Evidence map›Paper›PMID 24894946›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2014

Diagnostic value of magnetic resonance cholangiopancreatography for secondary common bile duct stones compared with laparoscopic trans-cystic common bile duct exploration.

Peixin Li, Zhongtao Zhang, Jianshe Li, Lan Jin, Wei Han, Jie Zhang

Abstract readComparative Study
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Peixin LiDepartment of Comprehensive Surgery, Medical and Health Center, Beijing Friendship Hospital affiliated to Capital Medical University, Beijing, China (mainland).
Zhongtao ZhangDepartment of General Surgery, Beijing Friendship Hospital Affiliated to Capital Medical Universit, Beijing, China (mainland).
Jianshe LiDepartment of General Surgery, Beijing Friendship Hospital Affiliated to Capital Medical Universit, Beijing, China (mainland).
Lan JinDepartment of General Surgery, Beijing Friendship Hospital Affiliated to Capital Medical Universit, Beijing, China (mainland).
Wei HanDepartment of General Surgery, Beijing Friendship Hospital Affiliated to Capital Medical Universit, Beijing, China (mainland).
Jie ZhangDepartment of Medical Imaging, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China (mainland).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the diagnostic potential of magnetic resonance cholangiopancreatography (MRCP) in preoperative patients with secondary common bile duct stones during the application of laparoscopic trans-cystic common bile duct exploration (LTCBDE). MATERIAL AND

methodsThe clinical records of 255 patients were retrospectively analyzed. All patients included in the study were examined by MRCP 3 days prior to LTCBDE.

resultsSecondary bile duct stones were detected in 220 patients using LTCBDE. Of the patients diagnosed by MRCP, 141 were true-positive, 28 were true-negative, 7 were false-positive and 79 were false-negative. The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of MRCP for secondary common bile duct stones were 64.09%, 80.00%, 66.27%, 95.27%, and 26.17%, respectively. When the cases with muddy stones were excluded, the outcomes were 80.41%, 79.41%, 69.23%, 94.44%, and 48.21%, respectively. When cases with stones <3 mm (inclusive) in diameter were excluded, the outcomes were 93.75%, 79.41%, 86.27%, 93.75%, and 65.85%, respectively. When cases with stones <5 mm (inclusive) in diameter were excluded, the outcomes were 93.10%, 79.41%, 89.26%, 92.05%, and 81.82%, respectively.

conclusionsThe effectiveness of preoperative MRCP is overestimated for the diagnosis of secondary common bile duct stones, particularly for muddy and micro-stones.

Indexed as

Cholangiopancreatography, Magnetic ResonanceCholecystectomy, LaparoscopicAdolescentAdultAgedAged, 80 and overCommon Bile DuctFalse Positive ReactionsFemaleGallstonesHumansMaleMiddle AgedYoung Adult

Identifiers

PMID24894946
PMCPMC4061148

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.