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The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy

Received: 20 July 2015     Accepted: 7 August 2015     Published: 11 September 2015
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Abstract

Early diagnosis of biliary tract tumors is important in accurate staging, to choose the best possible treatment and improve their prognosis. Multidetector row Computed Tomography is an ideal method to evaluate patients with suspected biliary tract obstruction and thereby biliary tract malignancy. Aims and Objective: To evaluate the accuracy of Multidetector row Computed Tomography (MDCT) in evaluation of level of obstruction and to study the imaging features of various causes of biliary tract malignancy. Material and Method: MDCT of 40 patients with clinically suspicion of biliary tract obstruction were prospectively reviewed and only malignant causes were included in the study. Final diagnosis was based on endoscopic retrograde cholangiopancreatography, surgical and histopathological diagnosis. The MDCT diagnosis and final diagnosis was compared for level and imaging features of malignant lesions. Results: The sensitivity, specificity, PPV, NPV and diagnostic accuracy of MDCT in determining the level of malignant obstruction is 100%, 83.33%, 97.77%, 100%, 98%, and cause of malignant obstruction is 97.73%, 83.33%, 97.72%, 83.33%, 96%. MDCT with its high sensitivity and specificity values plays an essential role in the diagnosis of malignant tumors of biliary tract and for the evaluation of therapeutic options. Conclusion: MDCT has a vital role to play in biliary tract malignancy with its high degree of accuracy in establishing the level of obstruction and in defining the imaging features of the malignant lesions.

Published in Cancer Research Journal (Volume 3, Issue 5)
DOI 10.11648/j.crj.20150305.13
Page(s) 104-109
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Biliary Tract Obstruction, Multidetector Row Computed Tomography, Benign, Malignant

References
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  • APA Style

    Indira Narayanaswamy, Akshaya Reddy Erasu, Ram Prakash HV. (2015). The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy. Cancer Research Journal, 3(5), 104-109. https://doi.org/10.11648/j.crj.20150305.13

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    ACS Style

    Indira Narayanaswamy; Akshaya Reddy Erasu; Ram Prakash HV. The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy. Cancer Res. J. 2015, 3(5), 104-109. doi: 10.11648/j.crj.20150305.13

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    AMA Style

    Indira Narayanaswamy, Akshaya Reddy Erasu, Ram Prakash HV. The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy. Cancer Res J. 2015;3(5):104-109. doi: 10.11648/j.crj.20150305.13

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  • @article{10.11648/j.crj.20150305.13,
      author = {Indira Narayanaswamy and Akshaya Reddy Erasu and Ram Prakash HV},
      title = {The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy},
      journal = {Cancer Research Journal},
      volume = {3},
      number = {5},
      pages = {104-109},
      doi = {10.11648/j.crj.20150305.13},
      url = {https://doi.org/10.11648/j.crj.20150305.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20150305.13},
      abstract = {Early diagnosis of biliary tract tumors is important in accurate staging, to choose the best possible treatment and improve their prognosis. Multidetector row Computed Tomography is an ideal method to evaluate patients with suspected biliary tract obstruction and thereby biliary tract malignancy. Aims and Objective: To evaluate the accuracy of Multidetector row Computed Tomography (MDCT) in evaluation of level of obstruction and to study the imaging features of various causes of biliary tract malignancy. Material and Method: MDCT of 40 patients with clinically suspicion of biliary tract obstruction were prospectively reviewed and only malignant causes were included in the study. Final diagnosis was based on endoscopic retrograde cholangiopancreatography, surgical and histopathological diagnosis. The MDCT diagnosis and final diagnosis was compared for level and imaging features of malignant lesions. Results: The sensitivity, specificity, PPV, NPV and diagnostic accuracy of MDCT in determining the level of malignant obstruction is 100%, 83.33%, 97.77%, 100%, 98%, and cause of malignant obstruction is 97.73%, 83.33%, 97.72%, 83.33%, 96%. MDCT with its high sensitivity and specificity values plays an essential role in the diagnosis of malignant tumors of biliary tract and for the evaluation of therapeutic options. Conclusion: MDCT has a vital role to play in biliary tract malignancy with its high degree of accuracy in establishing the level of obstruction and in defining the imaging features of the malignant lesions.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - The Role of Multidetector Row Computed Tomography in Biliary Tract Malignancy
    AU  - Indira Narayanaswamy
    AU  - Akshaya Reddy Erasu
    AU  - Ram Prakash HV
    Y1  - 2015/09/11
    PY  - 2015
    N1  - https://doi.org/10.11648/j.crj.20150305.13
    DO  - 10.11648/j.crj.20150305.13
    T2  - Cancer Research Journal
    JF  - Cancer Research Journal
    JO  - Cancer Research Journal
    SP  - 104
    EP  - 109
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20150305.13
    AB  - Early diagnosis of biliary tract tumors is important in accurate staging, to choose the best possible treatment and improve their prognosis. Multidetector row Computed Tomography is an ideal method to evaluate patients with suspected biliary tract obstruction and thereby biliary tract malignancy. Aims and Objective: To evaluate the accuracy of Multidetector row Computed Tomography (MDCT) in evaluation of level of obstruction and to study the imaging features of various causes of biliary tract malignancy. Material and Method: MDCT of 40 patients with clinically suspicion of biliary tract obstruction were prospectively reviewed and only malignant causes were included in the study. Final diagnosis was based on endoscopic retrograde cholangiopancreatography, surgical and histopathological diagnosis. The MDCT diagnosis and final diagnosis was compared for level and imaging features of malignant lesions. Results: The sensitivity, specificity, PPV, NPV and diagnostic accuracy of MDCT in determining the level of malignant obstruction is 100%, 83.33%, 97.77%, 100%, 98%, and cause of malignant obstruction is 97.73%, 83.33%, 97.72%, 83.33%, 96%. MDCT with its high sensitivity and specificity values plays an essential role in the diagnosis of malignant tumors of biliary tract and for the evaluation of therapeutic options. Conclusion: MDCT has a vital role to play in biliary tract malignancy with its high degree of accuracy in establishing the level of obstruction and in defining the imaging features of the malignant lesions.
    VL  - 3
    IS  - 5
    ER  - 

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Author Information
  • Department of Radio-diagnosis, Vydehi Institiute of Medical Sciences and Research Centre, EPIP Area, Bangalore, Karnataka, India

  • Department of Radio-diagnosis, Vydehi Institiute of Medical Sciences and Research Centre, EPIP Area, Bangalore, Karnataka, India

  • Department of Radio-diagnosis, Vydehi Institiute of Medical Sciences and Research Centre, EPIP Area, Bangalore, Karnataka, India

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