Abstract

The aetiology & diagnosis of the pancreato-biliary ductal system diseases that cause symptoms such as obstructive jaundice is crucial for the best treatment approach. In the current study, we prospectively examined patients with various biliary tract and/or pancreatic illnesses using MRI with MRCP and USG in order to assess the effectiveness of MRI with MRCP as a preferred imaging modality. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients 20-70 years age, either gender, clinical history and laboratory criteria suggestive of having cholelithiasis or choledocholithiasis & findings of cholelithiasis or choledocholithiasis or dilated common bile duct on other imaging modalities especially ultrasound underwent further evaluation with MRCP. Results: Among 65 patients, the majority were from the 21-40 and 41-60 age groups (33.8% each), females (78.5%) and had abdominal pain (90.77%), jaundice (41.54%), nausea/ vomiting (36.92%). USG detected 29.2% dilated IHBR pathologies, whereas 58.5% detected dilated IHBR pathologies with the help of the MRCP technique. Among pancreatico biliary pathologies, USG detected in pathologies such as gall bladder calculus (32.3%), CBD calculus (35.4%) & pancreatitis (15.4%). Among pancreatico biliary pathologies, MRCP were detected following pathologies as gall bladder calculus (35.4%), CBD Calculus (49.2%) and non-calculus (63.2%), pancreatitis (18.5%) and neoplastic changes in the pancreas (1.5%). MRCP had the highest area under the curve (AUC) of 0.942, whereas USG had 0.923 accuracies in the diagnosis of hepatobiliary and pancreatic pathologies. Conclusion: When comparing MRCP to USG, MRCP had the highest sensitivity, AUC with Dilated IHBR, calculus, non-calculus gall bladder pathologies, calculus, non-calculus common bile duct pathologies, and pancreatic pathologies.

Description