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. 2012 Jul;85(1015):887–896. doi: 10.1259/bjr/21209407

Table 4. Comparison of DIC-CT and MR cholangiography.

Method Advantages Limitations Indications
DIC-CT Short scan time Radiation exposure Contraindications for MRC (e.g. cardiac pacemakers)
High spatial resolution Side effects caused by biliary contrast agent (iotroxic acid megulumine) Pre-operative detailed evaluation of intrahepatic tiny bile duct (caudate, subvesical duct)
High contrast of biliary tree (including intrahepatic bile duct) Poor visualisation associated with hyperbilirubinaemia Post-operative assessment (e.g. detection of bile leak)
Evaluation of biliary flow and function Insufficient opacification of excessively dilated biliary duct
MRCP No contrast agent used Artefacts and pseudolesions First choice for pancreaticobiliary diseases, particularly in the investigation of biliary obstruction
No radiation exposure Contraindications for MRI
High contrast of extrahepatic bile duct
Information of pancreatic duct
EOB-MRC Biliary flow imaging No depiction of peripheral bile duct Additional information about bile duct on ordinary Gd-EOB-DTPA- enhanced liver MRI
Poor visualisation associated with liver dysfunction

DIC-CT, drip infusion cholangiography with CT; EOB-MRC, gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced MR cholangiography; Gd-EOB-DTPA, gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid; MRCP, MR cholangiopancreatography.