Value of hepatobiliary scintigraphy and ultrasonography in the differential diagnosis of jaundice
Autor: | Picozzi R, Gian Luigi Tarolo, Palagi B, Bossi Mc, Arosio M, Zatta G, Razionale P |
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Rok vydání: | 1985 |
Předmět: |
Adult
Male medicine.medical_specialty Biliary Tract Diseases Gallbladder disease Perforation (oil well) Scintigraphy Diagnosis Differential Cholestasis medicine Humans Radiology Nuclear Medicine and imaging Biliary Tract Radionuclide Imaging Aged Retrospective Studies Ultrasonography medicine.diagnostic_test business.industry Liver Diseases Retrospective cohort study General Medicine Middle Aged Jaundice medicine.disease Liver Biliary tract Female Radiology Differential diagnosis medicine.symptom business |
Zdroj: | Nuclear Medicine Communications. 6:109-114 |
ISSN: | 0143-3636 |
DOI: | 10.1097/00006231-198502000-00006 |
Popis: | In order to compare the reliability of hepatobiliary scintigraphy using DISIDA (DHS) and ultrasonography (US) in the diagnosis of obstructive jaundice, 36 consecutive patients clinically suspected for obstruction were examined with both methods. Sixteen patients who were definitively shown to have obstruction, were all correctly detected with DHS; US was positive in 15 cases, revealing the cause of the obstruction in four cases. The site of obstruction was predicted in eight cases by DHS and in 11 cases by US. Associated gallbladder diseases were evaluated better by US than by DHS, but a perforation was only demonstrated clearly by DHS. In the 20 patients with nonobstructive disease the false positive results were found in one case using DHS and in two cases using US. In this series of patients DHS and US showed high sensitivity and specificity, which were further increased when the two techniques were combined. |
Databáze: | OpenAIRE |
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