MRI/MRCP and endoscopic ultrasound in pancreatobiliary disease: defining complementary roles in diagnostic and therapeutic decision-making

2026-07-01

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Isabella Andrea Bolaños Bermúdez *

John Leonardo Torres Castiblanco

Andrea Carolina Munive Gnecco

Renzo Pinto Carta

Diego Andrés Aguirre

DOI：10.1016/j.ejrad.2026.113046

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• Optimized MRI/MRCP remains the foundation of pancreatobiliary imaging. • EUS adds value selectively when unresolved questions may change management. • CE-EUS, elastography and cyst-fluid molecular analysis expand EUS assessment. • EUS limitations include operator dependence, altered anatomy and tail lesions. • AI-assisted MRI may further narrow selected diagnostic gaps with EUS.

MRI/MRCP and endoscopic ultrasound in pancreatobiliary disease: defining complementary roles in diagnostic and therapeutic decision-making

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