The accuracy of transabdominal ultrasound (TAUS) in detection of choledocholithiasis keeping magnetic resonance cholangiopancreatography (MRCP) as gold standard | [Pakistan Armed Forces Medical Journal • 2022]

Author(s):

1. Abdur Rahim Palwa: Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

2. Uzma Nisar: Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

3. Mobeen Shafique: Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

4. Omer Aamir: Armed Forces Institute of Radiology & Imaging/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

5. Sidra Riaz: Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

6. Aown Raza Shah Bukhari: Armed Forces Institute of Cardiology/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan,

7. Mehwish Razzaq: Army Medical college/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan

Abstract:

Objective: To assess the diagnostic accuracy of trans-abdominal ultrasound (TAUS) in detecting choledocholithiasis, keeping MRCP as the gold standard. Study Design: Cross-sectional study. Place and Duration of Study: Department of Magnetic Resonance Imaging, Armed Forces Institute of Radiology & Imaging, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jun 2018 to May 2019. Methodology: 102 patients of either gender, age 20-85 years with the clinical suspicion of choledocholithiasis and obstructive jaundice were included. Trans-abdominal ultrasonography was performed for radiological detection of disease. All selected cases then underwent MRCP for confirmation of findings. Results: Mean age of the patients was 54.27 ± 15.14 years. 47 patients (46.1%) were males, and 55 (53.9%) were females. All patients were subjected to trans-abdominal ultrasound and MRCP. TAUS showed choledocholithiasis in 82 (80.3%) patients. MRCP confirmed choledocholithiasis in 81 (79.4%) cases, whereas 21 (20.5%) revealed no choledocholithiasis. Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of TAUS were 96%, 80.9%, 95%, 85% & 87.86%, respectively. Conclusion: Diagnostic accuracy of trans-abdominal ultrasonography in detecting choledocholithiasis is significantly high enough to be used as a first-line imaging modality as MRCP is available only in specialised care centres.

Page(s): 485-488

DOI: 10.51253/pafmj.v72i2.4365

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 72, Issue: 2, Year: 2022

Keywords:

choledocholithiasis , Magnetic Resonance Cholangiopancreatography MRCP , Transabdominal ultrasonography TAUS

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