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Evaluation of magnetic resonance cholangiopancreatography (MRCP) techniques in obstructive jaundice patients
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| Author:
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DHUHA FALIH MAHDIE, HAIDER QASIM HAMOOD, HAIDAR ABDULAMEER GHAYAD
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| Abstract:
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Background: Magnetic resonance cholangiopancreaticography is employed for visualization of biliary tree. The aim of this work is to determine the accuracy and the sensitivity of magnetic resonance choleangiopancreatography technique in diagnosis of the obstructive jaundice and to compare its efficiency with ultrasonographic findings.
Patients and Methods: this study included 40 patients proved with clinical and laboratory diagnosis of obstructive jaundice were examined during a period from October 2019 to the March 2020. Magnetic resonance cholangiopancreaticography performed for all cases and compare its findings with those of ultrasound. Patients age range from 22 years to 101years with mean age (50.58 y). MRI machine was of Siemens type of 1.5 T magnetic power with using phased-array body coil during examination.
Results: 13 (32.5%) of 40 patients were male and 27(67.5%) were female. All patients were proved clinically and levorotary with obstructive jaundice. 23 patients (57.5%) were with choledocholithiasis which is the most causative factor of obstruction. Magnetic resonance cholangiopancreaticography with accuracy rate of 97% and sensitivity rate 100% in all cases while the ultrasound having accuracy rate (91%) and sensitivity rate (90%) for detection the actual cause of biliary obstruction.
Conclusion: Although the ultrasound is using as first imaging modality for obstructive jaundice diagnosis, but the magnetic resonance cholangiopancreaticography scan over ultrasound for detect the most causes of obstructive jaundice those which may be missed with ultrasound. In this study we found magnetic resonance cholangiopancreaticography with high accuracy and sensitivity rates in detection the causes of obstructive jaundice.
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| Keyword:
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magnetic resonance cholangiopancreaticography techniques, obstructive jaundice, ultrasound .
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.SP1.274
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