Title: Ultrasonography vs MRCP in Evaluation of Obstructive Jaundice
Authors: Dr Sailendra Kumar Prusty, Dr Savitri Bhagat, Dr Braja Behari Panda
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.197
Abstract
Obstructive jaundice results from obstruction to the flow of bile into the duodenum. The study was conducted to evaluate imaging findings in USG and MRCP in 46 cases of suspected biliary obstruction during November 2016 to October 2018. This cross sectional analytic study was conducted in Department of Radiodiagnosis, VIMSAR, BURLA. All patients were subjected to USG & MRCP. Results were compared and found MRCP superior to USG in diagnosis of obstructive jaundice.
Keywords: Obstructive jaundice, USG , MRCP.
References
- Hakansson K, Ekberg O, Hakansson HO, Leander P: MR and ultrasound in screening of patients with suspected biliary tract disease. Acta Radiol. 2002; 43:80–86.
- Fleischmann D, Ringl H, Schofl R, Potzi R, Kontrus M, Henk C, et al. Three dimensional spiral CT cholangiography in patients with suspected obstructive biliary disease: comparison with endoscopic retrograde cholangiopancreatography. Radiology. 1996; 198: 861-8.
- Gibson RN, Yeung E, Thompson LN, Carr DH, Benjamin IS, Blumgart LH, Allison DJ. Bile duct obstruction: Radiologic evaluation of level, cause, and tumour resectability. Radiology. 1986;160:43-7.
- Zandrino F, Benzi L, Ferretti ML, et al. Multislice CT cholangiography without biliary contrast agent: technique and initial clinical re- sults in the assessment of patients with biliary obstruction. Eur Radiol. 2002; 12: 1155–61.
- Reinhold C, Bret PM. MR cholangio-pancreatography. Abdom Imaging. 1996; 21: 105-16.
- Upadhayay V, Upadhyaya DN, Unsari MA, Shukla VK. Comparative assessment of imaging modalities in biliary obstruction. Indian J Radiol Imaging 2006;16:577-82.
- Ferrari FS, Fantozzi F, Tasciotti L, Vigni F, Scotto F, Frasci P. US, MRCP, CCT and ERCP: A comparative study in 131 patients with suspected biliary obstruction. Med Sci Monit 2005;11:MT8-18.
- Soto JA, Alvarez O, Múnera F, Velez SM, Valencia J, Ramírez N. Diagnosing bile duct stones: Comparison of unenhanced helical CT, oral contrast-enhanced CT cholangiography, and MR cholangio-graphy. AJR Am J Roentgenol 2000;175:1127-34.
- Schwartz LH, Black J, Fong Y et al. gallbladder carcinoma Findings at MR imaging with MR cholangiopanc-reatography. J Comput Assist Tomogr 2002;26:405-410.
- Guibaud L, Bret PM, Reinhold C et al (1994) Diagnosis of choledocholithiasis: value of MR cholangiography. AJR Am J Roentgenol 163:847–850
- Verghese J.C, Liddell R.P, Rarrell et al. The diagnostic accuracy of magnetic resonance cholngiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis. Clinical Radiology. 1999;54(9):604-614.
- Sugiyama M, Atomi Y & Hachiya J et al. Magnetic resonance cholangiography using half-Fourier acquisition for diagn-osing choledelocholithiasis. American Journal of Gastronterology.1998; 93 (10):1886-1890.
- Bhatt C, Shah PS, Prajapati HJ, Modi J et al. Comparison of Diagnostic Accuracy between USG and MRCP in Biliary and Pancreatic Pathology. Ind J Radiol Imag. 2005; 15:177-181.
- Verma SR, Sahai SB, Gupta PK. Munshi A, Verma SC, Goyal P, obstructive Jundice- Aetiological Spectrum , clinical biochemical and Radiological Evaluation At A Teriary Care Teaching Hospital. The Internet Journal of Tropical Medicine 2010 Volume 7 Number 2.