Choledocholithiasis: evaluation of MR cholangiography for diagnosis.

Abstract:

PURPOSE:To evaluate the test performance of magnetic resonance (MR) cholangiography for help in diagnosing choledocholithiasis. MATERIALS AND METHODS:Fast spin-echo MR cholangiography was performed by using a torso multicoil array in 110 patients suspected of having bile duct obstruction. Axial and coronal images were reviewed by two observers who were blinded to results of direct cholangiography and final diagnoses. The final diagnosis was established by using direct cholangiographic (n = 103) or surgical (n = 7) findings. RESULTS:Of the 110 patients, 30 (27%) had choledocholithiasis, and 80 (73%) did not. Reviewer 1 used MR cholangiograms to achieve a sensitivity of 90%, specificity of 100%, positive predictive value of 100%, negative predictive value of 96%, and overall accuracy of 97%. Reviewer 2 achieved a sensitivity of 90%, specificity of 93%, positive predictive value of 82%, negative predictive value of 96%, and overall accuracy of 92%. Interobserver agreement for MR cholangiograms was 93% (kappa = 0.82). CONCLUSION:MR cholangiography exhibited excellent test performance and resulted in excellent interobserver agreement for the diagnosis of choledocholithiasis.

journal_name

Radiology

journal_title

Radiology

authors

Reinhold C,Taourel P,Bret PM,Cortas GA,Mehta SN,Barkun AN,Wang L,Tafazoli F

doi

10.1148/radiology.209.2.9807570

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

435-42

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

209

pub_type

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