One of the main limitations of the MRCP/MRI examination of the biliary tree and associated organs is that only static images can be obtained . Whereas, with the diagnostic ERCP procedure, the biliary tree can be filled with a contrast medium, and its drainage recorded and observed in real-time with an image intensifier.This limitation can be somewhat addressed with the dynamic coronal MRCP sequence. Simply prescribe a slice in the coronal plane directly through the level of the CBD as prescribed earlier in the Coronal Oblique 3 Slab MRCP sequence. Next, instruct the patient to hold a breath on suspended expiration and repeat this sequence six times, thereby acquiring six images at the same location. This is achieved by either clicking on the mouse button to scan, or by pressing the scan button on the keyboard six times. The resulting images should demonstrate fluid drainage into the duodenum or obstruction or strictures along the CBD.
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