Detectability and appearance of bile duct calculus on MR imaging of the abdomen using axial T1- and T2-weighted sequences

Clin Radiol. 1997 May;52(5):351-5. doi: 10.1016/s0009-9260(97)80129-8.

Abstract

This is a retrospective study with the objective of assessing the appearance and detectability of bile duct calculi on axial abdominal magnetic resonance imaging (MRI). Axial spin-echo (SE) T1-weighted and Turbo-spin-echo (TSE) T2-weighted images of the upper abdomen of 23 patients suffering from acute cholangitis with known bile duct calculi were retrospectively analysed. Bile duct calculi could be visualized on a T1-weighted SE sequence in 10 (47%) patients. T2-weighted TSE images identified bile duct calculi in 20 (87%) patients. On the T1-weighted sequence, eight out of 10 (80%) visualized common duct stones were slightly hyperintense compared to bile. On T2-weighted sequence, 27 out of 34 (79%) detectable common duct stones were uniformly hypointense compared to bile, but seven stones (21%) had mixed signal intensity.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bile Duct Diseases / diagnosis
  • Bile Duct Diseases / diagnostic imaging
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholelithiasis / diagnosis*
  • Cholelithiasis / diagnostic imaging
  • Female
  • Gallstones / diagnosis
  • Gallstones / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Retrospective Studies