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 348
- Downloads 20
DRUG UTILIZATION EVALUATION OF THIRD GENERATION CEPHALOSPORINS IN A TERTIARY CARE HOSPITAL
Title: Study on drug utilization evaluation of third generation cephalosporins in tertiary care hospital. Objective: To evaluate prescribing pattern, to identify most common infection treated with third generation cephal...
A Study on Role of Diagrams in the Evaluation of Learning Outcomes of Secondary Students in Life Science.
In the 20th century, revolutionary changes were brought about in the concepts and theories of biology. Biology, so much important in human life, has been renamed as ‘Life Science’ in the school curriculum. The age of old...
HAEMOGLOBIN F LEVEL AND HAEMATOLOGICAL FEATURE AMONG SUDANESE CHILDREN WITH SICKLE CELL ANAEMIA UNDERGOING HYDROXYUREA THERAPY
Sickle cell anemia (SCA) is one of the major types of anemia found in Sudan.The aim of this study is to evaluate the effect of Hydroxyurea (HU) treatment on Hb F level, reticulocyte count and the haematological feature a...
MicroRNAs in health and disease; a review of its multifaceted roles
A new class of noncoding small RNAs, called microRNAs (miRNAs), has emerged as important regulators in biological processes. The important role of miRNAs in inflammation and immune response is highlighted by studies in w...
A STUDY OF ANTI-HYPERLIPIDEMIC ACTIVITY OF MARKETED FORMULATIONS OF TERMINALIA ARJUNA POWDER USING EXPERIMENTAL ANIMAL MODEL
Hyperlipidemia is a disorder of lipid metabolism which is major risk of coronary heart disease. Now a day’s synthetic drugs have been associated with number of side effects but herbal medicines have lipid lowering and an...