Prospective study of diagnostic value of magnetic resonance cholangiopancreatography versus endoscopic retrograde cholangiopancreatography in cholangiopancreatic diseases
| Autor: | Fa Chao Zhi, Xiao Lin Li, Cun Long Chen, Jian Xin Zhu, Zhi Qiang Yan, Xue Lin Zhang, Dian Yuan Zhou |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Magnetic resonance cholangiopancreatography
medicine.medical_specialty Endoscopic retrograde cholangiopancreatography Percutaneous medicine.diagnostic_test business.industry Bile duct Concordance Gastroenterology medicine.disease digestive system digestive system diseases surgical procedures operative medicine.anatomical_structure Internal medicine medicine Acute pancreatitis Pancreatitis Radiology business Prospective cohort study |
| Zdroj: | Chinese Journal of Digestive Diseases. 3:124-126 |
| ISSN: | 1443-9573 1443-9611 |
| DOI: | 10.1046/j.1443-9573.2002.00087.x |
| Popis: | OBJECTIVE: To compare the diagnostic value of magnetic resonance cholangiopancreatography (MRCP) versus endoscopic retrograde cholangiopancreatography (ERCP) in the detection of cholangiopancreatic diseases via a prospective study. METHODS: Magnetic resonance cholangiopancreatography was performed in 63 patients with suspected cholangiopancreatic diseases and followed by ERCP within 24 h. The MRCP and ERCP images were analyzed and compared. RESULTS: Of the 63 patients studied, 56 (88.9%) were correctly diagnosed by using ERCP and seven (11.1%) by using percutaneous transhepatic cholangiography (PTC); however, all these patients were successfully diagnosed by using MRCP. Cholangiopancreatic diseases were diagnosed by MRCP with a sensitivity of 98.2%, a specificity of 83.3%, a misdiagnostic rate of 16.7% and a missed diagnostic rate of 1.8%. The total concordance rate of MRCP, ERCP and PTC was 85.7%. For specific conditions, the concordance rates were as follows: biliary calculi 100%; tumors of the bile duct 92.9%; papillary lesions 70.6%; hepatic distomiasis 66.7%; chronic pancreatitis 100%. The complications associated with ERCP were five cases of acute pancreatitis and one case of perinephric abscess. The patient with perinephric abscess had previously had a B-II operation. The complication rate associated with ERCP was 9.5% (6/63), but no complications were associated with MRCP. CONCLUSION: We conclude that MRCP is as effective as ERCP for the diagnosis of bile duct lesions, such as biliary calculi and tumors, but not for papillary lesions and liver fluke infections. Although MRCP can be used in patients who can’t tolerate ERCP or when there are contraindications to using ERCP, it should not be used for therapeutic purposes. |
| Databáze: | OpenAIRE |
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