Cholecystokinin cholecystography, sonography, and scintigraphy: detection of chronic acalculous cholecystitis

Because the efficacy of cholecystokinin cholecystography in the detection of chronic acalculous cholecystitis remains in doubt, the procedure is rarely used in clinical practice. However, the ability to observe gallbladder contraction with sonography and 99mTc-para-isopropylacetanilido-iminodiacetic...

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Veröffentlicht in:AJR, Am. J. Roentgenol.; (United States) Am. J. Roentgenol.; (United States), 1982-12, Vol.139 (6), p.1117-1121
Hauptverfasser: Davis, GB, Berk, RN, Scheible, FW, Witztum, KF, Gilmore, IT, Strong, RM, Hofmann, AF
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container_title AJR, Am. J. Roentgenol.; (United States)
container_volume 139
creator Davis, GB
Berk, RN
Scheible, FW
Witztum, KF
Gilmore, IT
Strong, RM
Hofmann, AF
description Because the efficacy of cholecystokinin cholecystography in the detection of chronic acalculous cholecystitis remains in doubt, the procedure is rarely used in clinical practice. However, the ability to observe gallbladder contraction with sonography and 99mTc-para-isopropylacetanilido-iminodiacetic acid cholescintigraphy (PIPIDA) offers a possibility to improve the sensitivity of the test. To determine if the degree of gallbladder contraction after cholecystokinin is the same as measured by the three techniques and if it differs in symptomatic patients compared to the normal population, cholecystokinin cholecystography, cholecystokinin sonography, and cholecystokinin PIPIDA were performed in 10 symptomatic patients and 10 normal volunteers. The mean maximum contraction of the gallbladder during the three studies was 63%, 61%, and 68%, respectively, for the volunteers, and 72%, 63%, and 73%, respectively, for the patients. The mean maximum gallbladder contraction during all three procedures was 64% +/- 26% SD in the volunteers and 74% +/- 17% SD in the patients. The differences were not statistically significant. Although there was good correlation in the degree of maximum gallbladder contraction among cholecystokinin cholecystography, cholecystokinin sonography, and cholecystokinin PIPIDA, marked variation in both the volunteers and the patients makes it unlikely that the degree of contraction as observed by any of these techniques can be used to indicate the presence of chronic acalculous cholecystitis.
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J. Roentgenol.; (United States)</title><addtitle>AJR Am J Roentgenol</addtitle><description>Because the efficacy of cholecystokinin cholecystography in the detection of chronic acalculous cholecystitis remains in doubt, the procedure is rarely used in clinical practice. However, the ability to observe gallbladder contraction with sonography and 99mTc-para-isopropylacetanilido-iminodiacetic acid cholescintigraphy (PIPIDA) offers a possibility to improve the sensitivity of the test. To determine if the degree of gallbladder contraction after cholecystokinin is the same as measured by the three techniques and if it differs in symptomatic patients compared to the normal population, cholecystokinin cholecystography, cholecystokinin sonography, and cholecystokinin PIPIDA were performed in 10 symptomatic patients and 10 normal volunteers. 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identifier ISSN: 0361-803X
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subjects 550601 - Medicine- Unsealed Radionuclides in Diagnostics
550602 - Medicine- External Radiation in Diagnostics- (1980-)
AMINO ACIDS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
Biliary Dyskinesia - diagnosis
BILIARY TRACT
CARBOXYLIC ACIDS
CHELATING AGENTS
Cholecystectomy
Cholecystitis - diagnosis
Cholecystitis - pathology
Cholecystitis - surgery
Cholecystography
Cholecystokinin - pharmacology
CONTRACTION
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DIGESTIVE SYSTEM DISEASES
DISEASES
Follow-Up Studies
Gallbladder - diagnostic imaging
Gallbladder - drug effects
HOURS LIVING RADIOISOTOPES
Humans
Imino Acids
INTERMEDIATE MASS NUCLEI
ISOMERIC NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
Muscle Contraction - drug effects
NUCLEI
ODD-EVEN NUCLEI
ORGANIC ACIDS
ORGANIC COMPOUNDS
Organotechnetium Compounds
PATIENTS
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY AND NUCLEAR MEDICINE
Radionuclide Imaging
SCINTISCANNING
Technetium
TECHNETIUM 99
TECHNETIUM ISOTOPES
ULTRASONOGRAPHY
YEARS LIVING RADIOISOTOPES
title Cholecystokinin cholecystography, sonography, and scintigraphy: detection of chronic acalculous cholecystitis
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