ArticlePediatric radiology2015
Reference values of MRI measurements of the common bile duct and pancreatic duct in children.
Article in Pediatric radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 23 citations in OpenAlex.
- Short- and Long-Term Outcomes of Pancreatic ERCP in Pre-Teens: A Swedish Single Center Study.Journal of clinical medicine · 2026Article
- Magnetic resonance imaging in neonates: a practical approach to optimize image quality and increase diagnostic yield.Pediatric radiology · 2023Review
- Magnetic resonance imaging following the demonstration of a normal common bile duct on ultrasound in children with suspected choledocholithiasis: what is the benefit?Pediatric radiology · 2023Article
- Magnetic resonance imaging glossary of findings of pediatric pancreatitis and the revised Atlanta classification.Pediatric radiology · 2022Review
- Acute pancreatitis in children: a review with clinical perspectives to enhance imaging interpretation.Pediatric radiology · 2021Review
- Current State of Imaging of Pediatric Pancreatitis:AJR. American journal of roentgenology · 2021Review
- Magnetic resonance imaging of pancreaticobiliary diseases in children: from technique to practice.Pediatric radiology · 2016Review
- Factors Interfering with Delineation on MRCP of Pancreaticobiliary Maljunction in Paediatric Patients.PloS one · 2016Article
- Nomogram of Common Bile Duct Diameter in Children from a Tertiary Care Center in Central India: A Cross-sectional Observational Study.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMagnetic resonance imaging/cholangiopancreatography (MRI/MRCP) is now an essential imaging modality for the evaluation of biliary and pancreatic pathology in children, but there are no data depicting the normal diameters of the common bile duct (CBD) and pancreatic duct. Recognition of abnormal duct size is important and the increasing use of MRCP necessitates normal MRI measurements.
objectiveTo present normal MRI measurements for the common bile duct and pancreatic duct in children. MATERIALS AND
methodsIn this retrospective study we searched all children ages birth to 10 years in our MR urography (MRU) database from 2006 until 2013. We excluded children with a history of hepatobiliary or pancreatic surgery. We stratified 204 children into five age groups and retrospectively measured the CBD and the pancreatic duct on 2-D axial and 3-D coronal T2-weighted sequences. We performed statistical analysis, using logistic and linear regressions to detect the age association of the visibility and size of the duct measurements. We used non-parametric tests to detect gender and imaging plane differences.
resultsOur study included 204 children, 106 (52%) boys and 98 (48%) girls, with a median age of 33 months (range 0-119 months). The children were distributed into five age groups. The common bile duct was visible in all children in all age groups. The pancreatic duct was significantly less visible in the youngest children, group 1 (54/67, 80.5%; P = 0.003) than in the oldest children, group 5 (22/22, 100%). In group 2 the pancreatic duct was seen in 19/21 (90.4%), in group 3 52/55 (94.5%), and in group 4 39/39 (100%). All duct measurements increased with age (P < 0.001; r-value > 0.423), and the incremental differences between ages were significant. The measurement variations between the axial and coronal planes were statistically significant (P < 0.001); however these differences were fractions of millimeters. For example, in group 1 the mean coronal measurement of the CBD was 2.1 mm and the axial measurement was 2.0 mm; the mean coronal measurement of the pancreatic duct was 0.9 mm and the axial measurement was 0.8 mm.
conclusionOur study provides normative measurements for the common bile duct and pancreatic duct for children up to age 10 years. The upper limits of the CBD and pancreatic duct increase with age, and the values range 1.1-4.0 mm for the CBD and 0.6-1.9 mm for the pancreatic duct.
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