MRI Technique MRCP and Pancreas Imaging

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Questions and Answers

What is the most common indication for using MRI of the pancreas?

  • Monitoring of insulin production
  • Evaluation of liver function
  • Assessment of kidney function
  • Staging of pancreatic tumours (correct)

Which sequence is best acquired initially in an oblique coronal plane for pancreatic head tumors?

  • T2-weighted turbo-spin echo
  • T1-weighted spoiled gradient-echo
  • Gadolinium-enhanced T1-weighted fat-suppressed spoiled GRE
  • T1-weighted fat-suppressed gradient-echo (correct)

Why is CT generally preferred over MRI for certain cases, according to the text?

  • Detection of islet cell tumors
  • Higher resolution images
  • Lower cost and time implications (correct)
  • Ability to demonstrate stones and obstructions

Which type of images are obtained immediately after the injection of contrast medium?

<p>Gadolinium-enhanced T1-weighted fat-suppressed spoiled GRE (D)</p> Signup and view all the answers

What is the purpose of performing intraoperative cholangiography?

<p>To avoid surgical exploration of the common bile duct (D)</p> Signup and view all the answers

What is a common occurrence during operative choledochogram that may be relieved by glucagon, propantheline, or amyl nitrite?

<p>Spasm of the sphincter of Oddi (D)</p> Signup and view all the answers

What are the criteria for a normal operative choledochogram according to Le Quesne?

<p>Common bile duct width not greater than 12 mm (C)</p> Signup and view all the answers

When would postoperative (T-Tube) cholangiography be indicated?

<p>To assess biliary leaks following biliary surgery (D)</p> Signup and view all the answers

What type of contrast medium is recommended for intraoperative cholangiography?

<p>High osmolar contrast media (HOCM) with low iodine content (B)</p> Signup and view all the answers

What is the purpose of giving secretin slowly intravenously over 1 minute?

<p>To distend the pancreatic ducts for better assessment (B)</p> Signup and view all the answers

What is the purpose of suspending inspiration during the liver ultrasound?

<p>To visualize the whole liver using transverse scans (B)</p> Signup and view all the answers

When would fasting or restriction to clear fluids only be required for a liver ultrasound?

<p>When the gallbladder is also to be studied (C)</p> Signup and view all the answers

What is a contraindication for undergoing a liver ultrasound?

<p>None (C)</p> Signup and view all the answers

What is the main function of a 3–5-MHz transducer and contact gel in liver ultrasound?

<p>To visualize the whole liver using transverse scans (B)</p> Signup and view all the answers

What may be useful for visualizing the hepatic veins during ultrasound?

<p>Transverse intercostal or epigastric approach (B)</p> Signup and view all the answers

What is the characteristic normal waveform of the hepatic vein on Doppler?

<p>Triphasic waveform (B)</p> Signup and view all the answers

In contrast-enhanced ultrasound of the liver, what allows the contrast enhancement pattern of focal liver lesions to be assessed?

<p>Microbubble agents (A)</p> Signup and view all the answers

What is the normal portal vein blood flow direction?

<p>Towards the liver (D)</p> Signup and view all the answers

How can hepatic artery be traced during ultrasound examination?

<p>From the coeliac axis by recognizing the ‘seagull’ appearance (C)</p> Signup and view all the answers

What is a characteristic of the normal adult spleen size?

<p>Measures 12 cm or less in length (A)</p> Signup and view all the answers

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