ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2025-16-1-47-56ldt-1065Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSСовременные вызовы и перспективы магнитно-резонансной холангиопанкреатографии: проблемы применения в клинической практике и теоретические подходы к их решению: обзорCurrent challenges and prospects of magnetic resonance cholangiopancreatography: problems in clinical practice and theoretical approaches to their solution: a reviewЕспановА. А.EspanovA. A.

Еспанов Айбек Аскергалиевич  — резидент-радиолог, школа резидентуры и профессионального развития

г. Караганда, ул. Гоголя, д. 40

Aibek A. Espanov — Radiologist Resident, School of Residency and Professional Development

100000, Karaganda, st. Gogolya, 40

Медицинский университет КарагандыКазахстанKaraganda Medical UniversityKazakhstan2025130420251614756Copyright © Еспанов А.А., 20252025Еспанов А.А.Espanov A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/1065ВВЕДЕНИЕ

ВВЕДЕНИЕ: Магнитно-резонансная холангиопанкреатография (МРХПГ) — это неинвазивный метод диагностики заболеваний желчевыводящих путей и поджелудочной железы, обеспечивающий высококачественные изображения, которые помогают врачам диагностировать патологии без использования ионизирующего излучения. Несмотря на широкое применение, существуют проблемы, связанные с качеством изображений, артефактами дыхания, отсутствием стандартов и длительностью сканирования.

ЦЕЛЬ

ЦЕЛЬ: Анализ проблем, возникающих в применении МРХПГ в клинической практике, оценка теоретических подходов для их решения.

МАТЕРИАЛЫ И  МЕТОДЫ

МАТЕРИАЛЫ И  МЕТОДЫ: Для проведения обзора использовались статьи из  баз данных PubMed, Web of Science и Scopus. Внимание уделялось исследованиям последних пяти лет, посвященным новым методам визуализации и теоретическим подходам к решению текущих проблем МРХПГ. Всего было отобрано 36 публикаций, проведен их анализ.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ: Основные проблемы клинического применения МРХПГ включают дыхательные артефакты, отсутствие стандартизированных протоколов мониторинга при первичном склерозирующем холангите (ПСХ), длительность сканирования и необходимость разработки укороченных протоколов для экстренной диагностики. Для коррекции артефактов дыхания предложены методы сжатого зондирования (Сompress Sensing, CS) и параллельной визуализации (Parallel Imaging, PI), которые улучшают качество изображений и сокращают время сканирования.

ОБСУЖДЕНИЕ

ОБСУЖДЕНИЕ: В обзоре обсуждается применение методов CS и PI для улучшения качества изображений и сокращения времени сканирования, разработаны ускоренные протоколы МРХПГ для экстренной диагностики, что особенно важно для пациентов с острыми состояниями. Необходимы стандартизированные протоколы мониторинга пациентов с ПСХ для ранней диагностики злокачественных новообразований.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ: МРХПГ — важный инструмент в современной диагностике, но её применение сталкивается с рядом проблем, которые можно решить за  счет использования современных технологий, таких как CS и  PI. Разработка новых протоколов и стандартизация подходов к мониторингу позволят повысить эффективность диагностики и улучшить клинические исходы.

INTRODUCTION

INTRODUCTION: Magnetic resonance cholangiopancreatography (MRCP) is a noninvasive diagnostic method for diseases of the biliary tract and pancreas. It provides high-quality images that help physicians diagnose pathologies without the use of ionizing radiation. Despite its widespread use, there are problems associated with image quality, breathing artifacts, lack of standards, and scanning duration.

OBJECTIVE

OBJECTIVE: To analyze the problems arising in the clinical practice of MRCP and evaluate theoretical approaches to their solution.

MATERIALS AND METHODS

MATERIALS AND METHODS: Articles from the PubMed, Web of Science, and Scopus databases were used for the review. Attention was paid to studies of the last five years devoted to new visualization methods and theoretical approaches to solving current problems of MRCP. A total of 36 publications were selected and analyzed.

RESULTS

RESULTS: The main problems of clinical application of MRCP include respiratory artifacts, lack of standardized monitoring protocols in primary sclerosing cholangitis (PSC), scanning time and the need to develop shortened protocols for emergency diagnostics. To correct respiratory artifacts, compressed probing (CS) and parallel imaging (PI) methods have been proposed, which improve image quality and reduce scanning time.

DISCUSSION

DISCUSSION: The review discusses the use of CS and PI methods to improve image quality and reduce scanning time. Accelerated MRCP protocols have been developed for emergency diagnostics, which is especially important for patients with acute conditions. Standardized monitoring protocols for patients with PSC are needed for early diagnosis of malignant neoplasms.

CONCLUSION

CONCLUSION: MRCP is an important tool in modern diagnostics, but its application faces a number of problems that can be solved through the use of modern technologies, such as CS and PI. The development of new protocols and standardization of monitoring approaches will improve the efficiency of diagnostics and clinical outcomes.

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The authors declare that there are no conflicts of interest present.