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Improved diagnosis of common bile duct stone with single-shot balanced turbo field-echo sequence in MRCP

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Abstract

Purpose

To evaluate the value of adding single-shot balanced turbo field-echo (b-TFE) sequence to conventional magnetic resonance cholangiopancreatography (MRCP) for the detection of common bile duct (CBD) stone.

Methods

One hundred thirty-seven consecutive patients with suspected CBD stone underwent MRCP including single-shot b-TFE sequence. Twenty-five patients were confirmed with CBD stone by endoscopic retrograde cholangiopancreatography or ultrasonography. Two radiologists reviewed two image protocols: protocol A (conventional MRCP protocol: unenhanced T1-, T2-, and respiratory-triggered three-dimensional fat-suppressed single-shot turbo spin-echo MRCP sequence) and protocol B (protocol A plus single-shot b-TFE sequence). The sensitivity, specificity, positive (PPV) and negative predictive value (NPV), and area under the receiver-operating-characteristic (ROC) curve (AUC) for the detection of CBD stone were compared.

Results

The sensitivity (72%) and NPV (94%) were the same between the two protocols. However, protocol B was greater in the specificity (99%) and PPV (94%) than protocol A (92% and 67%, respectively) (P = 0.0078 and 0.031, respectively). The AUC was significantly greater for protocol B (0.93) than for protocol A (0.86) (P = 0.026).

Conclusions

Inclusion of single-shot b-TFE sequence to conventional MRCP significantly improved the specificity and PPV for the detection of CBD stone.

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Authors and Affiliations

  1. Department of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan

    Yoshifumi Noda, Satoshi Goshima, Hiroshi Kawada, Nobuyuki Kawai, Hiromi Koyasu & Masayuki Matsuo

  2. Department of Radiology, Gifu Municipal Hospital, Gifu, Japan

    Toshihisa Kojima & Shimpei Kawaguchi

  3. Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Kyongtae T. Bae

Authors
  1. Yoshifumi Noda
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  2. Satoshi Goshima
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  3. Toshihisa Kojima
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  4. Shimpei Kawaguchi
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  5. Hiroshi Kawada
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  6. Nobuyuki Kawai
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  7. Hiromi Koyasu
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  8. Masayuki Matsuo
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  9. Kyongtae T. Bae
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Corresponding author

Correspondence to Satoshi Goshima.

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No funding was received for this study.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Statement of informed consent was not applicable since the manuscript does not contain any patient data.

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Noda, Y., Goshima, S., Kojima, T. et al. Improved diagnosis of common bile duct stone with single-shot balanced turbo field-echo sequence in MRCP. Abdom Radiol 42, 1183–1188 (2017). https://doi.org/10.1007/s00261-016-0990-6

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  • DOI: https://doi.org/10.1007/s00261-016-0990-6

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