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252251

Role of MRCP and Diffusion Weighted Imaging in Diagnosis of Extrahepatic Biliary Stricture

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Last updated: 03 Jan 2025

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Abstract

Background: A non-invasive and secure alternative to existing unreliable diagnostic techniques is magnetic resonance cholangiopancreatography (MRCP) and diffusion weighted imaging(DWI), which may be used to examine biliary strictures and image the biliary tree. Objectives:  This study's primary goal was to assess how well DWI to MRCP in detection of level and differentiation of causes of extra-hepatic biliary stricture (benign or malignant). Patients and methods:  South Valley University's Qena University Hospital served as the site of this cross-sectional investigation. This research comprised 30 individuals who were healthy enough for an MRI test between January 2021 and January 2022 and who had obstructive jaundice that was either known to exist or was clinically believed to exist. Results: In the studied patients, MRCP correctly diagnosed 16 cases out of 19 cases as benign stricture according to histopathology with three false negative malignant strictures. DWI correctly diagnosed 18 cases out of 19 cases as benign stricture according to histopathology with one false negative malignant stricture. Sensitivity, specificity, PPV, NPV and accuracy of MRCP in comparison with histopathology was 100%, 84.21%, 78.57%, 100% and 90% respectively. Sensitivity, specificity, PPV, NPV and accuracy of DWI in comparison with histopathology was100% ,94.74% , 91.67% , 100% and 96.6% respectively. Conclusion: DWI greatly enhances the diagnosis accuracy for identifying benign and malignant biliary strictures and is superior to MRCP in the identification and characterization of biliary obstructing disorders.  

DOI

10.21608/ejhm.2022.252251

Keywords

DWI, MRCP, Benign stricture, Malignant stricture

Authors

First Name

Saeda Mohamed

Last Name

Abd Elwhab

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Orcid

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First Name

Ahmed Okasha

Last Name

Mohamed

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First Name

Mohamed Abd Elshafy

Last Name

Elsheimy

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Affiliation

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Orcid

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First Name

Ahmed Al sabaqy

Last Name

Abdulwareth

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Affiliation

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First Name

Esraa khalifa

Last Name

Hassan

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Affiliation

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Email

esraakhalifa42@gmail.com

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Orcid

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Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-07-31

Publish Date

2022-07-01

Page Start

3,862

Page End

3,867

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_252251.html

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https://ejhm.journals.ekb.eg/service?article_code=252251

Order

256

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of MRCP and Diffusion Weighted Imaging in Diagnosis of Extrahepatic Biliary Stricture

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Article

Created At

22 Jan 2023