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ESGAR consensus statement on MR imaging in primary sclerosing cholangitis.

Davide Ippolito1,2, Cesare Maino3, Lionel Arrivé4

  • 1School of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy. davide.ippolito@unimib.it.

European Radiology
|April 26, 2025
PubMed
Summary

This consensus statement provides guidelines for Magnetic Resonance (MR) imaging in primary sclerosing cholangitis (PSC) patients. A structured reporting template was developed to enhance care and communication for MR imaging in PSC.

Keywords:
MRCPMagnetic resonance imagingPrimary sclerosing cholangitis

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Area of Science:

  • Radiology
  • Gastroenterology
  • Medical Imaging

Background:

  • Primary sclerosing cholangitis (PSC) is a chronic liver disease requiring accurate imaging for diagnosis and management.
  • Standardized MR imaging protocols and reporting are essential for consistent evaluation of PSC.

Purpose of the Study:

  • To establish a consensus statement and recommendations for MR imaging in patients with PSC.
  • To develop a structured reporting template for MR imaging in PSC.

Main Methods:

  • A multinational panel of experts from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) was convened.
  • A modified Delphi process was used to draft and reach consensus on 55 statements regarding MR imaging in PSC.
  • Agreement levels were assessed using a 5-point Likert scale, with evidence levels reported according to the Oxford Centre for Evidence-Based Medicine.

Main Results:

  • The expert panel achieved complete agreement on 23 statements (41.8%) and fair agreement on 16 statements (29.1%).
  • Statements with complete agreement formed the basis for a structured reporting template.
  • The panel identified key MR imaging features and optimal protocols for PSC evaluation.

Conclusions:

  • The developed consensus statement and recommendations guide the appropriate use of MR imaging in PSC patients.
  • A structured reporting template is provided to improve the quality of care and interdisciplinary communication in PSC management.