EVALUATION OF PANCREATICOBILIARY DISEASES WITH MAGNETIC RESONANCE CHOLANGIO–PANCREATICOGRAPHY AND COMPARISON WITH INVASIVE ENDOSCOPIC RETROGRADE CHOLANGIO–PANCRAETICOGRAPHY WITH MAGNETIC RESONANCE CHOLANGIO–PANCREATICOGRAPHY

Dr Preeti meena; Dr Kirti rana; Dr Ramanand gehlot; Dr Navjeet kaur

Volume : VII, Issue : VII, July - 2017

EVALUATION OF PANCREATICOBILIARY DISEASES WITH MAGNETIC RESONANCE CHOLANGIO–PANCREATICOGRAPHY AND COMPARISON WITH INVASIVE ENDOSCOPIC RETROGRADE CHOLANGIO–PANCRAETICOGRAPHY WITH MAGNETIC RESONANCE CHOLANGIO–PANCREATICOGRAPHY

Dr Preeti Meena, Dr Kirti Rana, Dr Ramanand Gehlot, Dr Navjeet Kaur

Abstract :

Objectives: Study aims at characterising pancreatico–biliary diseases on MRCP, outlining extent of diseases, identifying anatomical variants and compå to ERCP whenever possible.

Methodology: This prospective study was conducted on 67 patients, underwent MRCP [14 patients were also underwent ERCP (endoscopic retrograde cholangio–pancreaticography)]. Specificity, sensitivity, positive predictive value, negative predictive value and accuracy were calculated; ERCP was considered the gold standard.

Results: The majority of patients were having benign diseases while commonest finding was malignant stricture. Most common cause of malignant stricture was cholangiocarcinoma. Iatrogenic etiologies and portal biliopathy contribute equally for benign strictures. Sensitivity, specificity, PPV, NPV and accuracy of MRCP were highest for CHD and confluence stricture while for CBD stricture and for choledocholithiasis these were slightly less.

Conclusion: Our study concluded that MRCP is comparable or better than ERCP for some pathologies, however ERCP is still considered gold standard.