GIÁ TRỊ CỦA CHỤP CỘNG HƯỞNG TỪ TRONG CHẨN ĐOÁN SỎI ỐNG MẬT CHỦ SO VỚI NỘI SOI MẬT TỤY NGƯỢC TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ HẢI PHÒNG NĂM 2022-2023

Abstract

Objective: The study aims to evaluate the value of magnetic resonance imaging (MRI) compared to endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing common bile duct stones (CBDS) at Hai Phong International Hospital from 2022 to 2023. Subjects and Methods: The study included 69 patients diagnosed with CBDS who underwent MRI and ERCP for diagnosis and stone removal at Hai Phong International General Hospital from January 1, 2022, to December 31, 2023. A cross-sectional descriptive study using retrospective data. Data analysis was conducted using SPSS 20.0 software. Results and Conclusion: MRI showed an accuracy rate of 65.6% to 92.7% in diagnosing the number of stones, with high concordance with ERCP (κ coefficient > 0.6). MRI demonstrated an accuracy rate of 86.0% to 92.7% in determining stone location (above or behind the pancreatic head), also showing high concordance with ERCP (κ coefficient > 0.6). MRI exhibited an accuracy rate of 88.4% to 98.5% in measuring stone size, with high concordance with ERCP (κ coefficient > 0.59). Thus, MRI provides high accuracy in diagnosing CBDS and plays a crucial role in guiding treatment approaches for stone removal, particularly in patients using ERCP.