E-ISSN 2149-388X | ISSN 2149-0430
 

Original Article 


Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case

Esat Taylan Ugurlu, Osman Dere, Sezgin Yilmaz.

Abstract
Introduction: Endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP), computed tomography (CT), and ultrasonography (US) are widely used in the diagnosis of choledochal stones. This study aims to determine the sensitivity and diagnostic contribution of US, CT, and MRCP in detecting common bile duct stones and to compare them with ERCP.
Materials and Methods: The study included 1152 patients who underwent ERCP diagnosed with choledochal stones. Initially, each patient underwent USG, CT, and MRCP. ERCP was performed 2-7 days later. The results were compared with the ERCP results. Sensitivity, specificity, positive predictive value (PPV), Negative Predictive Value (NPV), and F1 score were calculated.
Results: Compared to ERCP, the most effective method in the diagnosis of choledocholithiasis is MRCP (F score: 0.84), CT (F score: 0.73), MR+BT (F score: 0.75), MR+BT+USG (F score: 0.55), and US (F score: 0.43).
Conclusions: ERCP is the gold standard in treating stones in the common bile duct. However, since this method is invasive, its use for diagnostic purposes has decreased due to the possibility of complications. In diagnosing common choledochal stones, MRCP alone is sufficient regardless of other imaging methods.

Key words: ERCP; MRCP; US; CT; Choledochal stones


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Esat Taylan Ugurlu
Articles by Osman Dere
Articles by Sezgin Yilmaz
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Ugurlu ET, Dere O, Yilmaz S. Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. Ulutas Med J. 2023; 9(1): 8-12. doi:10.5455/umj.20221205103820


Web Style

Ugurlu ET, Dere O, Yilmaz S. Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. https://www.ulutasmedicaljournal.com/?mno=80098 [Access: December 05, 2023]. doi:10.5455/umj.20221205103820


AMA (American Medical Association) Style

Ugurlu ET, Dere O, Yilmaz S. Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. Ulutas Med J. 2023; 9(1): 8-12. doi:10.5455/umj.20221205103820



Vancouver/ICMJE Style

Ugurlu ET, Dere O, Yilmaz S. Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. Ulutas Med J. (2023), [cited December 05, 2023]; 9(1): 8-12. doi:10.5455/umj.20221205103820



Harvard Style

Ugurlu, E. T., Dere, . O. & Yilmaz, . S. (2023) Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. Ulutas Med J, 9 (1), 8-12. doi:10.5455/umj.20221205103820



Turabian Style

Ugurlu, Esat Taylan, Osman Dere, and Sezgin Yilmaz. 2023. Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. THE ULUTAS MEDICAL JOURNAL, 9 (1), 8-12. doi:10.5455/umj.20221205103820



Chicago Style

Ugurlu, Esat Taylan, Osman Dere, and Sezgin Yilmaz. "Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case." THE ULUTAS MEDICAL JOURNAL 9 (2023), 8-12. doi:10.5455/umj.20221205103820



MLA (The Modern Language Association) Style

Ugurlu, Esat Taylan, Osman Dere, and Sezgin Yilmaz. "Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case." THE ULUTAS MEDICAL JOURNAL 9.1 (2023), 8-12. Print. doi:10.5455/umj.20221205103820



APA (American Psychological Association) Style

Ugurlu, E. T., Dere, . O. & Yilmaz, . S. (2023) Comparison of the Diagnostic Value of MRCP, CT, and Ultrasonography in Choledochal Stones with the Results of ERCP: Evidence from 1152 Case. THE ULUTAS MEDICAL JOURNAL, 9 (1), 8-12. doi:10.5455/umj.20221205103820