ArticlePediatric radiology2014
A prospective pilot study: can the biliary tree be visualized in children younger than 3 months on Magnetic Resonance Cholangiopancreatography?
Article in Pediatric radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Non-pharmacological strategies to obtain usable magnetic resonance images in non-sedated infants: Systematic review and meta-analysis.International journal of nursing studies · 2020Pooled it
- Imaging of complex lymphatic anomalies in children.Pediatric radiology · 2026Review
- Adjunctive value of 3D MRCP in biliary atresia: a retrospective two-center analysis of cholestatic infants.Insights into imaging · 2025Article
- Endoscopic retrograde cholangiopancreatography as a diagnostic key tool for biliary atresia: feasibility, safety and accuracy in neonates with cholestatic liver disease.European journal of pediatrics · 2025Article
- Key postnatal magnetic resonance characteristics for differentiating cystic biliary atresia from choledochal cyst.European radiology · 2024Article
- A case series of prenatal hepatic hilar cyst in the presence of a gallbladder - navigating the dilemma between biliary atresia and choledochal cyst.BMC pediatrics · 2024Article
- [Diagnostic Imaging of Biliary Atresia].Journal of the Korean Society of Radiology · 2022Review
- Article
- MRI-based decision tree model for diagnosis of biliary atresia.European radiology · 2018Article
- Laparoscopic finding of a hepatic subcapsular spider-like telangiectasis sign in biliary atresia.World journal of gastroenterology · 2017Article
- Imaging findings of Alagille syndrome in young infants: differentiation from biliary atresia.The British journal of radiology · 2017Article
- The porta hepatis microcyst: an additional sonographic sign for the diagnosis of biliary atresia.European radiology · 2017Article
- Imaging in pediatric liver transplantation.La Radiologia medica · 2016Review
- Factors Interfering with Delineation on MRCP of Pancreaticobiliary Maljunction in Paediatric Patients.PloS one · 2016Article
- Article
- Intrahepatic bile duct dilation and gallbladder hydrops due to a cystic duct stenosis in a 2-month-old boy.BMJ case reports · 2015Article
- Biliary Atresia: advances and challenges in early diagnosis and management.Jornal de pediatriaReview
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMagnetic resonance cholangiopancreatography (MRCP) could aid in the diagnosis of biliary atresia, a hepatic pathology with thin, irregular or interrupted biliary ducts. There is little published evidence of MRCP appearances in normal neonates and young infants.
objectiveTo assess the use of MR cholangiopancreatography in visualizing the biliary tree in neonates and infants younger than 3 months with no hepatobiliary disorder, and to assess this visibility in relationship to the child's age, weight, and sedation and fasting states. MATERIALS AND
methodsBetween December 2008 and October 2010 our department performed MRI of the brain, orbits and face on 16 full-term neonates and infants. Each child was younger than 3 months (90 days) and without any hepatobiliary disorders. The children were scanned with a respiratory-gated 0.54 × 0.51 × 0.4-mm(3) 3-D MRCP sequence. We used a reading grid to assess subjectively the visibility of the extrahepatic bile ducts along with extrahepatic bile duct confluence. The visibility of the extrahepatic bile duct confluence was assessed against age, weight, and sedation and fasting states.
resultsThe extrahepatic bile duct confluence was seen in 10 children out of 16 (62.5%). In the neonate sub-group (corrected age younger than 30 days), the MRCP was technically workable and the extrahepatic bile duct confluence was seen in four cases out of eight (50%). This visualization was up to 75% in the subgroup older than 30 days. However, statistically there was no significant difference in visibility of the extrahepatic bile duct confluence in relationship to age, weight or MRCP performance conditions (feeding, fasting or sedation).
conclusionThe complete normal biliary system (extrahepatic bile duct confluence included) is not consistently visualized in infants younger than 3 months old on non-enhanced MRCP. Thus the use of MRCP to exclude a diagnosis of biliary atresia is compromised at optimal time of surgery.
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