The role of H.I.D.A./P.I.P.I.D.A. scanning in diagnosing cystic duct obstruction.
A newer approach to the early diagnosis of acute biliary tract disease is review. Ninety-two patients were evaluated with a new hepatobiliary agent (H.I.D.A/P.I.P.D.A.) for the presence of cystic duct obstruction. Seven patients with suspected acute gall bladder disease were dropped from the study for the lack of pathologic confirmation of the diagnosis. Forty-four of the remaining 85 patients were subsequently operated on and found to have acute cholecystitis. Forty-three of the 44 had cystic duct obstruction demonstrated on H.I.D.A. Scan (one false negative). An additional 23 patients underwent cholecystectomy for chronic disease. In this group, the gallbladder scan was only 43% (10/23) accurate in correctly identifying disease. Eighteen patients with nonbiliary disease had normal scans. The accuracy of ultrasonography and the scan are also compared in a smaller subgroup of 53 patients who had both studies.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002764:Cholecystitis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D001651:Cholestasis, Extrahepatic / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging*; D003549:Cystic Duct / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007098:Imino Acids; D008297:Male; D008875:Middle Aged; D015609:Organotechnetium Compounds; D011877:Radionuclide Imaging; D013667:Technetium; D019780:Technetium Tc 99m Lidofenin; D014463:Ultrasonography
D007098:Imino Acids; D015609:Organotechnetium Compounds; D019780:Technetium Tc 99m Lidofenin; D013667:Technetium; C003693:technetium Tc 99m PIPIDA