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MR and ultrasound in screening of patients with suspected biliary tract disease

Hakansson, K; Ekberg, Olle LU ; Hakansson, HO and Leander, Peter LU (2002) In Acta Radiologica 43(1). p.80-86
Abstract
Purpose The diagnostic value and cost-efficiency of MR imaging were compared with US before endoscopic retrograde cholangiopancreatography (ERCP) in patients with clinically suspected biliary tract disease. Material and Methods: In a prospective study of 219 patients, 85 were examined with both MR and US before ERCP. Results: To find the correct diagnosis in the jaundiced patients the sensitivity of US, MR and FRCP was 53%, 93%, and 89%, respectively. In the patients with abdominal upper quadrant pain and normal serum bilirubin, the sensitivity of US, MR and ERCP was 50%, 100% and 70%, respectively. Examination with MR costs four times more than US. Screening with US and supplemental MR in non-diagnostic cases would cost 80% of the total... (More)
Purpose The diagnostic value and cost-efficiency of MR imaging were compared with US before endoscopic retrograde cholangiopancreatography (ERCP) in patients with clinically suspected biliary tract disease. Material and Methods: In a prospective study of 219 patients, 85 were examined with both MR and US before ERCP. Results: To find the correct diagnosis in the jaundiced patients the sensitivity of US, MR and FRCP was 53%, 93%, and 89%, respectively. In the patients with abdominal upper quadrant pain and normal serum bilirubin, the sensitivity of US, MR and ERCP was 50%, 100% and 70%, respectively. Examination with MR costs four times more than US. Screening with US and supplemental MR in non-diagnostic cases would cost 80% of the total amount compared to screening with MR only. Conclusion: MR had a higher sensitivity than US for diagnosing biliary tract disease and MR was superior to US in visualising stones in the common bile duct and in diagnosing the cause of cholestasis. However, screening with US and supplemental MR in non-diagnostic cases is at present most cost-effective. With increased accessibility and slightly lower costs, MR will probably replace US as screening method in patients with suspected biliary tract disease. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
MR cholangiopancreatography, MR, ultrasonography, cholangiopancreatography, endoscopic retrograde, biliary duct disease
in
Acta Radiologica
volume
43
issue
1
pages
80 - 86
publisher
John Wiley & Sons
external identifiers
  • wos:000174586000016
  • pmid:11972468
  • scopus:0347015093
ISSN
1600-0455
DOI
10.1034/j.1600-0455.2002.430116.x
language
English
LU publication?
yes
id
238ac52b-fad4-47ae-9d21-1e19040a8572 (old id 893695)
date added to LUP
2008-01-23 08:44:27
date last changed
2017-01-01 06:46:28
@article{238ac52b-fad4-47ae-9d21-1e19040a8572,
  abstract     = {Purpose The diagnostic value and cost-efficiency of MR imaging were compared with US before endoscopic retrograde cholangiopancreatography (ERCP) in patients with clinically suspected biliary tract disease. Material and Methods: In a prospective study of 219 patients, 85 were examined with both MR and US before ERCP. Results: To find the correct diagnosis in the jaundiced patients the sensitivity of US, MR and FRCP was 53%, 93%, and 89%, respectively. In the patients with abdominal upper quadrant pain and normal serum bilirubin, the sensitivity of US, MR and ERCP was 50%, 100% and 70%, respectively. Examination with MR costs four times more than US. Screening with US and supplemental MR in non-diagnostic cases would cost 80% of the total amount compared to screening with MR only. Conclusion: MR had a higher sensitivity than US for diagnosing biliary tract disease and MR was superior to US in visualising stones in the common bile duct and in diagnosing the cause of cholestasis. However, screening with US and supplemental MR in non-diagnostic cases is at present most cost-effective. With increased accessibility and slightly lower costs, MR will probably replace US as screening method in patients with suspected biliary tract disease.},
  author       = {Hakansson, K and Ekberg, Olle and Hakansson, HO and Leander, Peter},
  issn         = {1600-0455},
  keyword      = {MR cholangiopancreatography,MR,ultrasonography,cholangiopancreatography,endoscopic retrograde,biliary duct disease},
  language     = {eng},
  number       = {1},
  pages        = {80--86},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {MR and ultrasound in screening of patients with suspected biliary tract disease},
  url          = {http://dx.doi.org/10.1034/j.1600-0455.2002.430116.x},
  volume       = {43},
  year         = {2002},
}