• DR.NAGESH MRUTHYUNJAYA MBBS, MD.
• DR.MURTHY S MBBS,MD, DMRD

BACKGROUND & OBJECTIVE: The main objective of the study is to determine the accuracy of MRCP over USG and CT in the evaluation of patients with obstructive jaundice. MATERIAL & METHODS: The study was conducted in the department of Radio Diagnosis, for a period of 2 years. Thirty six patients were included in the study. All the patients were referred to the department of radio diagnosis with the clinical suspicion of obstructive jaundice and elevated serum bilirubin levels. Ultrasonography followed by CT and then MRCP were done in all the patients. The images were reviewed separately and evaluated the cause and site of obstruction in these patients. The accuracy of each modality was analyzed statistically and correlation was made with the surgical findings or histopathological reports. RESULTS: Of the thirty six patients, sixteen patients had benign causes of obstructive jaundice while twenty patients had malignant causes of obstructive jaundice. For diagnosing the cause of obstructive jaundice MRI with MRCP has a greater diagnostic accurancy of 94.4% than helical CT with accuracy of 91.6% and USG with diagnostic accuracy of 30.56%.The sensitivity of MRI with MRCP is greater than that of helical CT and USG in diagnosing the cause of obstructive jaundice. In diagnosing the site of obstruction MRCP had a accuracy of 100% while CT had 88% and USG 55%. The performance of MRCP when compared to CT and USG was statistically more significant (p<0.05). CONCLUSION: In the diagnosis of obstructive jaundice and to know the cause, site and extent of the lesion MRCP being a non invasive, non ionizing procedure seems to be a better choice over other radiological procedures like USG, CT or ERCP. The only drawback of MRCP is the cost involved and the availability. The limitation of the study is the small sample size and that ERCP correlation for these patients was not done.

ROLE OF MRCP IN SUSPECTED CASE OF OBSTRUCTIVE JAUNDICE IN CORRELATION WITH CT/ ULTRASONOGRAPHY

"ROLE OF MRCP IN SUSPECTED CASE OF OBSTRUCTIVE JAUNDICE IN CORRELATION WITH CT/ ULTRASONOGRAPHY", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 10, page no.1720-1734, October-2020, Available :http://www.jetir.org/papers/JETIR2010222.pdf

"ROLE OF MRCP IN SUSPECTED CASE OF OBSTRUCTIVE JAUNDICE IN CORRELATION WITH CT/ ULTRASONOGRAPHY", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 10, page no. pp1720-1734, October-2020, Available at : http://www.jetir.org/papers/JETIR2010222.pdf