Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography
Abdellatif, H., Alkholy, M., Zidan, H., Alwarrky, M. (2021). Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography. EKB Journal Management System, 83(1), 1472-1476. doi: 10.21608/ejhm.2021.170508
Hayam Abdelmonsif Abdellatif; Mohammed Ramadan Alkholy; Hagar Said Zidan; Mohammed Shawky Alwarrky. "Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography". EKB Journal Management System, 83, 1, 2021, 1472-1476. doi: 10.21608/ejhm.2021.170508
Abdellatif, H., Alkholy, M., Zidan, H., Alwarrky, M. (2021). 'Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography', EKB Journal Management System, 83(1), pp. 1472-1476. doi: 10.21608/ejhm.2021.170508
Abdellatif, H., Alkholy, M., Zidan, H., Alwarrky, M. Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography. EKB Journal Management System, 2021; 83(1): 1472-1476. doi: 10.21608/ejhm.2021.170508

Multi Slice CT Cholangiography Using Minimum Intensity Projection in Evaluation of Patients with Biliary Obstruction: Comparison with Percutaneous Trans Hepatic Cholangiography

The Egyptian Journal of Hospital Medicine
Article 102, Volume 83, Issue 1, April 2021, Page 1472-1476  XML PDF (669.62 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2021.170508
View on SCiNiTO View on SCiNiTO
Authors
Hayam Abdelmonsif Abdellatif email 1; Mohammed Ramadan Alkholy1; Hagar Said Zidan2; Mohammed Shawky Alwarrky2
1Department of Radiodiagnosis, Faculty of Medicine, Menoufia University, Egypt
2Department of Radiology, National Liver Institute Menoufia University, Egypt
Abstract
ABSTRACT
Background: Evaluation of the diagnostic value of computed tomography (CT) cholangiography with minimum intensity projection (MinIP) in the work up of patients with obstructive biliary disease through correlation with percutaneous trans hepatic cholangiography (PTC) results.
Objective: In this study, we aimed to evaluate the diagnostic value of CT cholangiography with MinIP in the work up of patients with obstructive biliary disease through correlation with PTC results.
Patients and Method: The study included 36 patients (26 males and 10 females), with biliary obstruction. CT cholangiography was done to reach a definite diagnosis for the cause of obstruction and PTC was done during their management plan. Analysis of the image data with (MinIP) images was created on a separate workstation and compared to that of PTC. Results: The CT cholangiography using MinIP technique correctly diagnosed the cause of obstruction among all included cases. No significant difference was found between measurements of obstructing lesion size. We had a novel observation about that axial images are significantly better to reveal the obstructing biliary lesion if the cause of obstruction is intrahepatic; while coronal images are significantly better to reveal the obstructing biliary lesion if the cause of obstruction is extrahepatic.
Conclusion: CT cholangiography with MinIP is a complete noninvasive technique that provides projectional images similar to that of PTC without administration of oral specific contrast agents, requires no medications, less operator dependent and no complications were encountered in adequately screened patients.
 
 
Keywords
Biliary obstruction; Biliary tract diseases; Cholangiography; CT; MinIP images; PTC
Statistics
Article View: 196
PDF Download: 401