Diagnosis of chronic pancreatitis can be challenging, and often relies on a combination of morphologic and functional tests. Secretin-enhanced MRCP is a non-invasive method of evaluating both pancreatic morphology and function that utilizes intravenously injected secretin to characterize the pancreatic ductal system and to stimulate pancreatic exocrine function.

Sample Epic Order (click image to enlarge)

MR Abdomen 3T order for Secretin MRCP

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MRCP-Secretin-OrderForm.pdf1.08 MB

Examples (click on images)

References

  1. Balci NC, Smith A, Momtahen AJ, et al. MRI and S-MRCP findings in patients with suspected chronic pancreatitis: correlation with endoscopic pancreatic function testing (ePFT). J Magn Reson Imaging 2010; 31:601-606. PubMed link
  2. Czako L. Diagnosis of early-stage chronic pancreatitis by secretin-enhanced magnetic resonance cholangiopancreatography. J Gastroenterol 2007; 42 Suppl 17:113-117. PubMed link
  3. Sanyal R, Stevens T, Novak E, Veniero JC. Secretin-enhanced MRCP: review of technique and application with proposal for quantification of exocrine function. AJR Am J Roentgenol 2012; 198:124-132. PubMed link

Last modified Sat, 29 Sep, 2012 at 11:05