Evaluation of certain Biliary System Diseases using Magnetic Resonance CholangioPancreatography( MRCP)

Abstract

The biliary system have many diseases affecting it and these diseases need to be diagnosed but in this study certain one was evaluated : cholecystitis, cholangiocarcinoma, gallstones and obstruction. The aim of this study was to study the biliary system disorders using Magnetic Resonance CholangioPancreatography( MRCP) ; the study took place in Khartoum state centers include: Antalia medical center and Modern medical center during the period between August and December 2015. The sample size was sixty patients were examined used MRCP , using echo time in excess of 200ms and repetition time of more than 10s are required, field of view 300mm and slice thickness 1mm.MRCP images were reviewed at the diagnostic workstation and on hard copy films by expert radiologists. This examination was performed using GE 1.5 Tesla . a body coil was used, peripheral pulse unit and respiratory compensator. The result after analysis by SPSS program, showed that: The biliary diseases were predominant among age group between( 69-79) years as (51.7%) come next (58-68)years as (35%), (47-57)years as (8.3%), (36-46)years as (3.3%) and (25-35)years as (1.7%) as well as predominant among female(38) relative to male(22) as( 63.33%) and( 36.67%) respectively. The biliary diseases were predominant among weight group between (70-79)Kg in female(31) relative to male(16) as (65.95%) and (34.05%) respectively, come next the weight group between (80-89)Kg in female (7) relative to male(6) as (53.85%) and (46.15%) respectively. The most common cause of the biliary diseases were biliary obstruction due to different causes and gallstones. The biliary obstruction predominant among female(17) relative to male(7) as (70.83%) and (29.17%) respectively . The gallstone predominant among female(3) relative to male(2) as (60%) and (40%) respectively .The most common cause of biliary obstruction is Ca because the malignancy was seen mainly in elderly people. Cholecystitis and cholangio carcinoma were predominant also among female(10)and (9) relative to male(4) and(8) respectively as (71.4%) and (52.9%), (28.6%) and (47.01%) respectively. The study showed that elder females with heavy weight were the most patients got biliary diseases.