MRI M R C P

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About The Test

What is MRI MRCP?

MRI MRCP is a special type of MRI that zeroes in on the fluid-filled ducts of the liver, gallbladder and pancreas. Strong magnets and radio waves build a roadmap your doctor can “drive through” on a computer screen.

How it differs from standard MRI

  • Focus: ordinary MRI looks at organs; MRCP looks inside the tiny ducts.
  • No contrast (usually): MRCP relies on natural body fluid, so most patients skip injections.
  • Faster post-processing: 3-D pictures are ready in minutes.

List of Parameters

  • Bile-duct diameter (normal ≤7 mm after gallbladder removal)
  • Pancreatic-duct anatomy (looking for side branches)
  • Gall-bladder wall thickness (>3 mm = inflammation)
  • Stones, sludge or strictures (location & size logged)

Why This Test

  • Unexplained abdominal pain
  • Jaundice evaluation
  • Suspected bile-duct obstruction
  • Follow-up after gallstone surgery

When to Take Test

Benefits

Benefits of MRI MRCP Test

  • Non-invasive alternative to ERCP—no scope down your throat.
  • Zero radiation—ideal for repeat follow-ups.
  • High-resolution 3-D images show ducts as thin as 1 mm.
  • Recovery time = the walk back to your car.

Conditions Diagnosed Through an MRI MRCP Scan

  1. Choledocholithiasis (bile-duct stones)
  2. Primary sclerosing cholangitis (PSC)
  3. Pancreatic divisum (birth variant)
  4. Cholangiocarcinoma (bile-duct cancer)
  5. Chronic pancreatitis (duct scarring)

Preparing for test

Pre-requisites (fasting 4–6 h)

An empty stomach cuts bowel motion and sharpens pictures. Water is allowed.

Best time to take the MRI MRCP

Morning slots (8 am–11 am) reduce wait times and stomach growl artefacts.

Eligibility

  • Pregnancy test if you’re of child-bearing age.
  • Recent creatinine report if contrast is planned.

Procedure for Taking a MRI MRCP

  1. Arrive 30 min early for paperwork.
  2. Change into metal-free gown; locker provided.
  3. Lie on table, coil placed over abdomen, headphone on.
  4. Breathe-hold commands last 15–20 s each; total 15 min.

Caution Before Taking the Test

  • Remove jewellery, belts, phones.
  • Inform staff about tattoos, permanent eyeliner or insulin pumps.

Test Results

Results and Interpretations

Finding / ObservationDescription (Generalized Examples)General Interpretation/Significance
Normal ducts≤7 mm CBD, no filling defectsNo blockage
Filling Defects in DuctsNon-opacifying dark areas seen within the bile or pancreatic ducts.Suggestive of choledocholithiasis, sludge, clots, parasites, or tumors. Requires correlation with symptoms and possible intervention.
Stricture Abrupt narrow with upstream wideningMay need ERCP or surgery
Pancreatic Duct AppearanceMay show dilation, narrowing, side-branch ectasia, intraductal filling defects, or congenital variants.Changes suggest pancreatitis, stones, tumors, or pancreas divisum. Chronic ductal changes may signal long-standing disease.
Stones Dark filling defects inside bright ductCholedocholithiasis
Signal Characteristics of Ductal ContentsBile typically has homogeneous high signal; debris, pus, or hemorrhage appears heterogeneous.Helps differentiate normal bile from infectious, inflammatory, or hemorrhagic content. Important for evaluating cholangitis or obstructive complications.
Pancreatic divisumDorsal & ventral ducts don’t meetCommon cause of recurrent pancreatitis
Mass lesionIrregular wall thickening or polypTumour work-up required
Surrounding Organ EvaluationAssessment of liver, spleen, kidneys, adrenals, vasculature for incidental or related pathology.May detect cirrhosis, metastases, hepatic cysts, or vascular anomalies. Aids in staging or identifying coexistent disease.

Risks & Limitations

Claustrophobia considerations

Our wide-bore 70 cm scanner and mirror visor cut claustrophobia rates by 40%. Still nervous? Ask for a mild sedative when you book.

Metallic implants & pacemaker contraindications

  • Pacemakers, cochlear implants, certain aneurysm clips = scan not possible.
  • Dental fillings, hip/knee replacements are usually fine; just declare them.

False-negative/positive possibilities

Small stones (<2 mm) or tight strictures can hide in 5% of cases. Your Cadabams radiologist cross-checks with blood work and clinical history to minimise this.

FAQs

Is MRI MRCP painful?

No. You only feel the table move.

How long does the scan take?

15–20 minutes inside the machine; 30 minutes total visit.

Can I eat after the scan?

Yes—bring a snack and eat right away.

Do I need a referral?

Any doctor’s prescription works; walk-ins with referral accepted.

What if I’m claustrophobic?

Open-bore scanner + mirror + music + optional sedative = comfortable ride.

How soon will results be ready?

Same evening for in-house cases; 24 h max for complex reviews.

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