disease and assuring appropriate clinical management. Magnetic Resonance Imaging (MRI) techniques (including Magnetic Resonance Cholangiopancreatography (MRCP) are increasingly used for diagnosis of gallstone disease and its complications and provide high contrast resolution and facilitate tissue-level assessment of gallstone disease processes. In this review we seek to delve deep into the spectrum of MR imaging in diagnose of gallstone-related disease within the gallbladder and complications related to migration of the gallstones to the gall bladder neck or cystic duct, common hepatic duct or bile duct (choledocholithiasis) and beyond, including gallstone pancreatitis, gallstone ileus, Bouveret syndrome, and dropped gallstones, by offering key examples from our practice. Furthermore, we will specifically highlight the crucial role of MRI and MRCP for enhancing diagnostic accuracy and improving patient outcomes in gallstone-related disease and showcase relevant surgical pathology specimens of various gallstone related complications.
摘要:
胆结石相关疾病包括由胆道结石形成引起的一系列疾病,导致梗阻和炎症并发症。这些可以显著影响患者的生活质量,并且如果不准确检测,则具有高发病率。适当的影像学检查对于评估胆结石疾病的程度和确保适当的临床治疗至关重要。磁共振成像(MRI)技术(包括磁共振胰胆管造影(MRCP)越来越多地用于诊断胆结石及其并发症,并提供高对比分辨率,并有助于对胆结石疾病过程进行组织水平评估。在这篇综述中,我们试图深入研究MR成像在诊断胆囊内胆结石相关疾病以及与胆结石向胆囊颈或胆囊管迁移相关的并发症中的应用。肝总管或胆管(胆总管结石)及以上,包括胆结石性胰腺炎,胆结石性肠梗阻,Bouveret综合征,掉了胆结石,通过提供我们实践中的关键例子。此外,我们将特别强调MRI和MRCP在提高胆结石相关疾病的诊断准确性和改善患者预后方面的关键作用,并展示各种胆结石相关并发症的相关手术病理标本.