Online ISSN: 2515-8260

Comparative assessment to establish the accuracy of MRCP over USG & CT in diagnosing the case of obstructive jaundice

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Dr. Sahil Chawla, Dr. Monika Sharma, Dr. Aastha Makkar,Dr. Naresh Tripathi, Dr. Pratibha Gupta, Dr. Naveen Pahal

Abstract

Aim: To compare the diagnostic accuracy of Magnetic Resonance Cholangiopancreatography (MRCP) with Ultrasound and Computed Tomography (CT) in evaluation of patients with obstructive jaundice. Methodology: This study was conducted in the Department of Radio Diagnosis, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan for the period of 6 months. 60 patients clinically diagnosed as suffering from obstructive jaundice and having total Bilirubin greater than 5mg/dl were included in this study. Patients who were pregnant and claustrophobic were not included in this study. All the patients were instructed to fast overnight prior to examination. Renal functional status, clinical history of all the patients was noted before undergoing contrast CT. All the patients in the study underwent USG examination first followed by MRCP and finally CT. Both curvilinear and linear probes were used in the study. Images of the biliary tree were recorded for later review. Helical CT was performed on a Philips Healthcare 128 slice CT scanner. MRCP was performed on Philips Healthcare 1.5 Tesla MRI Scanner. All images were obtained with breath holding and parameters were individualized.

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