0 122

Cited 48 times in

Magnetic Resonance Cholangiography for the Diagnosis of Biliary Atresia.

Authors
 Seok Joo Han  ;  Myung Joon Kim  ;  Airi Han  ;  Ki Sup Chung  ;  Choon Sik Yoon  ;  Dojoong Kim  ;  Eui Ho Hwang 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.37(4) : 599-604, 2002 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2002
MeSH
Bile Ducts/pathology* ; Bile Ducts, Extrahepatic/pathology ; Biliary Atresia/complications ; Biliary Atresia/diagnosis* ; Biliary Atresia/pathology ; Cholestasis/diagnosis* ; Cholestasis/etiology ; Cholestasis/pathology ; Female ; Humans ; Infant ; Infant, Newborn ; Magnetic Resonance Imaging/methods ; Magnetic Resonance Imaging/statistics & numerical data ; Male ; Sensitivity and Specificity
Keywords
Biliary atresia ; cholestatic jaundice ; magnetic resonance cholangiography
Abstract
Purpose: The aim of this study was to evaluate the usefulness of magnetic resonance cholangiography (MRC) for the diagnosis of biliary atresia in infantile cholestatic jaundice. Methods: Forty-seven consecutive infants with cholestatic jaundice underwent single-shot MRC. The diagnosis of biliary atresia was made by MRC based on the nonvisualization of extrahepatic bile ducts and excluded on the basis of the complete visualization of extrahepatic bile ducts. The final diagnosis of biliary atresia (BA group, n = 23) or nonbiliary atresia (NBA group, n = 24) was established by operation or clinical follow-up until the jaundice resolved. Results: The extrahepatic bile ducts including the gallbladder, the cystic duct, the common bile duct, and the common hepatic duct were visualized in 23 of the 24 infants of the NBA group. The extrahepatic bile ducts, except the gallbladder, were not depicted in any infant of the BA group. MRC had an accuracy of 98%, sensitivity of 100% and specificity of 96%, for diagnosis of biliary atresia as the cause of infantile cholestatic jaundice. Conclusions: MRC is a very reliable noninvasive imaging modality for the diagnosis of biliary atresia. In infants with cholestatic jaundice and considered for exploratory laparotomy, MRC is recommended to avoid unnecessary surgery. J Pediatr Surg 37:599-604. Copyright 2002, Elsevier Science (USA). All rights reserved.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346802477809?np=y
DOI
10.1053/jpsu.2002.31617
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143527
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse