Comparative assessment of ultrasonography and magnetic resonance cholangio-pancreatography in pancreatico biliary diseases
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Biliary and pancreatic pathologies are common in clinical practice. Evaluation of obstructive jaundice for precise assessment of cause, level and location is necessary for management of patient. Hence aim of present study is to compare diagnostic accuracy of magnetic resonance cholangiopancreaticography and ultrasonography in biliary and pancreatic pathologies. This study was conducted among fifty patients in the Department of Radio-diagnosis, GMC Kota who were clinically suspected to be suffering from pancreaticobiliary pathologies in all age groups. All the patients in the study underwent ultrasonography and MRCP. In this study benign and malignant lesions constituted 30 (60%) and 20 (40%) cases respectively. Ductal calculi(8),stricture (5),choledochal cyst(2),gall stones(7),pancreatitis(6),postoperative bile leak(1),cholangiocarcinoma(10), infiltrative GB carcinoma (6),periampullary carcinoma (3),pancreatic head carcinoma (1). Ultrasound was found to have sensitivity 84.6%, specificity 86.4% and diagnostic accuracy of 85.7% for detecting the cause of obstruction while MRCP correctly detected cause of obstruction with sensitivity: 93.3%, specificity 95%, and the diagnostic accuracy of 94.3%. USG is considered the first choice option in the diagnostic imaging of obstructive biliary disease. However, owing to its low sensitivity in most of the benign stenosis and distal CBD disease and for a thorough staging evaluation of malignancy, MRCP is highly accurate and superior diagnostic modality in establishing diagnosis of obstructive biliary pathologies. MRCP is more sensitive and more likely to detect choledocholithiasis, CBD strictures and malignant pathologies as compared to USG.
Authors and Affiliations
Dharm raj Meena, Sangeeta Saxena, Harshverdhan Khokhar, Umesh kumar
Keywords
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- EP ID EP375688
- DOI 10.9790/0853-1706025662.
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