USG and MRCP Findings, A Comparative Study in Biliary and Pancreatic Pathologies in a Tertiary Care

Introduction: Obstructive jaundice is one of the most frequent and grave form of hepatobiliary disease. It can pose problems in diagnosis and management, particularly intrahepatic cholestasis. Hence, aim of the present study was to compare the diagnostic accuracy between Magnetic Resonance Cholangiopancreatography (MRCP) and Ultrasonography (USG) in detection and characterization in patients suspected with pancreatic and biliary system pathologies. Material and Methods: This study was conducted among forty six patients suffering from obstructive jaundice of all age groups. All the patients in the study underwent ultrasonography and MRCP. The results so obtained was expressed as percentages and variables as required. Results: The overall sensitivity and specificity of ultrasonography in detecting lesions were 91.90% and 69.20% with a positive predictive value of 89.40% and negative predictive value of 75%. The overall sensitivity and specificity of MRCP in detecting lesions were 97.14% and 81.80% with a positive predictive value of 94.40% and a negative value of 90%. It was inferred that MRCP has the higher accuracy for detecting lesions. The sensitivity of MRCP was 97.14% and the specificity is as high as 81.8%. Conclusion: MRCP can be considered as the new gold standard for the investigation of CBD and pancreatic ductal pathologies and permits reservation of ERCP to patients with a high probability of therapeutic intervention.