DIAGNOSTIC ACCURACY OF MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY (MRCP) IN THE DIAGNOSIS OF CHOLEDOCHOLITHIASIS TAKING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) AS GOLD STANDARD
DOI:
https://doi.org/10.52764/jms.25.33.4.1Keywords:
MRCP, ERCP, Diagnostic AccuracyAbstract
Objective: To determine how accurately MRCP identifies choledocholithiasis when compared with Endoscopic Retrograde Cholangiopancreatography (ERCP), which serves as the reference standard.
Methods: A cross-sectional study was conducted in the Department of Radiology at the Combined Military Hospital in Peshawar, Pakistan, from April 3, 2022, to October 3, 2022, including patients with choledocholithiasis who had been symptomatic for at least 3 months. Diagnostic accuracy was assessed using sensitivity, specificity, positive predictive value, and negative predictive value.
RESULTS: A total of 100 patients, aged 18-60 years and of both genders, with suspected choledocholithiasis for at least 3 months, were included. The diagnostic accuracy of MRCP was evaluated. When compared with ERCP as the reference method, MRCP showed a sensitivity of 91.07%, a specificity of 81.82%, a positive predictive value of 86.44%, and a negative predictive value of 87.80%.
CONCLUSION:
The results of this study show that MRCP is a reliable and effective noninvasive method for detecting choledocholithiasis, with a sensitivity of 91.07% and a specificity of 81.82%.
KEYWORDS: Magnetic Resonance Cholangiopancreatography (MRCP), Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography (ERCP), Diagnostic Accuracy
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Copyright (c) 2025 Sayed Haider Yadain, Fazal Tahir, Uzma Nisar, Sajjad Hussain, Syeda Momina Sultana, Hussain Rashid Ihsan

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