Evaluating the Diagnostic Accuracy of Magnetic Resonance Cholangiopancreatography in Identifying Choledocholithiasis in Patients with Obstructive Jaundice
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-1.12121Keywords:
Diagnostic Accuracy, Magnetic Resonance Cholangiopancreatography, Obstructive JaundiceAbstract
Objectives: To evaluate the diagnostic accuracy of Magnetic Resonance Cholangiopancreatography (MRCP) in the detection of choledocholithiasis in patients presenting with obstructive jaundice.
Study Design: Prospective comparative study.
Place and Duration of Study: Department of Radiology, Armed Forces Institute of Radiology and Imaging Rawalpindi, Pakistan, from Mar to Sep 2023.
Methodology: A total of 200 patients, aged between 18 and 60 years, were selected based on specific inclusion and exclusion criteria. Convenience sampling was employed for patient selection. Each patient underwent MRCP for the diagnosis of choledocholithiasis, had surgical intervention for the treatment of same issue. Sensitivity analysis was performed.
Results: Out of the 200 patients, 110(55%) were male and 90(45%) were female. MRCP identified 110(55%) cases of choledocholithiasis, whereas surgical procedures confirmed 120(60%) cases. The diagnostic accuracy of MRCP came as 95%.
Conclusion: MRCP is a non-invasive, operator-independent, and accurate diagnostic method for detecting choledocholithiasis
Downloads
References
1. ElSayed EY, El Maati AA, Mahfouz M. Diagnostic value of magnetic resonance cholangiopancreatography in cholestatic jaundice. Egypt J Radiol Nucl Med 2013; 44(2): 137-146. https://doi.org/10.1016/j.ejrnm.2013.03.004
2. Ali M, Ahmed I, Akhtar W, Sattar A, Hussain M, Abbas Z. Diagnostic accuracy of magnetic resonance cholangio-pancreatography in evaluation of obstructive jaundice. J Pak Med Assoc 2012; 62(10): 1053-1056.
3. Raza M, Shams A, Munir S, Shah Z. Diagnostic accuracy of magnetic resonance cholangiopancreatography for detection of choledocholithiasis in obstructive jaundice patients taking surgical findings as gold standard. Pak J Radiol 2017; 27(3): 189-194.
4. Le Huong NT, An NT. Jaundice in adult in-patients at a tertiary general hospital. J Biosci Med 2015; 3(02): 1.
https://doi.org/10.4236/jbm.2015.32001
5. Hanif H, Khan SA, Muneer S, Adil SO. Diagnostic accuracy of ultrasound in evaluation of obstructive jaundice with MRCP as gold standard. Pak J Med Sci 2020; 36(4): 652.
https://doi.org/10.12669/pjms.36.4.1665
6. Honickman SP, Mueller PR, Wittenberg J, Simeone JF, Ferrucci Jr JT, Cronan JJ. Ultrasound in obstructive jaundice: prospective evaluation of site and cause. Radiology 1983; 147(2): 511-515.
https://doi.org/10.1148/radiology.147.2.6836132
7. Vogl TJ, Zeuzem S, Zangos S, Hammerstingl R. Magnetic resonance cholangiopancreatography (MRCP) from a radiological and gastroenterological perspective. Dtsch Med Wochenschr 2009; 134(19): 1011-1014.
https://doi.org/10.1055/s-0029-1222562
8. Sheridan MB. Endoscopic retrograde cholangiopancreatography should no longer be used as a diagnostic test: the case in favour. Digestive and Liver Dis 2002; 34(5): 370-374.
https://doi.org/10.1016/S1590-8658(02)80132-3
9. Cavdar F, Yildar M, Tellioğlu G, Kara M, Tilki M, Titiz Mİ. Controversial issues in biliary pancreatitis: when should we perform MRCP and ERCP?. Pancreatology 2014; 14(5): 411-414.
https://doi.org/10.1016/j.pan.2014.08.002
10. Singh A, Mann HS, Thukral CL, Singh NR. Diagnostic accuracy of MRCP as compared to ultrasound/CT in patients with obstructive jaundice. J Clin Diagnos Res 2014; 8(3): 103.
https://doi.org10.7860/JCDR/2014/8149.4120
11. Reinhold C, Bret PM. MR cholangiopancreatography. Abdom Imaging 1996; 21: 105-116.
12. Khan R, Hussain Z, Bari V, Fiaz AB. Safety of percutaneous transhepatic biliary stenting in patients with obstructive jaundice. J Coll Physicians Surg Pak 2019; 29(1): 24.
13. Hussein FM, Alsumait B, Aman S, Sinan T, Alkandari K, Hniya MH. Diagnosis of choledocholithiasis and bile duct stenosis by magnetic resonance cholangiogram. Australas Radiol 2002; 46(1): 41-46.
https://doi.org/10.1046/j.1440-1673.2001.00992.x
14. Rashid S. Diagnostic Accuracy of Magnetic Resonance Cholangiopancreatography (MRCP) in Choledocholithiasis Taking Endoscopic Retrograde Cholangiopancreatography (ERCP) as Gold Standard. EC Dent Sci 2016; 6(1): 1386-1391.
15. Sugiyama M, Atomi Y, Hachiya J. Magnetic resonance cholangiography using half-Fourier acquisition for diagnosing choledocholithiasis. Am J Gastroenterol 1998; 93(10): 1886-1890.
https://doi.org/10.1111/j.1572-0241.1998.00543.x
16. Mendler MH, Bouillet P, Sautereau D, Chaumerliac P, Cessot F, Le Sidaner A, et al. Value of MR cholangiography in the diagnosis of obstructive diseases of the biliary tree: a study of 58 cases. Am J Gastroenterol 1998; 93(12): 2482-90.
https://doi.org/10.1111/j.1572-0241.1998.00708
17. You M-W, Jung YY, Shin J-Y. Role of magnetic resonance cholangiopancreatography in evaluation of choledocholithiasis in patients with suspected cholecystitis. J Korean Soc Radiol 2018; 78(3): 147-156.
https://doi.org/10.3348/jksr.2018.78.3.147
18. Samara O, Azzam MI, Alshrouf MA, Khanfar AN, Mohialdeen RR, Barham OF, Barham MF, AlRyalat SA. Diagnostic accuracy of ultrasonography compared with magnetic resonance cholangiopancreatography in the detection of choledocholithiasis. J Clin Ultrasound 2022; 50(2): 247-253.
https://doi.org/10.1002/jcu.23136
19. Gulati K, Catalano OA, Sahani DV. Advances in magnetic resonance cholangiopancreatography: From morphology to functional imaging. Indian J Radiol Imaging 2007;17(04):247-253.
20. Karki S, Joshi KS, Regmi S, Gurung RB, Malla B. Role of ultrasound as compared with ERCP in patient with obstructive jaundice. Kathmandu Univ Med J 2013; 11(3): 237-240. https://doi.org/10.3126/kumj.v11i3.12512
21. Moon JH, Cho YD, Cha SW, Cheon YK, Ahn HC, Kim YS, Kim YS, Lee JS, Lee MS, Lee HK, Shim CS. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am Coll Gastroenterol 2005; 100(5): 1051-1057.
22. Verma D, Kapadia A, Eisen GM, Adler DG. EUS vs MRCP for detection of choledocholithiasis. Gastrointest Endosc 2006; 64(2): 248-254. https://doi.org/10.1016/j.gie.2005.12.038
23. Khurram M, Durrani AA, Hasan Z, Au B, Ashfaq S. Endoscopic retrograde cholangiopancreatographic evaluation of patients with obstructive jaundice. J Coll Physicians Surg Pak 2003; 13(6): 325-328.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Murad Arshad, Yasir Shakeel, Nisar Ahmed Ahmed, Saerah Iffat Zafar, Rohaid Khan, Hafsa Aquil

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.





