EVALUATION OF ACCURACY OF ULTRASONOGRAPHY IN OBSTRUCTIVE JAUNDICE WITH MAGNETIC RESONANCE CHOLANGIOPANCREATOLOGRAPHY CORRELATION
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2014, Vol 3, Issue 3
Abstract
Evaluation of a suspected biliary tract disease is a common radiological problem and is traditionally diagnosed by a variety of imaging modalities including Ultrasonography (USG), Computed tomography and Invasive cholangiography and Magnetic Resonance Cholangiopancreatography (MRCP) [1]. In a suspected case of biliary obstruction with clinical and laboratory findings suggestive of obstructive jaundice, the main aim of radiologist is to confirm the presence of obstruction and to identify its location, extent and the probable cause. This was a prospective study conducted in a tertiary care hospital in South India from March 2011 to March 2012. Patients clinically suspected to have obstructive jaundice were interrogated personally and their clinical data was recorded in a proforma. Special emphasis was given to the presence of cholestatic features like pruritus and pale stools in the history. All the patients presented with jaundice. Pruritis at some stage of illness was complained by 42 out of 50 (84%). Pain abdomen and fever suggesting cholangitis were observed in about half of the patients. In all the 50 patients in this study the intrahepatic duct were dilated. The extent to which the site of obstruction can be ascertained from ultrasound examination is variable in the work done by various workers. The figure of 92% in our study the diagnostic accuracy in assessing the site of obstruction compares well with that reported by studies done by other authors. In conclusion diagnostic accuracy of ultrasound and MRCP in a correct assessment of site of obstruction was very high and comparable to each other. But MRCP was better (90%) than ultrasound (80%) in correct predicting the cause of obstruction.
Authors and Affiliations
M. L. Ravindranath*| Department of Radiology, Mediciti institute of Medical Sciences, Ghanpur Village, Medchal Mandal, R.R District, Andhra Pradesh, India, Chandan Manohar| Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Perrancheru, R.R.District, Hyderabad, Andhra Pradesh, India
Keywords
Related Articles
- EP ID EP2526
- DOI -
- Views 308
- Downloads 20
Pharmacognostic and phytochemical studies on Parthenium hysterophorus L.
From last few decades there is an increased use of herbal medicines all over the world and now there is need to study herbal drugs on scientific basis to develop their monographs. The present research work was an attempt...
Comparative studies of healthy and infected milk samples of bovine animals for determining its immunological activity
Interest in bovine milk samples and their effect on human health is an ongoing concern. Several questions were raised related to milk that was unsafe and is responsible for spreading the disease like tuberculosis and oth...
Strategic Approaches of Controlling Variables in RP-HPLC Method Development and Validation: A Review
High Performance Liquid chromatography is the principal technique in accessing the drug, its various impurities and drug related degradants that can form on synthesis or storage in pharmaceutical products. It results in...
COMPARITIVE EVALUATION OF TISSUE GLYCOGEN AND SALIVARY PH IN CHRONIC GINGIVITIS AND CHRONIC PERIODONTITIS PATIENTS
BACKGROUND: The inflammation of gingiva is known as gingivitis with microorganisms present in the gingival sulcus, being the major cause for this pathologic condition. Periodontitis is a chronic inflammatory disease whic...
CYTOTOXIC, ANTIMICROBIAL AND ANTIVIRAL EVALUATION OF THE AERIAL PARTS OF SORGHUMVIRGATUMHACK
Sorghum virgatum (Hack) belongs to Poaceae (Graminae) family, which represented in flora of Egypt by four species. It worth noting that nothing was reported about phytochemical and biological investigation of S.virgatum....