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Accuracy of Ultrasound and Magnetic Resonance Cholangiopancreatography Findings in the Diagnosis of Biliary System Stones

Abdullah Taher Naji, Ameen Mohsen Amer, Saddam Mohammed Alzofi, Esmail Abdu Ali and Noman Qaid Alnaggar

Pertanika Journal of Science & Technology, Volume 30, Issue 1, January 2022

DOI: https://doi.org/10.47836/pjst.30.1.46

Keywords: Accuracy, biliary system stones, diagnosis, MRCP, ultrasound

Published on: 10 January 2022

This study aimed to evaluate the diagnostic accuracy of magnetic resonance cholangiopancreatography (MRCP) and Ultrasound (US) images for the diagnosis of biliary system stones, as well as to assess the consistency between MRCP and US findings. The study sample included 200 cases (90 males and 110 females) with symptomatic biliary system stones between 14 and 82 years. All cases underwent both the US and MRCP imaging for biliary system diagnosis. The study revealed that the most prominent age group with symptoms of biliary system stones was the 33-60-year-old group. It also found that the accuracy of US and MRCP in detecting gallbladder (GB) stones compared with the final diagnosis was 94% and 91%, respectively, with moderate conformity between their results. The accuracy of US and MRCP images in detecting common bile duct (CBD) stones was 61% and 98%, respectively, with fair conformity between their results. In addition, there is a significant agreement between the MRCP and US results in detecting the GB and CBD stones with an agreed percentage of 74% and 71%, respectively. The study concluded that US is the preferred imaging technique for patients with symptomatic gallbladder stones, whereas MRCP is a trustworthy investigation for common bile duct stones.

  • Agha, M., Abougabal, A. M., & Abd Ellatief, H. (2018). The breath-hold 2D MRCP and the respiratory-triggered 3D MRCP sequences, comparative study as regards the possible pitfalls. The Egyptian Journal of Radiology and Nuclear Medicine, 49(3), 614-623, https://doi.org/10.1016/j.ejrnm.2018.04.006

  • Ahmed, M., & Diggory, R. (2011). The correlation between ultrasonography and histology in the search for gallstones. The Annals of The Royal College of Surgeons of England, 93(1), 81-83. https://doi.org/10.1308/003588411X12851639107070

  • Akkuzu, M. Z., Altintas, E., Yaras, S., Özdogan, O., Ucbilek, E., Ates, F., Aydin, F., Balci, H. R., Dirik, Y., & Sezgin, O. (2020). EUS Accuracy Against MRCP for Detection of Pancreaticobiliary Lesions. Eastern Journal of Medicine, 25(4), 535-539. https://doi.org/10.5505/ejm.2020.92195

  • Alkarboly, T. A. M., Fatih, S. M., Hussein, H. A., Ali, T. M., & Faraj, H. I. (2016). The accuracy of transabdominal ultrasound in detection of the common bile duct stone as compared to endoscopic retrograde cholangiopancreatography (with literature review). Open Journal of Gastroenterology, 6(10), 275-299. http://dx.doi.org/10.4236/ojgas.2016.610032

  • Alshargi, A. O., Al-sallami, S. E., Hejazi, H. A. M., & Alahdal, A. I. O. (2018). Accuracy of ultrasound in diagnosis of cholecystitis. The Egyptian Journal of Hospital Medicine, 73(7), 7146-7152. https://dx.doi.org/10.21608/ejhm.2018.17604

  • Chan, H. H., Wang, E. M., Sun, M. S., Hsu, P. I., Tsai, W. L., Tsai, T. J., Wang, K. M., Chen, W. C., Wang, H. M., Liang., H. L., Lai, K. H., & Brugge, W. R. (2013). Linear echoendoscope-guided ERCP for the diagnosis of occult common bile duct stones. BMC Gastroenterology, 13, Article 44. https://doi.org/10.1186/1471-230X-13-44

  • Costi, R., Gnocchi, A., Di Mario, F., & Sarli, L. (2014). Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World Journal of Gastroenterology, 20(37), 13382-13401. https://doi.org/10.3748/wjg.v20.i37.13382

  • Danse, E., Jamali, S., & Hubert, C. (2018). Spectral CT detection of entrapped gallstone based on Z-effective Map. Journal of the Belgian Society of Radiology, 102(1), Article 53. https://doi.org/10.5334/jbsr.1515

  • De Silva, S. L., Pathirana, A. A., Wijerathne, T. K., Gamage, B. D., Dassanayake, B. K., & De Silva, M. M. (2019). Transabdominal ultrasonography in symptomatic choledocholithiasis - Usefulness in settings with limited resources. Journal of Clinical Imaging Science, 9, Article 31. https://doi.org/10.25259/JCIS-38-2019

  • Figueras, J., Llado, L., Valls, C., Serrano, T., Ramos, E., Fabregat, J., Rafecas, A., Torras, J., & Jaurrieta, E. (2000). Changing strategies in diagnosis and management of hilar cholangiocarcinoma. Liver Transplantation, 6(6), 786-794. https://doi.org/10.1053/jlts.2000.18507

  • Getsov, P., Siminkovitch, S., Kovacheva-Slavova, M., Vladimirov, B., & Dineva, S. (2020). Anatomical variations of bile ducts. study of their frequency in the Bulgarian population, using magnetic resonance cholangiopancreatography. Comptes Rendus de l’Academie Bulgare des Sciences, 73(6), 866-871.

  • Giljaca, V., Gurusamy, K. S., Takwoingi, Y., Higgie, D., Poropat, G., Štimac, D., & Davidson, B. R. (2015). Endoscopic ultrasound versus magnetic resonance cholangiopancreatography for common bile duct stones. John Wiley & Sons. https://doi.org/10.1002/14651858.CD011549

  • Goud, S., Devi, B. V., Kale, P. K. G., Lakshmi, A. Y., & Reddy, V. V. R. (2020). To study diagnostic efficacy of ultrasound and magnetic resonance cholangiopancreatography in obstructive jaundice. Journal of Dr. NTR University of Health Sciences, 9(2), 217-221. https://doi.org/10.4103/JDRNTRUHS.JDRNTRUHS_43_20

  • Griffin, N., Charles-Edwards, G., & Grant, L. A. (2012). Magnetic resonance cholangiopancreatography: The ABC of MRCP. Insights into Imaging, 3(1), 11-21. https://doi.org/10.1007/s13244-011-0129-9

  • Gurusamy, K. S., Giljaca, V., Takwoingi, Y., Higgie, D., Poropat, G., Štimac, D., & Davidson, B. R. (2015). Ultrasound versus liver function tests for diagnosis of common bile duct stones. John Wiley & Sons. https://doi.org/10.1002/14651858.CD011548

  • Harraz, M. M., & Abouissa, A. H. (2020). Role of MSCT in the diagnosis of perforated gall bladder. Egyptian Journal of Radiology and Nuclear Medicine, 51, Article 4. https://doi.org/10.1186/s43055-019-0128-2

  • Karwa, S., & Patil, V. (2017). Role of magnetic resonance cholangiopancreatography in biliary disorders. International Journal of Radiology & Radiation Therapy, 2(4), 95-99. http://doi:10.15406/ijrrt.2017.02.00032

  • Kichloo, A., Solanki, S., Haq, K. F., Dahiya, D., Bailey, B., Solanki, D., Singh, J., Albosta, M., Wani, F., Aljadah, M., Shah, H., Khan, H., & Jafri, S. M. (2021). Association of non-alcoholic fatty liver disease with gallstone disease in the United States hospitalized patient population. World Journal of Gastrointestinal Pathophysiology, 12(2), 14-24. https://doi.org/10.4291/wjgp.v12.i2.14

  • Kolomiytsev V. I., Terletskiy O. M., & Bufan, M. (2019). Comparative evaluation of radiological imaging results of choledocholithiasis in patients with acute calculous cholecystitis. Bulletin of Problems Biology and Medicine, 2(150), 236-242. https://doi.org/10.29254/2077-4214-2019-2-1-150-236-242

  • Kratzer, W., Klysik, M., Binzberger, A., & Schmidberger, J. (2021). Gallbladder stone incidence and prevalence in Germany: A population-based study. Zeitschrift für Gastroenterologie, 59(08), 859-864.

  • Lee, S. L., Kim, H. K., Choi, H. H., Jeon, B. S., Kim, T. H., Choi, J. M., Ku, Y. M., Kim, S. W., Kim, S. S., & Chae, H. S. (2018). Diagnostic value of magnetic resonance cholangiopancreatography to detect bile duct stones in acute biliary pancreatitis. Pancreatology, 18(1), 22-28. https://doi.org/10.1016/j.pan.2017.12.004

  • Limanond, P., Raman, S. S., Ghobrial, R. M., Busuttil, R. W., & Lu, D. S. (2004). The utility of MRCP in preoperative mapping of biliary anatomy in adult-to-adult living related liver transplant donors. Journal of Magnetic Resonance Imaging, 19(2), 209-215. https://doi.org/10.1002/jmri.10446

  • Liu, L. N., Xu, H. X., Lu, M. D., Xie, X. Y., Wang, W. P., Hu, B., Yan, K., Ding, H., Tang, S. S., Qian, L. X., Luo, B. M., & Wen, Y. L. (2012). Contrast-enhanced ultrasound in the diagnosis of gallbladder diseases: A multi-center experience. PLoS One, 7(10), Article e48371. https://doi.org/10.1371/journal.pone.0048371

  • Maccioni, F., Martinelli, M., Al Ansari, N., Kagarmanova, A., De Marco, V., Zippi, M., & Marini, M. (2010). Magnetic resonance cholangiography: Past, present and future. European Review for Medical and Pharmacological Sciences, 14(8), 721-725.

  • Orman, S., Senates, E., Ulasoglu, C., & Tuncer, I. (2018). Accuracy of imaging modalities in choledocholithiasis: A real-life data. International Surgery, 103(3-4), 177-183. https://doi.org/10.9738/INTSURG-D-16-00005.1

  • Pang, Y., Lv, J., Kartsonaki, C., Guo, Y., Yu, C., Chen, Y., Yang, L., Bian, Z., Millwood, I. Y., Walters, R. G., Li, X., Zou, J., Holmes, M. V., Chen, J., Chen, Z., & Li, L. (2021). Causal effects of gallstone disease on risk of gastrointestinal cancer in Chinese. British Journal of Cancer, 124, 1864-1872. https://doi.org/10.1038/s41416-021-01325-w

  • Peixoto, S., Lameira, R. P., Sousa, I., & Fonseca-Santos, J. (2019). Acute biliary disease - Pictorial review. European Society of Radiology. http://dx.doi.org/10.26044/ecr2019/C-2752.

  • Pinto, A., Reginelli, A., Cagini, L., Coppolino, F., Ianora, A. A. S., Bracale, R., Giganti, M., & Romano, L. (2013). Accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis: review of the literature. Critical Ultrasound Journal, 5(1), 1-4. https://doi.org/10.1186/2036-7902-5-S1-S11

  • Polistina, F. A., Frego, M., Bisello, M., Manzi, E., Vardanega, A., & Perin, B. (2015). Accuracy of magnetic resonance cholangiography compared to operative endoscopy in detecting biliary stones, a single center experience and review of literature. World Journal of Radiology, 7(4), 70-78. https://doi.org/10.4329/wjr.v7.i4.70

  • Qiu, Y., Yang, Z., Li, Z., Zhang, W., & Xue, D. (2015). Is preoperative MRCP necessary for patients with gallstones? An analysis of the factors related to missed diagnosis of choledocholithiasis by preoperative ultrasound. BMC Gastroenterology, 15(1), 1-8. https://doi.org/10.1186/s12876-015-0392-1

  • Rubens, D. J. (2007). Ultrasound imaging of the biliary tract. Ultrasound Clinics, 2(3), 391-413. https://doi.org/10.1016/j.cult.2007.08.007

  • Şurlin, V., Săftoiu, A., & Dumitrescu, D. (2014). Imaging tests for accurate diagnosis of acute biliary pancreatitis. World Journal of Gastroenterology, 20(44), 16544-16549. https://doi.org/10.3748/wjg.v20.i44.16544

  • Veronica, B., Francesca, C., Luigi, L., De Gaetano, A. M., & Riccardo, M. (2019). Imaging of biliary colic and cholecystitis. In M. Cova & F. Stacul (Eds.), Pain imaging (pp. 229-245). Springer. https://doi.org/10.1007/978-3-319-99822-0_13

  • Virzì, V., Ognibene, N. M. G., Sciortino, A. S., Culmone, G., & Virzì, G. (2018). Routine MRCP in the management of patients with gallbladder stones awaiting cholecystectomy: A single-centre experience. Insights into Imaging, 9(5), 653-659. https://doi.org/10.1007/s13244-018-0640-3

  • Wertz, J. R., Lopez, J. M., Olson, D., & Thompson, W. M. (2018). Comparing the diagnostic accuracy of ultrasound and CT in evaluating acute cholecystitis. AJR. American Journal of Roentgenology, 211(2), 92-97. https://doi.org/10.2214/AJR.17.18884

  • Williams, E. J., Green, J., Beckingham, I., Parks, R., Martin, D., & Lombard, M. (2008). Guidelines on the management of common bile duct stones (CBDS). Gut, 57(7), 1004-1021. http://dx.doi.org/10.1136/gut.2007.121657

  • Williams, E., Beckingham, I., El Sayed, G., Gurusamy, K., Sturgess, R., Webster, G., & Young, T. (2017). Updated guideline on the management of common bile duct stones (CBDS). Gut, 66(5), 765-782. http://dx.doi.org/10.1136/gutjnl-2016-312317

  • Wu, Y., Xu, C. J., & Xu, S. F. (2021). Advances in risk factors for recurrence of common bile duct stones. International Journal of Medical Sciences, 18(4), 1067-1074. https://doi.org/10.7150/ijms.52974

  • Yahya, S., Alabousi, A., Abdullah, P., & Ramonas, M. (2021). The diagnostic yield of magnetic resonance cholangiopancreatography in the setting of acute pancreaticobiliary disease - A single center experience. Canadian Association of Radiologists Journal, 20(1), 1-9. https://doi.org/10.1177/08465371211013786

ISSN 0128-7680

e-ISSN 2231-8526

Article ID

JST-3064-2021

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