Pankreasatrophie bei Mukoviszidose

Komplette

lipomatöse Umwandlung des Pankreas bei einem 45-jährigen Mukoviszidosepatienten. MRT links T2 axial, rechts MRCP, in der man einen Pankreasgang nicht mehr sicher abgrenzen kann.

Diagnostic

accuracy of MRI with MRCP and B-Mode-sonography with elastography of the pancreas in patients with cystic fibrosis: a point-to-point comparison. Transversal MRI images and a patient with manifold side branch cysts in pancreatic body. In all acquired sequences [T1-Flash-2D transversal native (a); T2-HASTE transversal (b); T1-Flash-2D fatsat transversal after contrast injection (c)] no residual pancreatic parenchyma can be identified. Asterixis mark empty pancreatic bed after full fatty transformation. Patient with manifold side branch cysts in pancreatic body with can be easily identified in T2-Space3D coronar MIP-MRCP sequence (d) and transversal T2-HASTE sequence (e). In B-mode sonography (f), identification of exact number, localization and contact to pancreatic duct was not possible