Abstract #4027

MR Cholangiography in Patients with Biliary Complications After Liver Transplantation: Which Sequence Enables Diagnosis and Differentiation Best?

Sonja Kinner¹, Alexander Dechne², Susanne C. Ladd¹, Thomas Zpf², Guido Gerken², Gerald Antoch¹, Michael Forsting¹, Thomas C. Lauenstein¹

¹Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, NRW, Germany; ²Department of Gastroenterology and Hepatology, University Hospital Essen, Essen, NRW, Germany

Biliary stenoses are common complications after liver transplantation. ERCP is actually the gold standard to evaluate the bile ducts and differentiate between stenoses of the anastomosis and strictures of the ducts due to ischemia. In our study we evaluated different MRC sequences concerning their ability to diagnose and differentiate biliary strictures. Our results showed that one sequence alone can not present the whole disease. Thus, a clinical protocol to diagnose and differentiate biliary strictures should comprehend different MRC sequences to be able to compete against ERCP.