Magnetic Resonance Cholangiopancreatography (MRCP) in the Evaluation of Pancreaticobiliary Tract in Gallstone Disease
Introduction: MRCP (Magnetic Resonance Cholangiopancreatography) has rapidly gained ground and has now firmly established in the evaluation of the biliary and pancreatic ducts. It often aids in the assessment of causes of biliary obstruction and can be helpful in the evaluation of the pancreatic...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2016-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2096/7-%2016692_F(GH)_PF1(Vsu_Om)_PFA(P)_PF2(PVSU).pdf |
| Summary: | Introduction: MRCP (Magnetic Resonance Cholangiopancreatography) has rapidly gained ground and has
now firmly established in the evaluation of the biliary and
pancreatic ducts. It often aids in the assessment of causes
of biliary obstruction and can be helpful in the evaluation of
the pancreatic duct without the inherent invasiveness of an
endoscopic procedure.
In view of limitation of USG and CT and invasiveness of PTC,
IVC and ERCP there is need for an imaging modality which is
non invasive and provides high resolution projection images
of the biliary and pancreatic duct.
Aim: The aim of this study was to prospectively assess
the accuracy of MR imaging and correlate it with
ultrasonography.
Materials and Methods: This study included 50 patients
who had undergone MRCP prior to cholecystectomy
for symptomatic gallstones. There were 23 males and 27
female patients, ranging in age from 8 to 87 years (mean,
63 years).
Results: The predominant population in our study was
adults ranging from 30 to 50 yrs of age. Majority of patients
presented with epigastic pain and vomiting. The percentage
rate of detection of gallstones and CBD stones were 89.75%
and 76.19% on USG respectively. The same for MRCP
was 87.18% and 95.24% respectively. MRCP showed high
positive predictive value in diagnosing choledocholithaisis
and diagnosing hepatobiliary lesions.
Conclusion: MRCP now readily permits the study
and evaluation of anatomy and pathology of the
pancreaticobiliary tree including pancreatic duct very easily
and is accurate, non-invasive and non-ionizing imaging
method of pancreaticobiliary anatomy and pathology. Our
results demonstrate that preoperative MRCP had a robust
safe guarding effect on laparoscopic cholecystectomy and
deserves further promotion. These results were also sited in
other recent studies. |
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| ISSN: | 2277-8543 2455-6874 |