Imaging diagnosis of pancreato-biliary diseases: a control study
| Autor: | Qiu-Ying Yao, Liang Zhong, Jianrong Xu, Lei Li |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Gallbladder disease Cholangitis Sclerosing Gallbladder Diseases Mr cholangiopancreatography Cholelithiasis Clinical Research medicine Image Processing Computer-Assisted Imaging diagnosis Humans Choledochal cysts False Positive Reactions False Negative Reactions Ultrasonography Cholangiopancreatography Endoscopic Retrograde medicine.diagnostic_test business.industry Gastroenterology Pancreatic Diseases Reproducibility of Results Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging Pancreatic Neoplasms Pancreatitis ROC Curve Choledochal Cyst Chronic Disease Gallbladder Neoplasms Tomography Radiology Gallbladder Neoplasm business Tomography X-Ray Computed |
| Zdroj: | World journal of gastroenterology. 9(12) |
| ISSN: | 1007-9327 |
| Popis: | AIM: To evaluate the clinical value of various imageological methods in diagnosing the pancreato-biliary diseases and to seek the optimal procedure. METHODS: Eighty-two cases of pancreato-biliary diseases confirmed by surgery and pathology were analyzed. There were 38 cases of cholelithiasis, 34 cases of pancreato-biliary tumors and 10 other cases. The imageological methods included B-US, CT, ERCP, PTC, cross-sectional MRI and MR cholangiopancreatography (MRCP). RESULTS: The accuracy rate of MRCP in detecting the location of pancreato-biliary obstruction was 100%. In differentiating malignant from benign obstruction, the sensitivity of the combination of MRCP and cross-sectional MRI was 82.3%, the specificity was 93.8%, and the accuracy rate was 89.0%. The accuracy rate for determining the nature of obstruction was 87.8%, which was superior to that of B-US (P = 0.0000) and CT (P = 0.0330), but there was no significant difference between direct cholangiopancreatography and the combination of MRCP and conventional MRI (P = 0.6666). CONCLUSION: In most cases, MRCP can substitute direct cholangiopancreatography for diagnosis. The combination of MRCP and cross-sectional MRI should be considered as an important means in diagnosing the pancreato-biliary diseases, pre-operative assessment and post-operative follow-ups. |
| Databáze: | OpenAIRE |
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