Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones

BACKGROUND AND OBJECTIVE: Examination of bile ducts and pancreas by magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) are two methods in the diagnosis of biliary tract diseases. Since ERCP is more invasive than MRCP, this study was performed...

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Autores principales: M Mohammadi Firouzjaei, R Mehraeen, SM Hamidian
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Publicado: Babol University of Medical Sciences 2021
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spelling oai:doaj.org-article:cc1cee03ef8243768a7e3146a10a8a9d2021-11-29T07:40:49ZComparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones1561-41072251-7170https://doaj.org/article/cc1cee03ef8243768a7e3146a10a8a9d2021-03-01T00:00:00Zhttp://jbums.org/article-1-9695-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Examination of bile ducts and pancreas by magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) are two methods in the diagnosis of biliary tract diseases. Since ERCP is more invasive than MRCP, this study was performed to evaluate the diagnostic value of MRCP compared to ERCP. METHODS: This cross-sectional study was performed on 130 patients over 18 years of age who were suspected of common bile duct stone, also known as choledocholithiasis, based on tests and clinical examinations. MRCP was performed first and then ERCP was performed and the results of these two methods were compared. FINDINGS: The mean age of the subjects was 59.6±13.7 years. 53 were male (40.8%) and 77 were female (59.2%). Stone was reported with MRCP in 91 patients (70%) and ERCP in 96 patients (73.8%). The sensitivity of MRCP in the diagnosis of common bile duct stones compared to ERCP was 88.5% while the the specificity, positive predictive value, negative predictive value and diagnostic value of MRCP in the diagnosis of common bile duct stones compared to ERCP were 82.3%, 93.4%, 71.7%, 86.1%, respectively. CONCLUSION: The results of the study showed that MRCP has a high diagnostic power in the diagnosis of common bile duct stones. Therefore, it can be used as a primary method to detect the presence or absence of common bile duct stones.M Mohammadi FirouzjaeiR MehraeenSM HamidianBabol University of Medical Sciencesarticlediagnostic valuemrcpercpbiliary tract diseases.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 23, Iss 1, Pp 158-163 (2021)
institution DOAJ
collection DOAJ
language EN
FA
topic diagnostic value
mrcp
ercp
biliary tract diseases.
Medicine
R
Medicine (General)
R5-920
spellingShingle diagnostic value
mrcp
ercp
biliary tract diseases.
Medicine
R
Medicine (General)
R5-920
M Mohammadi Firouzjaei
R Mehraeen
SM Hamidian
Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
description BACKGROUND AND OBJECTIVE: Examination of bile ducts and pancreas by magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) are two methods in the diagnosis of biliary tract diseases. Since ERCP is more invasive than MRCP, this study was performed to evaluate the diagnostic value of MRCP compared to ERCP. METHODS: This cross-sectional study was performed on 130 patients over 18 years of age who were suspected of common bile duct stone, also known as choledocholithiasis, based on tests and clinical examinations. MRCP was performed first and then ERCP was performed and the results of these two methods were compared. FINDINGS: The mean age of the subjects was 59.6±13.7 years. 53 were male (40.8%) and 77 were female (59.2%). Stone was reported with MRCP in 91 patients (70%) and ERCP in 96 patients (73.8%). The sensitivity of MRCP in the diagnosis of common bile duct stones compared to ERCP was 88.5% while the the specificity, positive predictive value, negative predictive value and diagnostic value of MRCP in the diagnosis of common bile duct stones compared to ERCP were 82.3%, 93.4%, 71.7%, 86.1%, respectively. CONCLUSION: The results of the study showed that MRCP has a high diagnostic power in the diagnosis of common bile duct stones. Therefore, it can be used as a primary method to detect the presence or absence of common bile duct stones.
format article
author M Mohammadi Firouzjaei
R Mehraeen
SM Hamidian
author_facet M Mohammadi Firouzjaei
R Mehraeen
SM Hamidian
author_sort M Mohammadi Firouzjaei
title Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
title_short Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
title_full Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
title_fullStr Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
title_full_unstemmed Comparison of Diagnostic Power of MRCP and ERCP in the Diagnosis of Bile Duct Stones
title_sort comparison of diagnostic power of mrcp and ercp in the diagnosis of bile duct stones
publisher Babol University of Medical Sciences
publishDate 2021
url https://doaj.org/article/cc1cee03ef8243768a7e3146a10a8a9d
work_keys_str_mv AT mmohammadifirouzjaei comparisonofdiagnosticpowerofmrcpandercpinthediagnosisofbileductstones
AT rmehraeen comparisonofdiagnosticpowerofmrcpandercpinthediagnosisofbileductstones
AT smhamidian comparisonofdiagnosticpowerofmrcpandercpinthediagnosisofbileductstones
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