Comparison of ultrasonography, computerized tomography, and radionuclide imaging in the diagnosis of acute and chronic cholecystitis

Journal Article · Wed Dec 01 04:00:00 EST 1982 · Am. J. Surg.; (United States)

DOI:https://doi.org/10.1016/0002-9610(82)90549-9· OSTI ID:6299201

Matolo, N M; Stadalnik, R C; McGahan, J P

Seventy-five patients with abdominal pain in the right upper quadrant who were subsequently confirmed operatively and histologically to have acute or chronic cholecystitis underwent radionuclide imaging of the biliary tree, ultrasonography, and/or computerized tomography before operation. fifty-eight of the patients had acute cholecystitis and 17 had chronic cholecystitis and cholelithiasis. Analysis of our data indicates that ultrasonography is an accurate and better screening test than cholescintigraphy in the diagnosis of chronic cholecystitis and cholelithiasis, but it is less accurate in the detection of acute cholecystitis. On the other hand, radionuclide imaging is highly sensitive and specific in the early diagnosis of acute cholecystitis, but it is poor in the diagnosis of chronic cholecystitis and cholelithiasis unless the cystic duct is obstructed. CT scanning is more expensive than ultrasonography but may be extremely helpful in problematic cases such as the diagnosis of the cause in biliary obstruction or in imaging of the pancreas.

• Research Organization: Department of Surgery, University of California, Davis, Medical Center, Sacramento
• OSTI ID: 6299201
• Journal Information: Am. J. Surg.; (United States), Journal Name: Am. J. Surg.; (United States) Vol. 144:6; ISSN AJSUA
• Country of Publication: United States
• Language: English

Related Subjects

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550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
INFLAMMATION
PATHOLOGICAL CHANGES
PATIENTS
RADIOISOTOPE SCANNING
SCINTISCANNING
SYMPTOMS
TOMOGRAPHY
ULTRASONOGRAPHY