Posters
« Back
Appropriateness of MRCP use in a DGH
EP30722
Poster Title: Appropriateness of MRCP use in a DGH
Submitted on 28 Sep 2019
Author(s): A Elawad, B Billimoria
Affiliations: Kettering General Hospital
This poster was presented at BIR Congress 2019
Poster Views: 352
View poster »


Poster Information
Abstract: Background

Magnetic resonance cholangiopancreatography (MRCP) is a technique that has evolved over the past two decades. Therefore, it continues to have a fundamental role in the investigation of many pancreatico-biliary disorders. As a result, there has been a large increase in the number of MRCP scans requested and performed, increasing its burden nationwide.

Aims

The purpose of this study is to review the appropriateness of MRCP use in a District General Hospital (DGH). Furthermore, determining whether these investigations were performed appropriately.

Method

Data was collected in retrospect for more than 200 patients who had MRCP over a six-month period. All MRCP scans investigating intraductal papillary mucinous neoplasms/ tumours were excluded. Consequently, 117 qualified for data analysis.

Results

117 MRCPs for ductal assessment were performed in our trust between June 2018 and November 2018. Findings were as follows:

45.4% of patients had no biliary dilation on MRCP or preceding US
29% of patients had biliary dilation on both US and MRCP
14.5% of patients had no biliary dilation on US but had biliary dilation on subsequent MRCP
11.1% of patients had no biliary dilation on MRCP but showed biliary dilation on preceding US

Of 117 patients analysed 94 patients had no ductal CBD calculi, making up 80%. No patients with normal, non-obstructive LFTs were found to have CBD calculi.

Recommendations & Conclusion

Introduction of more robust guidelines which should be agreed on by the radiologists is vital. Specific questions should be added on PACs systems with regards to both recent US results and LFT values. These new changes should then be disseminated to the appropriate personnel. A combination of these factors should result in a decrease in the number of seemingly unjustified MRCP scans performed and requested, ultimately reducing the burden in our DGH.
Summary: There has been a large increase in the number of MRCP scans requested & performed, increasing its burden nationwide. Therefore, a review of the appropriateness of MRCP use in a District General Hospital was necessary to determine whether these investigations were performed appropriately. Data was collected in retrospect from numerous patients over a 6-month period. The analysis showed several unjustified scans. The study highlighted that an introduction of multiple robust guidelines is vital.Report abuse »
Questions
Ask the author a question about this poster.
Ask a Question »

Creative Commons