MRI STANDARD TECHNICAL PROTOCOL VERSUS ADVANCED HEPATOBILIARY PROTOCOL IN DIAGNOSING SOLITARY CYSTIC HEPATIC LESIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND Solitary cystic liver lesions are not uncommon, comes with varying age groups. To decide surgical approach and treatment planning of cystic mass lesion, specific diagnosis with high sensitivity and specificity is required from the clinician’s perspective. To approach cystic liver pathology, specific diagnostic MRI protocol algorithm from literature is lacking. The objective of this study is to illustrate and prove efficacy of MR customised protocol that works better in delineating specific diagnosis of cystic liver lesions as compared to standard protocol approach. MATERIALS AND METHODS A descriptive study, sample size of 31 cases were enrolled in the study. Liver biopsy was set as standard reference done prospectively after 2 weeks. Ultrasound proved to be solitary hepatic lesions set as inclusion criteria. Study was done by two different Radiologists blinded with liver biopsy. RESULTS Results were derived by using data descriptive percentage analysis and Chi-square test and Fisher’s Exact test. MRI standard protocol specific diagnosis detection of sensitivity, specificity, PPV and NPV are 66.67%, 94.44%, 66.67% and 94.44% as compared to MRI modified approach protocol of 66.67%, 100.00%, 100.00% and 94.44%. CONCLUSION MR modified protocol approach for solitary cystic liver lesions proves to have better specificity as compared to standard protocol. In future, prospective clinician should be aware of modified protocol for specific liver pathology for better treatment planning.
Authors and Affiliations
Ameen M. D, Vetriraj S, Girish Venkat N
Keywords
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- EP ID EP283326
- DOI 10.14260/jemds/2018/4
- Views 83
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