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Volume 12 Issue 2 ( April- June) 2023

Original Articles

The Accuracy of transabdominal ultrasound in obstructive jaundice as compared to magnetic resonance cholangio-pancreatography
Dr.Shruti Patil, Dr.Sushmita

Obstructive jaundice has been established as one of the leading causes of increased morbidity. It has been mainly diagnosed by imaging modalities. Therefore the main objective of this study is to know the cause, level and grade of obstruction in case of clinically suspected biliary obstruction by USG and MRI and to categorize causes as congenital or acquired. After obtaining informed consent and institutional ethical committee clearance, a total number of 50 study subjects with clinical and laboratory features suggestive of obstructive jaundice of all age groups and either sex referred to the Department of Radio-diagnosis. Ultrasonography followed by MRI-MRCP were done in all the patients and analyzed separately in a blinded fashion without knowledge of the results of other examinations. MRCP was taken as gold standard in making final diagnosis. USG in detecting congenital causes had Sensitivity & PPV of only 50% and diagnostic accuracy of 92%. USG had Sensitivity & PPV of 91.7% and Diagnostic accuracy of 96% in detecting CBD calculus, which was diagnosed clearly with MRCP with 100% accuracy. Diagnostic accuracy of MRCP in detecting malignancy was 100% and USG was 92%. It is recommended that ultrasound can be used as a screening imaging technique to identify the presence or absence of intrahepatic biliary duct dilatation thereby shortlisting the patients for MRCP examination. MRCP has potential role in delineating the malignant cause of obstructive jaundice, approaching almost 100% in accuracy.

 
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