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Diagnosis of hepatobiliary disease by /sup 99m/Tc-HIDA cholescintigraphy

Journal Article · · Radiology; (United States)
OSTI ID:7277123
/sup 99m/Tc-HIDA is concentrated by the hepatocytes and excreted into the biliary system; the gallbladder, common bile duct, and early accumulation in the duodenum are visualized within 30 minutes of intravenous administration. The authors studied the utility of /sup 99m/Tc-HIDA imaging in both acute and chronic cholecystitis and hepatobiliary disease in the presence of jaundice: (a) all normal gallbladders exhibited filling, (b) absence of visualization indicated gallbladder disease and/or cystic duct obstruction, (c) visualization of the gallbladder after cholecystokinin-induced emptying excluded an obstructed cystic duct and acute cholecystitis, and (d) a definitive diagnosis of hepatocellular disease, partial and complete obstruction, is possible in jaundiced patients with hyperbilirubinemias up to 5 mg percent. Beyond that level, /sup 99m/Tc-HIDA imaging was of qualified value. The technique is useful in assessing biliary drainage in jaundiced patients with surgically altered biliary tract anatomy.
Research Organization:
Montreal General Hospital
OSTI ID:
7277123
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 126:2; ISSN RADLA
Country of Publication:
United States
Language:
English