Speciality
Spotlight

       




 


Medicine


   

 




Nuclear
Medicine

    

  • S.K.
    Mathur, Z.F. Soonawalla, S.R. Shah, M. Goel and S.
    Shikare [ Department of Surgery and Gastrointestinal
    Surgical Services and Department of Nuclear
    Medicine, King Edward VII Memorial Hospital, Bombay
    – 400 012, India ]

    Role
    of Biliary Scintiscan in Predicting the Need for
    Cholangiography

    Br.
    J. of  Sur.,  Volume 87, Number 2, February, 2000, Pg.181-185

       

    Seventy
    – five patients with symptomatic gallstone disease
    were studied prospectively regarding the value of a
    history of jaundice or acute pancreatitis, raised
    serum bilirubin and serum alkaline phosphatase
    levels, and visualization of stones or presence of
    dilated bile ducts on ultrasonography in detecting
    bile duct calculi. Results of biliary scintiscan
    were evaluated against a combination of standard
    criteria. The ‘gold standard’ for evaluation was
    endoscopic or peroperative cholangiography.

      

    Biliary
    scintiscan had higher sensitivity and specificity
    [93 and 94 per cent] than a combination of the
    standard and modified predictors for biliary calculi
    [89  and
    71 per cent]. A combination of ultrasonography and
    selective use of scintiscan, in the absence of bile
    duct dilation only, had highe values [ 96 and 98 per
    cent].

      

    They
    conclude that a combination of ultrasonography and
    billiary scintiscan can accurately predict bile duct 
    calculi and could be used as a guide for
    selective chlangiography.

              

 



 

           

Speciality Spotlight

       

 
Medicine
   

 

Nuclear Medicine
    

  • S.K. Mathur, Z.F. Soonawalla, S.R. Shah, M. Goel and S. Shikare [ Department of Surgery and Gastrointestinal Surgical Services and Department of Nuclear Medicine, King Edward VII Memorial Hospital, Bombay – 400 012, India ]
    Role of Biliary Scintiscan in Predicting the Need for Cholangiography
    Br. J. of  Sur.,  Volume 87, Number 2, February, 2000, Pg.181-185
       
    Seventy – five patients with symptomatic gallstone disease were studied prospectively regarding the value of a history of jaundice or acute pancreatitis, raised serum bilirubin and serum alkaline phosphatase levels, and visualization of stones or presence of dilated bile ducts on ultrasonography in detecting bile duct calculi. Results of biliary scintiscan were evaluated against a combination of standard criteria. The ‘gold standard’ for evaluation was endoscopic or peroperative cholangiography.
      
    Biliary scintiscan had higher sensitivity and specificity [93 and 94 per cent] than a combination of the standard and modified predictors for biliary calculi [89  and 71 per cent]. A combination of ultrasonography and selective use of scintiscan, in the absence of bile duct dilation only, had highe values [ 96 and 98 per cent].
      
    They conclude that a combination of ultrasonography and billiary scintiscan can accurately predict bile duct  calculi and could be used as a guide for selective chlangiography.
              

 

 

By |2022-07-20T16:41:59+00:00July 20, 2022|Uncategorized|Comments Off on Nuclear Medicine

About the Author: