Search Submit Your Manuscript

Become A Member

  1. Home
  2. July 2021
  3. 5.Diagnostic Accuracy of Magnetic Resonance Cholangiopancreatography in Diagnosis of Choledochal Cyst Taking Surgery as Gold Standard
Article Image
Admin

5.Diagnostic Accuracy of Magnetic Resonance Cholangiopancreatography in Diagnosis of Choledochal Cyst Taking Surgery as Gold Standard

Sadia Riaz, Sarah Nisar, Kamran Naseem, Fariha Mumtaz, Naima Mujahid and
Arshad Faheem

ABSTRACT

Objective: To establish diagnostic accuracy of MRCP (Magnetic resonance cholangiopancreatography) in detecting choledochal cyst, considering surgical findings as gold standard.

Study Design: Descriptive, cross sectional study

Place and Duration of Study: This study was conducted at the Department of Diagnostic Imaging, Bahawal Victoria Hospital, Bahawalpur from January, 2019 to January, 2020 for a period of one year.

Materials and Methods: There were total 122 patients with age range of 1-20 years, with complaints of jaundice or cystic mass of any size in the right upper quadrant. Patients with any bleeding disorder, hepatocellular carcinoma and contraindication to MRI were excluded. All the patients got their MRCP done and findings were correlated with the operative findings.

Results: Mean age in the study; 10.19 ± 4.86 years. Amongst the 122 patients, 64 (52.46%) male and 58 (47.54%) female presented with ratio of 1.1:1(male; female). In MRCP positive patients, 64 true positive while 09 turned out to be false positive. While in 37 MRCP patients with negative findings, 07 came out to be false negative while 42 as true negative. The overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) in detecting choledochal cyst, taking surgical findings as gold standard came out to be 90.14%, 82.35%, 87.67%, 85.71% and 86.88% respectively.

Conclusion: The current research concluded that magnetic resonance cholangiopancreatography (MRCP) is an effective modality of choice with high diagnostic accuracy in diagnosing choledochal cyst, non-invasively.

Key Words: choledochal cyst, magnetic resonance imaging, sensitivity.

Citation of article: Riaz S, Nisar S, Naseem K, Mumtaz F, Mujahid N, Arshad F. Diagnostic Accuracy of Magnetic Resonance Cholangiopancreatography in Diagnosis of Choledochal Cyst Taking Surgery as Gold Standard. Med Forum 2021;32(7):20-23.