A systematic review and economic evaluation of magnetic resonance cholangiopancreatography compared with diagnostic endoscopic retrograde cholangiopancreatography

Abstract

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Practice Guidelines in Acute Pancreatitis

“…Gallstones can be documented within the common bile duct with accuracy similar to ERCP by EUS (39,205,(207)(208)(209)(210)(211)(212)(213)(214)(215)(216)(217)(218)(219)(220)(221)(222)(223)(224)(225)(226), with somewhat lower accuracy by MRCP (227)(228)(229)(230)(231)(232)(233), and by intraoperative cholangiography at the time of laparoscopic cholecystectomy (234)(235)(236)(237). Identification of a biliary etiology of acute pancreatitis is important because recurrent episodes will occur in one-third to two-thirds of these patients in follow-up periods of as short as 3 months unless gallstones are eliminated (238,239).…”

“…In clinical practice, if there is intermediate concern regarding the possibility of a retained common bile duct stone, and the patient is not felt to be a good candidate for cholecystectomy with cholangiogram within the near future, EUS or MRCP can be performed to assess for presence of bile duct stones and determine need for ERCP. EUS is generally considered to be the most accurate method to detect bile duct stones; sensitivity of MRCP for small bile duct stones is lower, especially for those that are impacted at the ampulla (229,230). EUS or MRCP are also useful to determine need for ERCP in patients who are pregnant, or in whom ERCP would be high risk or technically difficult due to reasons such as severe coagulopathy or altered surgical anatomy.…”

Comparison of Endoscopic Retrograde Cholangiopancreatography (ERCP) and Magnetic Resonance Cholangiopancreatography (MRCP) in Bile Duct Imaging

“…MRCP and diagnostic ERCP were compared for cost effectiveness through a literature scan over 28 articles by Kaltenthaler et al, and it was decided that MRCP was more economical [12]. In our study, it was determined that the cost of one MRCP event cost TL 65, while one ERCP event cost approximately TL 284.…”

Comparison of Magnetic Resonance Cholangiopancreatography and Endoscopic Retrograde Cholangiopancreatography in Pancreaticobiliary Pathologies

“…The sensitivity for strictures was 100.0% and specificity ranged from 98.0% to 99.0%. It was concluded that although there are some findings suggesting that MRCP is a sensitive method compared with diagnostic ERCP, the obtained values for malignancy compared with choledocholithiasis were somewhat lower 13 . In the present study, the sensitivity, specificity, and positive and negative predictive values of MRCP in detecting common bile duct dilatation were 70.0%, 77.2%, 73.6%, and 73.9%, respectively.…”