Panacea Journal of Medical Sciences

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The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice

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Original Article

Author Details : Deep Kumar Roy, Mukheswar Pame, Aniruddha Basu, Rupak Bhuyan, Hafizur Rahman*

Volume : 13, Issue : 2, Year : 2023

Article Page : 402-409

https://10.18231/j.pjms.2023.077

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Abstract

Background: Jaundice is a commonly encountered problem in society. Discrimination between obstructive and non-obstructive causes is important to imply surgical intervention in cases of obstructive jaundice whereas medical management in non-obstructive jaundice. Nowadays diagnostic endoscopic retrograde cholangiopancreatography (ERCP) may be replaced by Magnetic resonance cholangiopancreatography (MRCP) as it has high level of resolution and reliability. We studied the role of MRCP in obstructive jaundice to evaluate its etiological spectrums and radiological findings.
Aim: To evaluate the role of MRCP in the determination of aetiologies in obstructive jaundice, to assess degree and level of biliary obstruction and to correlate MRCP findings with post surgical follow-ups / ERCP/ histopathology.
Materials and Methods: Total sixty-eight patients with a clinical diagnosis of obstructive jaundice referred for MRCP were included in our study. We correlated MRCP findings with the final diagnosis made by post-surgical follow-up / ERCP/ histopathology as a gold standard.
Results: For benign lesions, overall sensitivity of MRCP was 97.73%, specificity was 95.83% with an accuracy of 97.06%. MRCP had 94.74% sensitivity, 93.88% specificity, 94.12% accuracy in the diagnosis of choledocholithiasis, and 66.67% sensitivity, 98.39% specificity, and 95.59% accuracy in the diagnosis of benign strictures. For malignant lesions, accuracy, sensitivity, and specificity of MRCP were 97.06%, 95.83%, and 97.73%.
Conclusion: MRCP is a highly reliable, accurate, non-invasive imaging technique and has a high sensitivity for the evaluation of aetiologies of obstructive jaundice.
 

Keywords: Choledochal cyst, cholangiocarcinoma, klatskin tumour, MRCP

How to cite : Roy D K, Pame M, Basu A, Bhuyan R, Rahman H, The role of magnetic resonance cholangiopancreatography in evaluation of etiological spectrum of obstructive jaundice. Panacea J Med Sci 2023;13(2):402-409

Copyright © 2023 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)