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العنوان
Diagnostic Accuracy of Ultrasound in
Evaluation of Obstructive Jaundice
with MRCP as a Gold Standard /
المؤلف
Mohammed, Marwa Mahmoud Abd El Razik.
هيئة الاعداد
باحث / مروة محمود عبد الرازق محمد
مشرف / عبير عبـــــد المقصــــود
مشرف / شيريهان سعيد مدكور
تاريخ النشر
2022.
عدد الصفحات
141 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - قسم الاشعة التشخيصية
الفهرس
Only 14 pages are availabe for public view

from 141

from 141

Abstract

M
RCP has high sensitivity for CBD stones, strictures and malignancies in cases of obstructive jaundice especially cases with suspicion (clinical/CBD-IHBR dilatation on USG).
As MRCP has more diagnostic accuracy compared to ultrasound in detecting the cause of obstruction in cases of obstructive jaundice, USG may be considered as an initial screening test and MRCP for definitive treatment planning. The limitation of the study is the small sample size.
Ultrasonography continues to be the first-line imaging modality in obstructive jaundice due to its wide availability & non-invasive modality which is very safe.
For evaluation of obstructive jaundice, it is of prime importance that the radiologist should identify the cause and the level of obstruction.
MRCP is an excellent tool for detecting the cause of obstructive jaundice. Use of MRCP could therefore spare the patients from invasive preoperative endoscopic procedures and it can also most likely reduce overall surgical costs. We propose MRCP as the method of choice for the diagnostic imaging of obstructive jaundice.
RECOMMENDATIONS
F
rom our results, there were nine cases from thirty one patients were missed to be diagnosed by US and diagnosed by MRCP. On the other hand, all the nine cases not detected by US detected by MRCP.
Finally we recommend that in the patients with obstructive jaundice, MRCP is mandatory for confirmation of the already known pathologies and detection of other missed pathologies by US.