Comparitive Study of Magnetic Resonance Cholangiopancreatography with Endoscopic Retrograde Cholangiopancreatography in Biliary And Pancreatic Duct Abnormalities

Aim And Objectives: To recognize the normal appearence of bile duct & pancreatic duct and its variants by MRCP.To compare the accuracy of MRCP as a diagnostic tool in our institution with ERCP in the diagnosis of bile and pancreatic duct diseases, using specificity, sensitivity, positive and negative predictive values. Materials And Methods: Source of data :Patients from Departments of General Surgery , General Medicine & Gastroenterology with features of bile and pancreatic ducts diseases who are referred to the Department of Radiodiagnosis of Meenakshi Medical College and Research Institute. Method of Collection of Data: Number of patients for study 50. A standard proforma will be used to collect patient related data for the study. The patients will be subjected to MRCP evaluation in 1.5TESLA Maganetom Essenza Siemens MRI machine and ERCP evaluation in side view scope Olympus and C-arm Philps BV Vectra. Study design: Retrospective study . Study period: January2015to october 2016 Consent : Informed consent obtained from all patients. Conclusion: MRCP has highest sensitivity, specificity, and diagnostic accuracy than ERCP in diagnosing obstruction due to pancreaticobiliary disorders. MRCP is able to determine accurately more cases than ERCP in both cause and extent of obstruction. Anatomy of biliary tree is well delineated by MRCP. Bileducts proximal as well as distal to the level of obstruction is made out better by MRCP. Due to invasiveness and contrast media induced allergic reactions, diagnostic usage of ERCP is limited . ERCP is mainly reserved for patients who required intervention in treating biliary obstruction. From this we can conclude that MRCP is more sensitive and specific in diagnosing pancreaticobiliary disorders than ERCP. ERCP is mainly used for therapeutic purposes.