Obstructive jaundice represents a prevalent clinical concern linked to an increased risk of mortality and morbidity. This radiological study aims to assess the diagnostic accuracy of MRCP in comparison to USG and CT for cases presenting with obstructive jaundice. A cross‐sectional prospective study was conducted within the Department of Radiology at an Indian hospital involving 67 individuals with clinically confirmed obstructive jaundice and total bilirubin levels exceeding 5 mg dLG1. Each participant underwent a sequential examination, starting with USG, followed by MRCP and concluding with a CT scan. Among the 67 subjects, 27 exhibited benign lesions, while 40 presented with malignant lesions. MRCP demonstrated a 95.52% accuracy in identifying the location of blockages, surpassing CT and USG. Both MRCP and CT exhibited almost equal sensitivity, whereas USG showed a sensitivity of 98% for benign causes. Despite the high sensitivity of USG, its specificity was relatively low, in contrast to CT and MRCP. Consequently, while USG serves as an excellent screening tool for benign obstructive jaundice lesions, CT and MRCP emerged as more specific diagnostic modalities. For diagnosing obstructive jaundice and elucidating the etiology, location, and size of the lesion, MRCP emerges as a preferable choice among radiological techniques, outperforming alternatives such as USG, CT, ERCP.
Rohit Kiran Phadnis, Pravin Jivabhai Lakum, Nehal Sisodiya and Sreedhar Vasala. Accurate Diagnosis of Obstructive Jaundice MRCP vs USG vs CT Scan.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.105.108
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.105.108