Abstract
The hydroxy iminodiacetic acid (HIDA) scan, also known as cholescintigraphy or hepatobiliary scintigraphy, is a nuclear study that outperforms ultrasound for the diagnosis of cholecystitis. However, it exposes patients to radiation, is more expensive, and takes significantly more time. Thus, HIDA has a very limited role in the emergent evaluation of biliary disease.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Missiroli C, Mansouri M, Singh A. Emergencies of the biliary tract. In: Singh A, editor. Emergency radiology. Cham: Springer; 2018.
Elwood DR. Cholecystitis. Surg Clin North Am. 2008;88(6):1241–52. https://doi.org/10.1016/j.suc.2008.07.008.
Graff LG, Robinson D. Abdominal pain and emergency department evaluation. Emerg Med Clin North Am. 2001;19:123–36.
Alobaidi M, Gupta R, Jafri SZ, Fink-Bennet DM. Current trends in imaging evaluation of acute cholecystitis. Emerg Radiol. 2004;10:256–8.
Trowbridge RL, Rutkowski NK, Shojania KG. Does this patient have acute cholecystitis? JAMA. 2003;289:80–6.
Behnia F, Gross JA, Ragucci M, Monti S, Mancini M, Elman S, Vesselle H, Mannelli L. Nuclear medicine and the emergency department patient: an illustrative case-based approach. Radiol Med. 2015;120:158–70.
Jain A, Mehta N, Secko M, Schechter J, Papanagnou D, Pandya S, Sinert R. History, physical examination, laboratory testing, and emergency department ultrasonography for the diagnosis of acute cholecystitis. Acad Emerg Med. 2017;24:281–97. https://doi.org/10.1111/acem.13132.
Kaoutzanis C, Davies E, Leichtle SW, Welch KB, Winter S, Lampman RM, Franz MG, Arneson W. Is hepato-imino diacetic acid scan a better imaging modality than abdominal ultrasound for diagnosing acute cholecystitis? Am J Surg. 2015;210:473–82. https://doi.org/10.1016/j.amjsurg.2015.03.005.
Mujoomdar M, Russell E, Dionne F, Moulton K, Murray C, McGill S, Lambe K. Optimizing health system use of medical isotopes and other imaging modalities. CADTH optimal use reports. Canadian Agency for Drugs and Technologies in Health: Ottawa; 2012.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Singh, M. (2019). Is There a Role for HIDA Scan in the Emergency Setting?. In: Graham, A., Carlberg, D.J. (eds) Gastrointestinal Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-98343-1_58
Download citation
DOI: https://doi.org/10.1007/978-3-319-98343-1_58
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-98342-4
Online ISBN: 978-3-319-98343-1
eBook Packages: MedicineMedicine (R0)