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Part of the book series: Atlases of Clinical Nuclear Medicine ((ATLASES))

Abstract

Cholescintigraphy has proven to be the imaging study of choice for the diagnosis of acute cholecystitis and has been found quite useful for the diagnosis and evaluation of a variety of other hepatobiliary diseases. Several atlases of radionuclide hepatobiliary imaging have previously been published.1–3 This atlas describes and illustrates recent advances in cholescintigraphy. The emphasis is on newly described scintigraphic findings helpful in diagnosis as well as improvements or modifications in technique and computer processing.

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References

  1. Blue PW. Hepatobiliary imaging in patients without prior surgery. In: Van Nostrand D and Baum S, eds. Atlas of Nuclear Medicine. Philadelphia: JB Lippincott Co; 1988:41–51.

    Google Scholar 

  2. Kuni CC, Klingensmith WC, eds. Atlas of Radionuclide Hepatobiliary Imaging. Boston: GK Hall Medical Publishers; 1983.

    Google Scholar 

  3. Weissmann HS, Sugarman LA, Freeman LM. Atlas of Tc-99m iminodiacetic acid (IDA) cholescintigraphy. Clin Nucl Med. 1982;7:231–239.

    Article  PubMed  CAS  Google Scholar 

  4. Weissman HS, Berkowitz D, Fox MS, Gliedman ML, Rosenblatt R, Sugarman LA, Freeman LM. The role of technetium-99m iminodiacetic acid (IDA) cholescintigraphy in acute acalculous cholecystitis. Radiology. 1983;146:177–180.

    Google Scholar 

  5. Krishnamurthy GT, Turner FE. Pharmacokinetics and clinical applications of technetium 99m-labeled hepatobiliary agents. Sem Nucl Med. 1990;20:130–149.

    Article  CAS  Google Scholar 

  6. Chaudhuri TK, Fink S. Physiologic considerations in radionuclide imaging of the extrahepatic biliary tract. Am J Phys Imaging. 1988;3:114–120.

    CAS  Google Scholar 

  7. Weissmann HS, Badia J, Sugarman LA, et al. Spectrum of cholescintigraphic patterns in acute cholecystitis. Radiology. 1981;138:167–175.

    PubMed  CAS  Google Scholar 

  8. Freitas JE, Coleman RE, Nagle CE, Bree RL, Kremer KD, Gross M. Influence of scan and pathological criteria on the specificity of cholescintigraphy. J Nucl Med. 1983;24:876–879.

    PubMed  CAS  Google Scholar 

  9. Weissmann HS, Freeman LM. The biliary tract. In: Freeman LM, ed. Freeman and Johnson’s Clinical Radionuclide Imaging, 3rd ed. New York: Grune & Stratton; 1984: 916–1049.

    Google Scholar 

  10. Kim CK, Palestro CJ, Solomon RW, Molinari DS, Lee SO, Goldsmith SJ. Delayed biliary-bowel transit in cholescintigraphy after cholecystokinin treatment. Radiology. 1990;176:553–556.

    PubMed  CAS  Google Scholar 

  11. Drane WE. Gallbladder visualization after hepatic washout. Clin Nucl Med. 1987;12:453–456.

    Article  PubMed  CAS  Google Scholar 

  12. Choy D, Shi EC, McLean RG, et al. Cholescintigraphy in acute cholecystitis: use of intravenous morphine. Radiology. 1984;151:203–207.

    PubMed  CAS  Google Scholar 

  13. Fig LM, Wahl RL, Stewart RE, Shapiro B. Morphine-augmented hepatobiliary scintigraphy in the severely ill: caution is in order. Radiology. 1990;175:467–473.

    PubMed  CAS  Google Scholar 

  14. Kistler AM, Ziessman HA, Gooch D, Bitterman P. Utility of morphine-augmented hepatobiliary scanning in evaluation of acute cholecystitis. Clin Nucl Med. 1991;16:404–406.

    Article  PubMed  CAS  Google Scholar 

  15. Vasquez TE, Rimkus DS, Pretorius HT, Greenspan G. Intravenous administration of morphine sulfate in hepatobiliary imaging for acute cholecystitis: a review of clinical efficacy. Nucl Med Commun. 1988;9:217–222.

    Article  PubMed  CAS  Google Scholar 

  16. Kim EE, Pjura G, Lowre P, Nguyen M, Pollack M. Morphine-augmented cholescintigraphy in the diagnosis of acute cholecystitis. AJR. 1986;147:1177–1179.

    PubMed  CAS  Google Scholar 

  17. Mock JM, Slavin JD Jr, Spencer RP. Two false negative results using morphine sulfate in hepatobiliary imaging. Clin Nucl Med. 1989;141:87–88.

    Article  Google Scholar 

  18. Brachman MB, Tanasescu DE, Ramanna L, Waxman AD. Acute gangrenous cholecystitis: radionuclide diagnosis. Radiology. 1984;151:209–211.

    PubMed  CAS  Google Scholar 

  19. Smith R, Rosen JM, Alderson PO. Gallbladder perforation: diagnostic utility of cholescintigraphy in suggested subacute or chronic cases. Radiology. 1986;158:63–66.

    PubMed  CAS  Google Scholar 

  20. Meekin GK, Ziessman HA, Klappenbach RS. Prognostic value and pathophysiologic significance of the rim sign in cholescintigraphy. J Nucl Med. 1987;28:1679–1682.

    PubMed  CAS  Google Scholar 

  21. Swayne LC, Ginsberg HN. Diagnosis of acute cholecystitis by cholescintigraphy: significance of pericholecystic hepatic uptake. AJR. 1989;152:1211–1213.

    PubMed  CAS  Google Scholar 

  22. Bushnell DL, Perlman SB, Wilson MA, et al. The rim sign: association with acute cholecystitis. J Nucl Med. 1986;27:353–356.

    PubMed  CAS  Google Scholar 

  23. Colletti PM, Cirimelli KM, Radin DR, et al. Radionuclide angiography in suspected acute cholecystitis: further observations. Clin Nucl Med. 1989;14:867–873.

    Article  PubMed  CAS  Google Scholar 

  24. Colletti PM, Ralls PW, Siegel ME, Halls JM. Acute cholecystitis: diagnosis with radionuclide angiography. Radiology. 1987;163:615–618.

    PubMed  CAS  Google Scholar 

  25. Rogers JV, Mack L, Freeny PC, Johnson ML, Sones PJ. Hepatic focal nodular hyperplasia: angiography, TCT, sonography, and scintigraphy. AJR. 1981;137:983–990.

    PubMed  CAS  Google Scholar 

  26. Tanasescu D, Brachman M, Rigby J, et al. Scintigraphic triad in focal nodular hyperplasia. Am J Gastroenterol. 1984;79:61–64.

    PubMed  CAS  Google Scholar 

  27. Biersack HJ, Thelen M, Torres JF, et al. Focal nodular hyperplasia of the liver as established by 99mTc sulfur colloid and HIDA scintigraphy. Radiology. 1980;137:187–190.

    PubMed  CAS  Google Scholar 

  28. Hasegawa Y, Nakano S, Ibuka T, et al. The importance of delayed imaging in the study of hepatoma with a new hepatobiliary agent. J Nucl Med. 1984;25:1122–1126.

    PubMed  CAS  Google Scholar 

  29. Calvet X, Pons F, Bruix J, et al. Technetium-99m DISIDA hepatobiliary agent in diagnosis of hepatocellular carcinoma: relationship between detectability and tumor differentiation. J Nucl Med. 1988;29:1916–1920.

    PubMed  CAS  Google Scholar 

  30. Kipper MS, Reed KR, Contardo M. Visualization of hepatic adenoma with Tc-99m di-isopropyl IDA. J Nucl Med. 1984;25:986–988.

    PubMed  CAS  Google Scholar 

  31. Gratz KF, Creutzig H, Brolsch C, et al. Choleszintigraphie zum nachweis der focal-nodularen hyperplasie (FNH) der leber? Chirurg. 1984;55:448–451.

    PubMed  CAS  Google Scholar 

  32. Kotzerke J, Schwarzrock R, Krischek O, Wiese H, Hundeshagen H. Technetium-99m DISIDA hepatobiliary agent in diagnosis of hepatocellular carcinoma, adenoma, and focal nodular hyperplasia. J Nucl Med. 1989;30:1278–1279.

    PubMed  CAS  Google Scholar 

  33. Rodman CA, Keefe EB, Lieberman DA, et al. Diagnosis of sclerosing cholangitis with technetium 99m-labeled iminodiacetic acid planar and single photon emission computed tomographic scintigraphy. Gastroentrology. 1987;92:777–785.

    CAS  Google Scholar 

  34. Béla, Halpert. In: Anderson WHD, ed. Pathology, Chapter 29. St. Louis: CV Mosby Co; 1971:1261–1265.

    Google Scholar 

  35. Fink-Bennett D. The role of cholecystogogues in the evaluation of biliary tract disorders. In: Freeman LM, Weissmann HS, eds. Nuclear Medicine Annual. New York: Raven Press, 1985.

    Google Scholar 

  36. Swayne L, Palace F, Rothenberg J, et al. Sensitivity, specificity, and accuracy of CCK cholescintigraphy in acalculous biliary disease. J Nucl Med. 1986;27:882–883. Abstract.

    Google Scholar 

  37. Brugge WR, Brand DDL, Atkins JL, et al. Gallbladder dyskinesia in chronic acalculous cholecystitis. Dig Dis Sci. 1986;31:461–467.

    Article  PubMed  CAS  Google Scholar 

  38. Topper TE, Ryerson TW, Nora PF. Quantitative gallbladder imaging following cholecystokinin. J Nucl Med. 1980;21:694–696.

    PubMed  CAS  Google Scholar 

  39. Westlake PJ, Hershfield NB, Kelly JK, et al. Chronic right upper quadrant pain without gallstones: does HIDA scan predict outcome after cholecystectomy? Am J Gastroenterol. 1990;85:986–990.

    PubMed  CAS  Google Scholar 

  40. Davis GB, Berk RN, Scheible FW, et al. Cholecystokinin cholescintigraphy, sonography and scintigraphy: detection of chronic acalculous cholecystitis. AJR. 1982;1139:1117–1121.

    Google Scholar 

  41. Weissmann HS, Gliedman MR, Wilk PJ, et al. Evaluation of the postoperative patient with 99mTc-IDA cholescintigraphy. Semin Nucl Med. 1982;12:27–52.

    Article  PubMed  CAS  Google Scholar 

  42. Cruetzig H, Gratz K, Brolsch C, et al. Diagnosis of bile leakage by cholescintigraphy. J Nucl Med. 1982;23:73.

    Google Scholar 

  43. Rosenthall L, Fonseca C, Arzoumanian A, et al. 99mTc-IDA hepatobiliary imaging following upper abdominal surgery. Radiology. 1979;130:735–739.

    PubMed  CAS  Google Scholar 

  44. D’Alonzo W, Velchik MG. Post cholecystectomy syndrome due to a cystic duct remnant diagnosed by hepatobiliary scintigraphy. Clin Nucl Med. 1984;9:719.

    Article  PubMed  Google Scholar 

  45. Zeman RK, Lee C, Jaffe MH, Burrell JI. Hepatobiliary scintigraphy and sonography in early biliary obstruction. Radiology. 1984;153:793–798.

    PubMed  CAS  Google Scholar 

  46. Zeman RK, Burrell MI, Dobbins J, Jaffe MH, Choyke PL. Postcholecystectomy syndrome: evaluation using biliary scintigraphy and endoscopic retrograde cholangiopancreatography. Radiology. 1985;156:787–792.

    PubMed  CAS  Google Scholar 

  47. Krishnamurthy GT, Lieberman DA, Brar HS. Detection, localization and quantitation of degree of common bile duct obstruction by scintigraphy. J Nucl Med. 1985;26:726–735.

    PubMed  CAS  Google Scholar 

  48. Kloiber R, AuCoin R, Hershfield NB, et al. Biliary obstruction after cholecystectomy: diagnosis with quantitative cholescintigraphy. Radiology. 1988;169:643–647.

    PubMed  CAS  Google Scholar 

  49. Darweesh RMA, Dodds WJ, Hogan WJ, et al. Efficacy of quantitative hepatobiliary scintigraphy and fatty-meal sonography for evaluating patients with suspected partial common duct. Gastroenterology. 1988;94:779–786.

    PubMed  CAS  Google Scholar 

  50. Steinberg WM. Sphincter of Oddi dysfunction: a clinical controversy. Gastroenterology. 1988;95:1409–1415.

    PubMed  CAS  Google Scholar 

  51. Toouli J, Roberts-Thomson, IC, Dent J, Lee J. Manometric disorders in patients with suspected sphincter of Oddi dysfunction. Gastroenterology. 1985:88:1243–1250.

    PubMed  CAS  Google Scholar 

  52. Venu RP, Greenen JE. Diagnosis and treatment of diseases of the papilla. Clin Gastroenterol. 1986;15:439–455.

    PubMed  CAS  Google Scholar 

  53. Shaffer EA, Hershfield NB, Logan HK, Kloiber R. Cholescintigraphic detection of functional obstruction of the sphincter of Oddi. Effect of papillotomy. Gastroenterology. 1986;90:728–733.

    PubMed  CAS  Google Scholar 

  54. Lee RGL, Gregg JA, Koroshetz AM, Hill TC, Clouse ME. Sphincter of Oddi stenosis: diagnosis using hepatobiliary scintigraphy and endoscopic manometry. Radiology. 1985;156:793–796.

    PubMed  CAS  Google Scholar 

  55. Pace RF, Chamberlain MJ, Passi RB. Diagnosing papillary stenosis by technetium-99m HIDA scanning. Can J Surg. 1983;26:191–193.

    PubMed  CAS  Google Scholar 

  56. Hershfield NB. Diagnosis of sphincter of Oddi dysfunction. Gastroenterology. 1989;95:241.

    Google Scholar 

  57. Roberts-Thomson IC. Endoscopic sphincterotomy of the papilla of Vater: an analysis of 300 case. Aust NZ J Med. 1984;14:611–617.

    Article  CAS  Google Scholar 

  58. Geenen JE, Hogan WJ, Dodds WJ, et al. The efficacy of endoscopic sphincterotomy after cholecystectomy in patients with sphincter-of-oddi dysfunction. N Engl J Med. 1989;320:82–87.

    Article  PubMed  CAS  Google Scholar 

  59. Carr-Locke DL, Bailey I, Neoptolemos J, Leese T, Heath D. Outcome of endoscopic sphincterotomy for papillary stenosois. Gut. 1986;27:A1280.

    Google Scholar 

  60. Brough WA, Taylor TV, Torrance HB. The effect of cholecystectomy on duodenogastric reflux in patients with previous peptic ulcer surgery. Scand J Gastroenterol. 1984;19;255–256.

    Google Scholar 

  61. Coletti RM, Barakos JA, Siegel ME, et al. Enterogastric reflux in suspected acute cholecystitis. Clin Nucl Med. 1987;12:533–535.

    Article  Google Scholar 

  62. Drane WE, Karvelis K, Johnson DA, Silverman ED. Scintigraphic evaluation of duodenogastric reflux. Problems, pitfalls and technical review. Clin Nucl Med. 1987;12:377–384.

    Article  PubMed  CAS  Google Scholar 

  63. Brown PH, Juni JE, Lieberman DA, Krishnamurthy GT. Hepatocyte versus biliary disease: a distinction by deconvolutional analysis of technetium-99m IDA time-activity curves. J Nucl Med. 1988;29:623–630.

    PubMed  CAS  Google Scholar 

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Ziessman, H.A. (1992). Atlas of Cholescintigraphy: Selective Update. In: Ziessman, H.A., Van Nostrand, D. (eds) Selected Atlases of Gastrointestinal Scintigraphy. Atlases of Clinical Nuclear Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2794-6_1

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  • DOI: https://doi.org/10.1007/978-1-4612-2794-6_1

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7673-9

  • Online ISBN: 978-1-4612-2794-6

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