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Suspected Acute Cholecystitis Comparison of Hepatobiliary Scintigraphy Versus Ultrasonography

One hundred ninety-fine patients with suspected acute cholecystitis (AC) underwent both hepatobiliary scintigraphy (HBS) and static gray-scale ultrasonography (US) to assess the relative value of each imaging modality in this clinical setting. HBS was performed after the intravenous injection of 5 m...

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Published in:	Clinical nuclear medicine 1982-08, Vol.7 (8), p.364-367
Main Authors:	FREITAS, J E, MIRKES, S H, FINK-BENNETT, D M, BREE, R L
Format:	Article
Language:	English
Subjects:	Acute Disease Biliary Tract - diagnostic imaging Cholecystitis - diagnosis Cholecystitis - diagnostic imaging Humans Imino Acids Liver - diagnostic imaging Organotechnetium Compounds Prospective Studies Radionuclide Imaging Technetium Time Factors Ultrasonography
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container_end_page	367
container_issue	8
container_start_page	364
container_title	Clinical nuclear medicine
container_volume	7
creator	FREITAS, J E MIRKES, S H FINK-BENNETT, D M BREE, R L
description	One hundred ninety-fine patients with suspected acute cholecystitis (AC) underwent both hepatobiliary scintigraphy (HBS) and static gray-scale ultrasonography (US) to assess the relative value of each imaging modality in this clinical setting. HBS was performed after the intravenous injection of 5 mCi Tc-99m iprofenin. Abnormal HBS indicative of AC visualized the common bile duct, but not the gallbladder, within 1 to 4 hours after tracer administration. Abnormal US indicative of AC demonstrated cholelithiasis and/or gallbladder wall edema. In this series, HBS surpassed US in sensitivity (98.3% versus 81.4%), specificity (90.2% versus 60.2%), predictive value of an abnormal test (91.4% versus 51.6%), and predictive value of a normal test (100% versus 92%), HBS should be the procedure of choice for the rapid detection of AC.
doi_str_mv	10.1097/00003072-198208000-00004
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source	HEAL-Link subscriptions: Lippincott Williams & Wilkins
subjects	Acute Disease Biliary Tract - diagnostic imaging Cholecystitis - diagnosis Cholecystitis - diagnostic imaging Humans Imino Acids Liver - diagnostic imaging Organotechnetium Compounds Prospective Studies Radionuclide Imaging Technetium Time Factors Ultrasonography
title	Suspected Acute Cholecystitis Comparison of Hepatobiliary Scintigraphy Versus Ultrasonography
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