A 31-year-old male asked:
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is the accuracy high for finding early pancreatic cancer with normal mrcp (not the secretin-enhanced mrcp)?

2 doctor answers
Dr. Stephen Southard
15 years experience Internal Medicine
Yes: In the literature, the sensitivity, or ability of MRCP test to correctly identify those with pancreatic cancer, is in the 80% range and the specificity, or the ability of MRCP to correctly identify those without the pancreatic cancer, is in the high 90's%. Those are pretty good odds.
Answered on May 18, 2016
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Dr. James Brockenbrough
49 years experience Thoracic Surgery
Depends: The secretin-enhanced MRCP is a technique to help image the pancreatic duct. The MRCP is just one arrow in the quiver to diagnose hepato-biliary and pancreatic disease non-invasively; especially in the setting of painless jaundice. It can often direct the next step along the diagnostic process.
Answered on Oct 20, 2016
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