SENSITIVITY OF ULTRASOUND IN DIAGNOSIS OF BENIGN BILE DUCT PATHOLOGIES COMPARED TO MRCP
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 5
Abstract
BACKGROUND Surgical or obstructive jaundice requires precise evaluation of the cause and level of obstruction to guide management. Ultrasound is routinely used as a first line imaging investigation in evaluation of biliary system, while MRCP is usually reserved for difficult or inconclusive cases. MATERIALS AND METHODS 50 patients with clinical and biochemical features of obstructive jaundice were initially evaluated with Ultrasound. The patients with suspected benign pathologies were further investigated with MRCP for comparison using them later as gold standard reference. RESULTS Ultrasound has sensitivity of 81% in diagnosis of benign bile duct pathologies, highest sensitivity in detection of calculus disease and least in diagnosis of benign strictures. CONCLUSION Ultrasound has high sensitivity in detection and characterisation of benign bile duct pathologies. MRCP should be reserved for inconclusive cases, as routine addition does not seem to benefit in cases with diagnosis established with USG.
Authors and Affiliations
Prafulla KU. Dash, Sanket Sanket
Keywords
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- EP ID EP285929
- DOI 10.14260/jemds/2018/125
- Views 80
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