MR: What We Need to Know to Start to Interpret Radiological Pictures

  • Martina Sbarra
  • Matteo Napoleone
  • Alessandro Cina
  • Carmine Di Stasi
  • Gennaro Restaino
  • Riccardo ManfrediEmail author


Magnetic resonance (MR) with cholangiopancreatography imaging has evolved considerably in the last decades. Improving in spatial resolution and speed of acquisition, MR provides comprehensive information to evaluate the full range of biliary and pancreatic diseases in a single session, without using any ionizing radiation. Furthermore, MR cholangiopancreatography (MRCP) has an accepted main role in the study of many biliary and pancreatic disorders, becoming a noninvasive diagnostic alternative to endoscopic retrograde cholangiopancreatography (ERCP).

A knowledge of the different MR imaging sequences and their potential clinical applications and limitations for cholangiopancreatographic evaluation is as essential as a familiarity with the spectrum of possible biliary and pancreatic findings. The main goals are to accurately identify and characterize the disease processes and to provide effective guidance for treatment.


MR imaging MR cholangiopancreatography (MRCP) Secretin-MRCP Biliary system Pancreatic ducts Pancreas 

Supplementary material

Video 11.1

Secretin-MRCP with physiological compliance of the MPD and normal duodenal filling beyond the genu inferius (MP4 1259 kb)

Video 11.2

Secretin-MRCP with anomalous pancreaticobiliary junction due to the presence of common bile channel 15 mm length and reflux of pancreatic fluid in the biliary tree becoming progressively brighter after secretin administration (MP4 1558 kb)

Video 11.3

Secretin-MRCP with sphincter of Oddi dysfunction due to a persistent dilatation of the MPD 10 min after secretin administration (MP4 2187 kb)


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Martina Sbarra
    • 1
  • Matteo Napoleone
    • 1
  • Alessandro Cina
    • 1
  • Carmine Di Stasi
    • 1
  • Gennaro Restaino
    • 1
  • Riccardo Manfredi
    • 1
    Email author
  1. 1.Department of RadiologyUniversità Cattolica del Sacro CuoreRomeItaly

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