Evidence map›Paper›PMID 41964937›Full record

ArticleInternal medicine journal2026

Annual magnetic resonance cholangiopancreatography surveillance outcomes in individuals with primary sclerosing cholangitis.

Gary Dezhi Zhang, Chloe Attree, Nazneen Irani, Jonathan Tibballs, John Ferguson, Luis Calzadilla Bertot, Michael Wallace, Briohny Smith, George Garas, Gary Jeffrey and 2 more

Abstract read
In one paragraph

Article in Internal medicine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gary Dezhi ZhangSir Charles Gairdner Hospital, Perth, Western Australia, Australia.ORCID https://orcid.org/0009-0004-6774-4132
Chloe AttreeSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Nazneen IraniSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Jonathan TibballsSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
John FergusonSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Luis Calzadilla BertotSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Michael WallaceSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Briohny SmithSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
George GarasSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Gary JeffreySir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Leon Anton AdamsSir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Gerry MacQuillanSir Charles Gairdner Hospital, Perth, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnnual surveillance for cholangiocarcinoma using magnetic resonance cholangiopancreatography (MRCP) has been recommended in primary sclerosing cholangitis (PSC) to improve the associated dismal outcomes. However, data are limited.

aimsTo compare the outcomes of surveillance versus non-surveillance in patients with PSC.

methodsA retrospective cohort of patients with PSC at a liver transplant hospital with hepatologist-directed MRCP surveillance were identified. The surveillance group underwent a MRCP every 12 ± 3 months for at least 70% of the follow-up period. Patients were followed from their first MRCP to cholangiocarcinoma diagnosis, liver transplantation, death or the 30 April 2023.

resultsThe surveillance group with 108 patients (68%) and non-surveillance group with 50 patients (32%) were similar at baseline, with the median age at PSC diagnosis 38 years (range: 7-78 years), 91 males (59%) and the median duration of MRCP surveillance 86 months (range: 10-257 months). Cholangiocarcinoma was diagnosed in 14 patients (9%) (intrahepatic, n = 10; extrahepatic, n = 4). Surveillance MRCP detected one cholangiocarcinoma of the six patients diagnosed in the surveillance cohort, while 10 patients were diagnosed with cholangiocarcinoma following symptoms or raised liver enzymes. Overall, cumulative survival at 3 and 5 years was significantly improved in the surveillance group compared with the non-surveillance group in multivariate models, adjusting for age, cirrhosis and presence of cholangiocarcinoma (97% vs 77%, and 94% vs 69%, respectively; P < 0.001).

conclusionMRCP surveillance did not detect early cholangiocarcinoma or improve cholangiocarcinoma survival in this retrospective cohort of PSC patients; however, surveillance was associated with improved overall survival compared to no surveillance.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaCholangiopancreatography, Magnetic ResonanceCholangitis, SclerosingAdolescentAdultAgedChildCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPopulation SurveillanceRetrospective Studiescholangiocarcinomacholangiocarcinoma survivalmagnetic resonance cholangiopancreatography (MRCP)primary sclerosing cholangitis (PSC)surveillance

Identifiers

PMID41964937
PMCPMC13288198

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.