Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities]

Weissmann, H S; Sugarman, L A; Frank, M S; Freeman, L M

Title: Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities]

Full Record
Other Related Research

Abstract

Technetium-99m dimethyl iminodiacetic acid cholescintigraphy has contributed significantly to the diagnosis of acute and chronic biliary tract disorders. Yet attention should also be focused on the other structres visualized during the blood pool, hepatocyte, renal excretory, and intestinal phases of the study. Nonbiliary pathology was detected in 42 of 294 patients (14.3%) studied for suspected acute cholecystitis. The serendipitous detection of previously unsuspected abnormalities assisted in directing further work-up away from suspected biliary disease and towards the real source of the patient's acute problem in 28 cases (9.5%).

Authors:: Weissmann, H S; Sugarman, L A; Frank, M S; Freeman, L M

Publication Date:: Thu May 01 00:00:00 EDT 1980

Research Org.:: Montefiore Hosptial, Bronx, NY

OSTI Identifier:: 5301678

Resource Type:: Conference

Journal Name:: Radiology; (United States)

Additional Journal Information:: Journal Volume: 135:2; Conference: 66. scientific assembly and annual meeting, Dallas, TX, USA, 16 Nov 1980

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; DIAGNOSIS; BILIARY TRACT; SCINTISCANNING; BIOLOGICAL LOCALIZATION; TIME DEPENDENCE; CARDIOVASCULAR DISEASES; DIGESTIVE SYSTEM DISEASES; HEART; INTESTINES; KIDNEYS; LIVER; MALFORMATIONS; PATIENTS; RADIONUCLIDE KINETICS; RADIOPHARMACEUTICALS; METABOLISM; TISSUE DISTRIBUTION; TECHNETIUM 99; ACETIC ACID ESTERS; IMINES; INTRAVENOUS INJECTION; ISOMERIC NUCLEI; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CARBOXYLIC ACID ESTERS; CARDIOVASCULAR SYSTEM; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; DISTRIBUTION; DRUGS; ESTERS; GASTROINTESTINAL TRACT; GLANDS; HOURS LIVING RADIOISOTOPES; INFLAMMATION; INJECTION; INTAKE; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; LABELLED COMPOUNDS; NUCLEI; ODD-EVEN NUCLEI; ORGANIC COMPOUNDS; ORGANIC NITROGEN COMPOUNDS; ORGANS; PATHOLOGICAL CHANGES; RADIOACTIVE MATERIALS; RADIOISOTOPE SCANNING; RADIOISOTOPES; TECHNETIUM ISOTOPES; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics

Citation Formats


                    Weissmann, H S, Sugarman, L A, Frank, M S, and Freeman, L M. Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities].  United States: N. p., 1980. 
        Web.

Copy to clipboard


                    Weissmann, H S, Sugarman, L A, Frank, M S, & Freeman, L M. Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities].  United States.

Copy to clipboard


                    Weissmann, H S, Sugarman, L A, Frank, M S, and Freeman, L M. 1980.  
        "Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities]".  United States.

Copy to clipboard


                    
@article{osti_5301678,

  title        = {Serendipity in Technetium-99m dimethyl iminodiacetic acid cholescintigraphy. [Visualization of nonbiliary incidental abnormalities]},

  author       = {Weissmann, H S and Sugarman, L A and Frank, M S and Freeman, L M},

  abstractNote = {Technetium-99m dimethyl iminodiacetic acid cholescintigraphy has contributed significantly to the diagnosis of acute and chronic biliary tract disorders. Yet attention should also be focused on the other structres visualized during the blood pool, hepatocyte, renal excretory, and intestinal phases of the study. Nonbiliary pathology was detected in 42 of 294 patients (14.3%) studied for suspected acute cholecystitis. The serendipitous detection of previously unsuspected abnormalities assisted in directing further work-up away from suspected biliary disease and towards the real source of the patient's acute problem in 28 cases (9.5%).},

  doi          = {},

  url          = {https://www.osti.gov/biblio/5301678},
  journal      = {Radiology; (United States)},
number       = ,

  volume       = 135:2,

  place        = {United States},

  year         = {Thu May 01 00:00:00 EDT 1980},

  month        = {Thu May 01 00:00:00 EDT 1980}

}

Copy to clipboard

Conference:

Other availability

Please see Document Availability for additional information on obtaining the full-text document. Library patrons may search WorldCat to identify libraries that hold this conference proceeding.

Save / Share:

Export Metadata

Save to My Library

Similar records in OSTI.GOV collections:

Rapid and accurate diagnosis of acute cholecystitis with /sup 99m/Tc-HIDA cholescintigraphy. [HIDA = dimethyl acetanilide iminodiacetic acid]

Journal Article Weissmann, H; Frank, M; Bernstein, L; ... - Am. J. Roentgenol.; (United States)

Technetium-99m dimethyl acetanilide iminodiacetic acid (HIDA) cholescintigraphy was performed on 90 patients with suspected acute cholecytitis. Visualization of the gallbladder established patency of the cystic duct and excluded the diagnosis of acute cholecystitis in 50 of 52 patients. Nonvisualization of the gallbladder with visualization of the common bile duct was diagnostic of acute cholecystitis in 38 patients, all subsequently proven at surgery. The observed accuracy of this procedure is 98% and specificity is 100%. The false negative rate is 5% and false positive rate is zero. Technetium-99m-HILDA has many advantages which make it the procedure of choice in evaluating amore »« less
https://doi.org/10.2214/ajr.132.4.523
The role of technetium-99m iminodiacetic acid (IDA) cholescintigraphy in acute acalculous cholecystitis

Journal Article Weissmann, H; Berkowitz, D; Fox, M; ... - Radiology; (United States)

Technetium-99m iminodiacetic acid (IDA) cholescintigraphy was performed in 15 patients with acute acalculous cholecystitis. Fourteen of the 15 patients with acute disease had positive findings, indicating the presence of cystic duct or common duct obstruction. One case in which the gallbladder was visualized failed to respond to sincalide stimulation; this was classified as a suggestive finding of disease. The diagnostic accuracy of /sup 99//sup m/Tc-IDA cholescintigraphy was far superior to the other imaging studies used (8 sonograms, 1 intravenous cholangiogram, 3 oral cholecystograms, 1 percutaneous transhepatic cholangiogram). The /sup 99//sup m/Tc-IDA study is recommended as the imaging procedure of choicemore »« less
https://doi.org/10.1148/radiology.146.1.6681568
The role of technetium-99m iminodiacetic acid (IDA) cholescintigraphy in acute acalculous cholecystitis

Journal Article Weissmann, H; Berkowitz, D; Fox, M; ... - Radiology; (United States)

Technetium-99m iminodiacetic acid (IDA) cholescintigraphy was performed in 15 patients with acute acalculous cholecystitis. Fourteen of the 15 patients with acute disease had positive findings, indicating the presence of cystic duct or common duct obstruction. One case in which the gallbladder was visualized failed to respond to sincalide stimulation; this was classified as a suggestive finding of disease. The diagnostic accuracy of /sup 99m/Tc-IDA cholescintigraphy was far superior to the other imaging studies used (8 sonograms, 1 intravenous cholangiogram, 3 oral cholecystograms, 1 percutaneous transhepatic cholangiogram). The /sup 99m/Tc-IDA study is recommended as the imaging procedure of choice for examiningmore »« less
https://doi.org/10.1148/radiology.146.1.6681568
Acute acalculous cholecystitis: sensitivity in detection using technetium-99m iminodiacetic acid cholescintigraphy

Journal Article Swayne, L - Radiology; (United States)

Forty-one proved cases of acute acalculous cholecystitis imaged with technetium-99m iminodiacetic acid (IDA) cholescintigraphy were retrospectively analyzed. After the exclusion of one indeterminate scan (showing poor initial hepatic uptake and excretion), the study yielded a 92.5% (37 of 40) sensitivity for the detection of cystic or common bile duct obstruction. Each of the three patients with false-negative scintigrams had other abnormal scintigraphic findings suggestive of biliary tract disease. Of the 20 patients (48.8%) with focal or diffuse gangrenous cholecystitis or perforation, seven (35%) exhibited either free peritoneal spill or increased pericholecystic activity to indicate the presence of advanced disease.
https://doi.org/10.1148/radiology.160.1.3715046
Evaluation of acute right upper quadrant pain: sonography and /sup 99m/Tc-PIPIDA cholescintigraphy

Journal Article Shuman, W; Mack, L; Rudd, T; ... - AJR, Am. J. Roentgenol.; (United States)

A group of 75 patients with acute right upper quadrant pain was evaluated with both sonography and cholescintigraphy. Accuracy in screening for gallbladder disease was significantly greater with sonography (96%) than with cholescintigraphy (74%). For selecting patients with acute cholecystitis from this population that included acute and chronic cholecystitis as well as nonbiliary pathology, PIPIDA was less accurate (77%) than might be expected based on previous reports primarily due to false positive nonvisualization caused by chronic cholecystitis. Of patients with nonbiliary pathology, sonography was able to detect the cause of the right upper quadrant pain in 21%. Patients with acutemore »« less
https://doi.org/10.2214/ajr.139.1.61

Similar Records