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13. Follow-up magnetic resonance imaging/3D-magnetic resonance cholangiopancreatography in patients with primary sclerosing cholangitis: challenging for experts to interpret

Author

Zenouzi, R., Liwinski, T., Yamamura, J., Weiler-Normann, C., Sebode, M., Keller, S., Lohse, A. W., Schramm, C., Aabakken, L., Arrivé, L., Bowlus, C. L., Bungay, H., van Buuren, H. R., Cardinale, V., Carey, E. J., Chazouillères, O., Cheung, A., Culver, E. L., Dufour, J. F., Dumonceau, J. M., Eaton, J. E., Eddowes, P. J., Färkkilä, M., Floreani, A., Franceschet, I., Hohenester, S. D., Kemmerich, G., Krawczyk, M., Zimmer, V., Lenzen, H., Levy, C., Marschall, H. U., Marzioni, M., Motta, R., Muratori, L., Pereira, S. P., Poley, J. W., Rimola, J., Ringe, K. I., Rushbrook, S., Simpson, B. W., Schrumpf, E., Spina, J. C., Terziroli Beretta-Piccoli, B., Trauner, M., Tringali, A., Venkatesh, S. K., Vesterhus, M., Villamil, A., Weismüller, T. J., Ytting, H., Zenouzi, R., Liwinski, T., Yamamura, J., Weiler-Normann, C., Sebode, M., Keller, S., Lohse, A.W., Schramm, C., Aabakken, L., Arrivé, L., Bowlus, C.L., Bungay, H., van Buuren, H.R., Cardinale, V., Carey, E.J., Chazouillères, O., Cheung, A., Culver, E.L., Dufour, J.F., Dumonceau, J.M., Eaton, J.E., Eddowes, P.J., Färkkilä, M., Floreani, A., Franceschet, I., Hohenester, S.D., Kemmerich, G., Krawczyk, M., Zimmer, V., Lenzen, H., Levy, C., Marschall, H.U., Marzioni, M., Motta, R., Muratori, L., Pereira, S.P., Poley, J.W., Rimola, J., Ringe, K.I., Rushbrook, S., Simpson, B.W., Schrumpf, E., Spina, J.C., Terziroli Beretta-Piccoli, B., Trauner, M., Tringali, A., Venkatesh, S.K., Vesterhus, M., Villamil, A., Weismüller, T.J., Ytting, H., Culver, E, and Gastroenterology & Hepatology

Subjects
Adult, Liver Cirrhosis, Male, medicine.medical_specialty, Cirrhosis, Cholangiopancreatography, Magnetic Resonance, Cholangitis, Sclerosing, Constriction, Pathologic, Primary sclerosing cholangitis, Cholangiocarcinoma, Diagnosis, Differential, 03 medical and health sciences, Imaging, Three-Dimensional, 0302 clinical medicine, Surveys and Questionnaires, Image Interpretation, Computer-Assisted, medicine, Humans, Pharmacology (medical), In patient, Expert Testimony, Cholangiopancreatography, Endoscopic Retrograde, Magnetic resonance cholangiopancreatography, Endoscopic retrograde cholangiopancreatography, Hepatology, medicine.diagnostic_test, business.industry, Elevated total bilirubin, Gastroenterology, Reproducibility of Results, Magnetic resonance imaging, Middle Aged, medicine.disease, Bile Ducts, Intrahepatic, Bile Duct Neoplasms, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, Clinical Competence, Radiology, Bilirubin levels, business, Follow-Up Studies
Abstract

Background: In patients with primary sclerosing cholangitis follow‐up magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography (MRCP) is performed by many centres, particularly for the early detection of biliary malignancies and strictures. Clinically meaningful MRI‐based definitions of primary sclerosing cholangitis related complications are, however, lacking.Aim: To investigate how primary sclerosing cholangitis experts interpret follow‐up MRI/MRCP with a focus on conclusions that may impact clinical decision‐making in primary sclerosing cholangitis.Methods: Within the International Primary Sclerosing Cholangitis Study Group, an online survey on 16 real‐life primary sclerosing cholangitis cases including clinical and biochemical information as well as a T2‐weighted liver MRI/3D‐MRCP was conducted. The interpretation of images and subsequent recommendations were assessed using a multiple‐choice questionnaire. An inter‐rater reliability calculation (Fleiss′ kappa) was performed and factors potentially affecting the interpretation of magnetic resonance images were analysed using generalised linear mixed‐effect models.Results: Forty‐four members/associates of the International Primary Sclerosing Cholangitis Study Group (median experience in the care of primary sclerosing cholangitis patients: 14 years) completed the survey. The MRI interpretation significantly varied among the participants. The lowest agreement was found with respect to the indication to perform subsequent endoscopic retrograde cholangiopancreatography (ERCP; Κ = 0.12, 95%CI 0.11‐0.14). Elevated total bilirubin was the variable with the strongest effect on the rate of suspected dominant strictures, cholangiocarcinoma or ERCP recommendations. Liver cirrhosis did not prevent participants from recommending ERCP. Overall, the survey participants′ recommendations contrasted the real‐life management and outcome.Conclusions: In primary sclerosing cholangitis, the interpretation of follow‐up MRI/3D‐MRCP significantly varies even among experts and seems to be primarily affected by bilirubin levels. Generally accepted MRI‐based definitions of primary sclerosing cholangitis‐related complications are urgently needed.

Published
2018
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32. Auteurs

Author

Aboyans, V., primary, Airapetian, N., additional, Alison, D., additional, Antoine, V., additional, Anxionnat, R., additional, Arrivé, L., additional, Azizi, L., additional, Balu, M., additional, Beydon, L., additional, Bollaert, P.E., additional, Bonadona, A., additional, Bouhours, G., additional, Bracard, S., additional, Bricault, I., additional, Brivet, F.-G., additional, Carette, M.-F., additional, Carlier, J.-P., additional, Cottier, J.-P., additional, Doddoli, C., additional, Domengie, F., additional, Duclos, B., additional, Dupas, B., additional, Embriaco, N., additional, Fartoukh, M., additional, Foscolo, S., additional, Frénoy, E., additional, Frija, J., additional, Galanaud, D., additional, Guervilly, C., additional, Guidoux, C., additional, Hazzan, M., additional, Herbreteau, D., additional, Holzapfel, L., additional, Jacobs, F.-M., additional, Kerviler, E. de, additional, Khalil, A., additional, Korzec, J., additional, Lacombe, C., additional, Laissy, J.-P., additional, Legras, A., additional, Lemaitre, L., additional, Lewin, M., additional, Lichtenstein, D.A., additional, Lutun, P., additional, Maître, S., additional, Marchand, B., additional, Marsault, C., additional, Mayaud, C., additional, Nataf, F., additional, Noël, C., additional, Papazian, L., additional, Pascaud, J.-L., additional, Perrotin, D., additional, Provot, F., additional, Puech, P., additional, Pynn, S., additional, Ramos-Taboada, L., additional, Régnier, B., additional, Ridereau, Zins C., additional, Roch, A., additional, Samy, Modeliar S., additional, Schmitt, E., additional, Scotto, B., additional, Sharshar, T., additional, Slama, M., additional, Smadja, C., additional, Sonneville, R., additional, Souday, V., additional, Tchénio, X., additional, Tenaillon, A., additional, Timsit, J.-F., additional, Veillon, F., additional, Vignon, P., additional, and Wolff, M., additional

Published
2007
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42. Recommendations on the use of magnetic resonance imaging for collaborative multicenter studies in PSC

Author

Ringe, Kristina I, Grigoriadis, Aristeidis, Halibasic, Emina, Wacker, Frank, Manns, Michael P, Schramm, Christoph, Lenzen, Henrike, Collaborators: Alvaro D, MRI working group of the IPSCSG., Arrivé, L, Ba-Ssalamah, A, Bergquist, A, Bungay, H, Cardinale, V, Cazzagon, N, Chengija, V, Eaton, J, Färkkilä, M, Floreani, A, Kemmerich, G, Kukuk, G, Madrazo, B, Pötter-Lang, S, Stadnik, A, Tenca, A, Trauner, M, Venkatesh, S, Weismüller, T, Yamamura, J, and Zenouzi, R.

Published
2018

44. Magnetic resonance risk score and liver stiffness by transient elastography have complementary prognostic values in patients with Primary Sclerosing Cholangitis

Author

Cazzagon, N., primary, Mouhadi, S. El, additional, Lemoinne, S., additional, Trivedi, P.J., additional, Gaouar, F., additional, Fankem, A.D. Kemgang, additional, Belkacem, K. Ben, additional, Floreani, A., additional, Hirschfield, G., additional, Chretien, Y., additional, Housset, C., additional, Motta, R., additional, Russo, F.P., additional, Chazouillères, O., additional, Arrivé, L., additional, and Corpechot, C., additional

Published
2019
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47. Male pelvis

Author

Arrive, L., Malbec, L., Buy, J. N., Guinet, C., Vadrot, D., Meary, E., Bigot, J. M., Ecoiffier, J., Vanel, Daniel, editor, Mc Namara, Michael T., editor, Arcangioli, O., editor, Arrive, L., editor, Aubert, B., editor, Bénacerraf, R., editor, Bigot, J.-M., editor, Bittoun, J., editor, Blangy, S., editor, Bonnin, A., editor, Broussin, J., editor, Buthiau, D., editor, Buy, J.-N., editor, Cabée, A.-E., editor, Caille, J.-M., editor, Chagnon, S., editor, Chateil, J.-F., editor, Chevrot, A., editor, Coffre, C., editor, Couanet, D., editor, Desprès, E., editor, De Tœuf, J., editor, Ecoiffier, J., editor, Engelholm, L., editor, Frija, G., editor, Gires, F., editor, Grenier, N., editor, Grenier, P., editor, Guinet, C., editor, Héran, F., editor, Idy-Peretti, I., editor, Jean-Mart, J., editor, Kien, P., editor, Kressel, H., editor, Lavayssière, R., editor, Leclère, J., editor, Leroy-Willig, A., editor, Malbec, L., editor, Marichez, M., editor, Masselot, J., editor, Meary, E., editor, Menu, Y., editor, Pallardy, G., editor, Parienty, R.-A., editor, Piekarski, J.-D., editor, Roucayrol, J.-C., editor, Schouman-Claeys, E., editor, Segebarth, C., editor, Sibert, A., editor, Somveille, E., editor, Taieb, A., editor, Tavière, V., editor, Vadrot, D., editor, Vallée, C., editor, Vanel, D., editor, Zalcman, M., editor, and Wybier, M., editor

Published
1989
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