Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP
Despite significant advances in hepatobiliary surgery, biliary injury and leakage remain typical postoperative complications. Thus, a precise depiction of the intrahepatic biliary anatomy and anatomical variant is crucial in preoperative evaluation. This study aimed to evaluate the precision of 2D a...
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MDPI AG
2023-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/4/726 |
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| author | Jehan A. Mazroua Yassir Edrees Almalki Mohamed Alaa Sharifa Khalid Alduraibi Mervat Aboualkheir Asim S. Aldhilan Ziyad A. Almushayti Sameh Abdelaziz Aly Mohammad Abd Alkhalik Basha |
| author_facet | Jehan A. Mazroua Yassir Edrees Almalki Mohamed Alaa Sharifa Khalid Alduraibi Mervat Aboualkheir Asim S. Aldhilan Ziyad A. Almushayti Sameh Abdelaziz Aly Mohammad Abd Alkhalik Basha |
| author_sort | Jehan A. Mazroua |
| collection | DOAJ |
| description | Despite significant advances in hepatobiliary surgery, biliary injury and leakage remain typical postoperative complications. Thus, a precise depiction of the intrahepatic biliary anatomy and anatomical variant is crucial in preoperative evaluation. This study aimed to evaluate the precision of 2D and 3D magnetic resonance cholangiopancreatography (MRCP) in exact mapping of intrahepatic biliary anatomy and its variants anatomically in subjects with normal liver using intraoperative cholangiography (IOC) as a reference standard. Thirty-five subjects with normal liver activity were imaged via IOC and 3D MRCP. The findings were compared and statistically analyzed. Type I was observed in 23 subjects using IOC and 22 using MRCP. Type II was evident in 4 subjects via IOC and 6 via MRCP. Type III was observed equally by both modalities (4 subjects). Both modalities observed type IV in 3 subjects. The unclassified type was observed in a single subject via IOC and was missed in 3D MRCP. Accurate detection by MRCP of intrahepatic biliary anatomy and its anatomical variants was made in 33 subjects out of 35, with an accuracy of 94.3% and a sensitivity of 100%. In the remaining two subjects, MRCP results provided a false-positive pattern of trifurcation. MRCP competently maps the standard biliary anatomy. |
| first_indexed | 2024-03-11T08:57:15Z |
| format | Article |
| id | doaj.art-b1d310405a324d9ca3c2d16683ff9d3c |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T08:57:15Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-b1d310405a324d9ca3c2d16683ff9d3c2023-11-16T20:02:04ZengMDPI AGDiagnostics2075-44182023-02-0113472610.3390/diagnostics13040726Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCPJehan A. Mazroua0Yassir Edrees Almalki1Mohamed Alaa2Sharifa Khalid Alduraibi3Mervat Aboualkheir4Asim S. Aldhilan5Ziyad A. Almushayti6Sameh Abdelaziz Aly7Mohammad Abd Alkhalik Basha8Department of Diagnostic Radiology, Faculty of Human Medicine, Mansoura University, Mansoura 35516, EgyptDivision of Radiology, Department of Internal Medicine, Medical College, Najran University, Najran 61441, Saudi ArabiaDepartment of Diagnostic Radiology, Faculty of Human Medicine, Mansoura University, Mansoura 35516, EgyptDepartment of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi ArabiaDepartment of Radiology and Medical Imaging, College of Medicine, Taibah University, Madinah 42353, Saudi ArabiaDepartment of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi ArabiaDepartment of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi ArabiaDepartment of Diagnostic Radiology, Faculty of Human Medicine, Benha University, Benha 13511, EgyptDepartment of Radiology, Faculty of Human Medicine, Zagazig University, Zagazig 44519, EgyptDespite significant advances in hepatobiliary surgery, biliary injury and leakage remain typical postoperative complications. Thus, a precise depiction of the intrahepatic biliary anatomy and anatomical variant is crucial in preoperative evaluation. This study aimed to evaluate the precision of 2D and 3D magnetic resonance cholangiopancreatography (MRCP) in exact mapping of intrahepatic biliary anatomy and its variants anatomically in subjects with normal liver using intraoperative cholangiography (IOC) as a reference standard. Thirty-five subjects with normal liver activity were imaged via IOC and 3D MRCP. The findings were compared and statistically analyzed. Type I was observed in 23 subjects using IOC and 22 using MRCP. Type II was evident in 4 subjects via IOC and 6 via MRCP. Type III was observed equally by both modalities (4 subjects). Both modalities observed type IV in 3 subjects. The unclassified type was observed in a single subject via IOC and was missed in 3D MRCP. Accurate detection by MRCP of intrahepatic biliary anatomy and its anatomical variants was made in 33 subjects out of 35, with an accuracy of 94.3% and a sensitivity of 100%. In the remaining two subjects, MRCP results provided a false-positive pattern of trifurcation. MRCP competently maps the standard biliary anatomy.https://www.mdpi.com/2075-4418/13/4/726MRCPintrahepatic biliary treeintraoperative cholangiography |
| spellingShingle | Jehan A. Mazroua Yassir Edrees Almalki Mohamed Alaa Sharifa Khalid Alduraibi Mervat Aboualkheir Asim S. Aldhilan Ziyad A. Almushayti Sameh Abdelaziz Aly Mohammad Abd Alkhalik Basha Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP Diagnostics MRCP intrahepatic biliary tree intraoperative cholangiography |
| title | Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP |
| title_full | Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP |
| title_fullStr | Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP |
| title_full_unstemmed | Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP |
| title_short | Precision Mapping of Intrahepatic Biliary Anatomy and Its Anatomical Variants Having a Normal Liver Using 2D and 3D MRCP |
| title_sort | precision mapping of intrahepatic biliary anatomy and its anatomical variants having a normal liver using 2d and 3d mrcp |
| topic | MRCP intrahepatic biliary tree intraoperative cholangiography |
| url | https://www.mdpi.com/2075-4418/13/4/726 |
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