CT vs. MRCP in @entity2877 XXXX .

@entity1 @entity3883 @entity1087 @entity2877 @entity9279
RATIONALE: @entity3883 can raise problems to diagnostic imaging. The radiologist must choose the most appropriate examination that delivers the most important diagnostic information because the differences between a lithiasic obstruction and a tumoral one are vital. This information helps the surgeon speed up the process of decision-making, because the treatment may be very different in relation to the nature of the obstruction. OBJECTIVE: This study tries to demonstrate the diagnostic accuracy of computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) in detecting the obstacle in the common bile duct (CBD) and the possibility of establishing the lithiasic nature of the obstruction. METHODS AND RESULTS: A retrospective analysis was analyzed during an interval of 18 months that included @entity1087 @entity1 admitted in the General Surgery Department of "Coltea" Clinical Hospital. They were examined by CT scanning and by MRCP, being suspected of @entity2877 . 63 @entity1 were included in the study, 34 females and 29 males. 33 CT scans and 30 MRCP exams were performed. DISCUSSION: CT scan is useful in detecting residual or iterative @entity2877 in @entity1 after cholecystectomy, contrast enhanced CT (CECT), being able to differentiate between lithiasic and non-lithiasic obstruction. MRCP delivers important anatomic details of the biliary tree; it is superior to CT in diagnosing the @entity9279 ; MRCP tends to replace endoscopic retrograde cholangiopancreatography (ERCP) - the diagnostic "gold standard" reducing the number of unnecessary invasive diagnostic procedures. ABBREVIATIONS: CT = computed tomography, CECT = contrast enhanced computed tomography, ERCP = endoscopic retrograde cholangiopancreatography, MRCP = magnetic resonance cholangiopancreatography, CBD = common bile duct.
