title: Tc99m-hepatobiliary iminodiacetic acid (HIDA) scintigraphy in clinical practice.
abstract: There have been evolutionary changes in the management of pathological conditions of the hepatobiliary system over recent years, particularly with an increasing emphasis on modern hepatobiliary surgical techniques. Concurrent advances have occurred in imaging technology and availability, leading to a greater use of ultrasound, multidetector computed tomography (CT), and magnetic resonance imaging (MRI) in the primary evaluation of hepatobiliary disease. Radionuclide imaging using technetium(99m) (Tc(99m)) hepatobiliary iminodiacetic acid (HIDA) derivatives is an established technique that complements morphological imaging, providing valuable functional information in both pre- and postoperative evaluation of patients with suspected or known hepatobiliary disease. This review discusses the current clinical indications for Tc(99m) HIDA scintigraphy using clinical cases to demonstrate how this technique continues to play a valuable diagnostic role in the assessment of the functional integrity of the hepatobiliary system.
authors.affiliation: Department of Clinical Radiology, St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors.forename: H
authors.initials: H
authors.lastname: Lambie
authors.forename: A M
authors.initials: AM
authors.lastname: Cook
authors.forename: A F
authors.initials: AF
authors.lastname: Scarsbrook
authors.forename: J P A
authors.initials: JP
authors.lastname: Lodge
authors.forename: P J
authors.initials: PJ
authors.lastname: Robinson
authors.forename: F U
authors.initials: FU
authors.lastname: Chowdhury
mesh_terms: D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D002614:Chelating Agents; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D019780:Technetium Tc 99m Lidofenin
chemical_list: D002614:Chelating Agents; D019275:Radiopharmaceuticals; D019780:Technetium Tc 99m Lidofenin