Diagnostic accuracy of acute cholecystitis using MRCP and clinical relevance.
Stephanie Lyn Coleman 1 , Lindsey Storer 2 , Doro Gheorghe 3 , Stephan Anderson 1 , and Jaroslaw Tkacz 1
Radiology, Boston Medical Center, Boston,
MA, United States,
University, Boston, MA, United States,
Boston University, MA, United States
Ultrasound imaging has known limitations and large
variations in the sensitivity and specificity of
diagnosis of acute cholecystitis. There is limited
literature on the sensitivity and specificity of MR
imaging, however, the reported are similar to
ultrasound, but without the variation. We did a
retrospective review of MR imaging in patients with
suspected acute cholecystitis. Results showed that MRCP
is very insensitive, but has excellent specificity in
diagnosis of acute cholecystitis. In conclusion,
additional imaging approaches are suggested such as
those including functional imaging such as HIDA or MRI
with the use of hepatobiliary contrast agents.
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