Acute acalculous cholecystitis: sensitivity in detection using technetium-99m iminodiacetic acid cholescintigraphy

Journal Article · Tue Jul 01 00:00:00 EDT 1986 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.160.1.3715046· OSTI ID:5206443

Swayne, L C

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.

• Research Organization: Morristown Memorial Hospital, NJ
• OSTI ID: 5206443
• Journal Information: Radiology; (United States), Vol. 1
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
SCINTISCANNING
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DIGESTIVE SYSTEM DISEASES
ERRORS
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TECHNETIUM 99
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
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ORGANS
PATHOLOGICAL CHANGES
RADIOISOTOPE SCANNING
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SYMPTOMS
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES
550601* - Medicine- Unsealed Radionuclides in Diagnostics