Magnetic resonance cholangiopancreatography (MRCP) is a non-invasive medical imaging technique which is able to substitute the invasive endoscopic retrograde cholangiopancreatography (ERCP) in certain cases, thus as a painless examination it relieves patients concerns. Our main purpose was to image bile ducts routinely and quickly in order to supplement all liver examinations with this measurement. Furthermore, it could be able to make diagnostic imaging sterling without any post-processing technique and does not increase examination time significantly. This way we do not have to leave out of...

In the beginning of every examination, patients had to drink T2 signal intensity decreasing fluid. In order to reach the best efficiency, we have tested several fluids. The most suitable was the LumiVision®which is a purpose manufactured preparation of concentrates such as pineapple concentrate, organic agave syrup and blackcurrant concentrate, because of its high iron and manganese content. We have applied 300 ml of this, diluted with the same amount of water. Patients had to drink it immediately before their examination, on the examination table....

We performed MRCP measurement during each liver examination in a way where it only raised the preparation time by 90 seconds and the examination time only by 85 seconds. In the case of suspected or positive diagnosis, we extended the examination time with 4 further minutes. Several examples of different MRCP examination methods:

MRCP, as a routinely used measurement during each liver examination typifies different diseases in the bile ducts. It increases the whole examination time by only 3-6 minutes, which does not mean remarkable excess time neither for patients nor for the staff. Diseases which were diagnosed and confirmed or excluded by this way compensated the excess preparation and measuring time for patients and also clinicians, especially if we consider all difficulties and risks of diagnostic ERCP examination.

Beáta Zólyomi Medical Laboratorial Diagnostic Imaging Analysis Uzsoki Hospital, Budapest, Hungary [email protected] Imre Kéki MRI Technologist Uzsoki Hospital, Budapest, Hungary [email protected]

1.Muhammed Elmao lu,Azim Çelik, PhD. MRI Handbook MR Physics, Patient Positioning, ans Protocols.© Springer Science+Business Media, LLC 2012. p. 250-251. 2. Univ.-Prof. Dr. med. Hans Heinz Schild. MR Buzzology. Bayer Pharma AG. Berlin 2012. p.101-102. 3.https://mrimaster.com/PLAN%20MRCP.html Retrieved 08 January 2019