Document Detail


Comparative study of the diagnostic ability of magnetic resonance imaging and multidetector row computed tomography for anomalous pancreaticobiliary ductal junction.
MedLine Citation:
PMID:  20861776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the diagnostic performance of magnetic resonance (MR) imaging and multidetector row computed tomography (MDCT) for an anomalous pancreaticobiliary ductal junction (PBJ). METHODS: This study included 26 patients who underwent MR imaging, MDCT, and endoscopic retrograde cholangiopancreatography. Seventeen of the patients were diagnosed by endoscopic retrograde cholangiopancreatography as having an anomalous PBJ. Three radiologists independently reviewed MR images alone, contrast-enhanced CT images alone, and MR images and CT images combined. Receiver operating characteristic curve analysis was used to compare diagnostic capabilities. RESULTS: The mean area under the receiver operating characteristic curve (Az [95% confidence interval]) was 0.75 (0.73-0.77) for MR imaging alone, 0.79 (0.70-0.89) for CT alone, and 0.84 (0.82-0.86) for the 2 modalities combined. Only between the combination and MR imaging alone was there significant difference in Az value (P < 0.05). CONCLUSIONS: The diagnostic performance of MR imaging and MDCT was equivalent for an anomalous PBJ. The addition of MDCT to MR imaging improved the diagnostic performance.
Authors:
Atsushi Nakamoto; Tonsok Kim; Masatoshi Hori; Hiromitsu Onishi; Yasuhiro Nakaya; Takahiro Tsuboyama; Mitsuaki Tatsumi; Kaname Tomoda
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  34     ISSN:  1532-3145     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-23     Completed Date:  2010-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  725-31     Citation Subset:  IM    
Affiliation:
Department of Radiology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. a-nakamoto@radiol.med.osaka-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bile Ducts / abnormalities*
Cholangiopancreatography, Endoscopic Retrograde
Contrast Media / diagnostic use
Female
Humans
Iohexol / diagnostic use
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Pancreatic Ducts / abnormalities*
ROC Curve
Retrospective Studies
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 66108-95-0/Iohexol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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