The aim of this educational exhibit is to describe main imaging features of biliary disease in paediatric patients; in addition,
technical tricks and expedients for MRCP protocol are discussed,
to help radiologists in the management of these diseases.
Pediatric patients may be affected by congenital and acquired biliary disease.
The diagnosis should be obtained through US and MRI findings,
in order to avoid ionizing radiation exposure. MRCP is based on heavy T2-weighted sequences that have high diagnostic capability in showing and emphasizing the biliary tree and pancreatic duct.
in infants or children MRCP represents a diagnostic challenge for radiologists,
with several tips and tricks required to optimize acquisition and...
Findings and procedure details
Biliary diseases in pediatric patients have been summarized as proposed in Table 2 Congenital biliary diseases include biliary atresia,
cystic biliary lesions,
agenesia/malformation of gallbladder.
Acquired biliary diseases include lithiasis,
infections and Primary Sclerosing Cholangitis. Biliary Atresia Biliary atresia is the most common cause of persisting neonatal jaundice which affects 1 person in every 8,000,
in Asian populations.
The disease – in its typical...
The knowledge of main imaging features encountered in paediatric biliary disease is essential to provide a correct diagnosis.
Radiologists should know all the possible expedients to optimize MRCP acquisition,
particularly when pre-surgical assessment is required.
References 1) Darge K,
(2011) MR Imaging of the Abdomen and Pelvis in Infants,
Radiology 2) Mark E,
(2016) Pediatric cholangiopathies: diseases of the gallbladder and biliary tract.
Abdominal Radiology 3) Baumann U,
(2012) Biliary atresia.
Clin Res Hepatology Gastroenterology 4) Dolgin SE,
(2004) Answered and unanswered controversies in the surgical management of extra hepatic biliary atresia.
Pediatric Transplant 5) Kendrick APT,