| MR Cholangiography and Dynamic Examination of Duodenal Fluid in the Differential Diagnosis between Extrahepatic Biliary Atresia and Infantile Hepatitis Syndrome |
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| 作者姓名： | 胡玉莲 黄志华 夏黎明 |
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| 作者单位： | Department of Pediatrics Tongji Hospital Tongji Medical College Huazhong University of Science and Technology，Department of Pediatrics Tongji Hospital Tongji Medical College Huazhong University of Science and Technology，Department of Radiology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology，Wuhan 430030 China，Wuhan 430030 China，Wuhan 430030 China |
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| 摘 要： | The common causes of infantile persistent choles-tatic jaundice are infantile hepatitis syndrome (IHS) and extrahepatic biliary atresia (EHBA)1]. The differential diagnosis between IHS and EHBA is very difficult be-cause there is considerable clinical, biochemical, and histopathologic overlaps between them. Magnetic reso-nance cholangiography (MRC) is a newly-established non-invasive modality used for the diagnosis of EHBA in infants. Their results varied on the accuracy, sensitiv-ity…
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| 关 键 词： | MR胆管造影术 动力学 十二指肠 胆汁 |
| 收稿时间： | 2006-09-20 |
| 修稿时间： | 2006-09-20 |
MR cholangiography and dynamic examination of duodenal fluid in the differential diagnosis between extrahepatic biliary atresia and infantile hepatitis syndrome |
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| Yulian Hu,Zhihua Huang,Liming Xia.MR Cholangiography and Dynamic Examination of Duodenal Fluid in the Differential Diagnosis between Extrahepatic Biliary Atresia and Infantile Hepatitis Syndrome[J].Journal of Zuazhong University of Science and Technology: Medical Edition,2006,26(6):725-727. |
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| Authors: | Yulian Hu Zhihua Huang Liming Xia |
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| Institution: | 1. Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030, China
2. Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030, China |
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| Abstract: | In order to evaluate the value of magnetic resonance cholangiography (MRC) and dy-namic examination of duodenal fluid in the differential diagnosis between extrahepatic biliary atresia (EHBA) and infantile hepatitis syndrome (IHS), 52 patients with infantile cholestatic jaundice were examined by MRC and duodenal fluid examination. Original interpretations were compared with clinical outcome. Calculated sensitivity of duodenal fluid examination in diagnosis of EHBA was 100 %, and specificity was 91.1 %. Sensitivity of MRC in the diagnosis of EHBA was 94.4 % and specificity 88.24 %. The sensitivity of MRC and examination of duodenal fluid combined in diagno-sis of EHBA was 94.4 % and specificity 97.06 %. We are led to conclude that MRC and dynamic examination of duodenal fluid are useful in the differential diagnosis between IHS and EHBA and the combined use of the two techniques yield better resutls. |
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| Keywords: | magnetic resonance cholangiography duodenal fluid examination infant biliary atresia |
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