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MRCP correctly predicted the presence of CBD stones in 19 of 20 patients and failed to detect CBD stones in one patient with gallstone pancreatitis.
MRCP is an accurate, noninvasive test for evaluating the CBD duct for the presence or absence of calculi in patients suspected of having CBD stones.
The main indication for MRCP study is represented by the evaluation of common bile duct obstruction, with the aim of assessing the presence of the obstruction (accuracy 85-100 %) and, subsequently, its level (accuracy 91-100 %) and its cause.
MRCP is particularly useful in the evaluation of patients with suspected gallstone pancreatitis and in patients with non-specific abdominal pain and normal liver-associated enzymes.
MRCP is useful in demonstrating variant ductal anatomy and congenital anomalies of the biliary tract and pancreatic duct such as pancreas divisum, choledochal cyst, annular pancreas, abnormal pancreaticobiliary junctions and aberrant bile ducts.
MRCP depicts the mural irregularities, strictures and biliary calculi that characterize PSC.
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