This is the MRI equivalent of a HIDA scan, but with anatomic detail. It requires administration of the contrast agent Eovist, which has biliary excretion. To work well, the bilirubin should be under 3 mg/dL in those patient's with otherwise normal liver function. In cirrhotic patients with compromised liver function, the bilirubin should be under 2 mg/dL.

Sample Epic Order (click image to enlarge)

Specifically indicating a concern for bile leak in the history will prompt us to use a particular contrast agent, Eovist.

Download and Print A Request

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Bile leak MR evaluation request292.35 KB

Examples (click on images)

References

  1. Marin D, Bova V, Agnello F, Youngblood R, Midiri M, Brancatelli G. Gadoxetate disodium-enhanced magnetic resonance cholangiography for the noninvasive detection of an active bile duct leak after laparoscopic cholecystectomy. J Comput Assist Tomogr 2010; 34:213-216. PubMed link

Last modified Thu, 30 Aug, 2012 at 16:48