Clinical Use of Cholescintigraphy in Aeute Cholecystitis: A Comparative Study with Ultrasonography

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  • Seo, Kwang-Hee (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University) ;
  • Chung, Hye-Kyeong (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University) ;
  • Kim, Myeong-Gon (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University) ;
  • Chung, Duck-Soo (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University) ;
  • Sung, Nak-Kwan (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University) ;
  • Kim, Ok-Dong (Department of Diagnostic Radiology, School of Medicine, Taegu Catholic University)
  • 서광휘 (대구 가톨릭대학 의학부 진단방사선과학교실) ;
  • 정혜경 (대구 가톨릭대학 의학부 진단방사선과학교실) ;
  • 김명곤 (대구 가톨릭대학 의학부 진단방사선과학교실) ;
  • 정덕수 (대구 가톨릭대학 의학부 진단방사선과학교실) ;
  • 성낙관 (대구 가톨릭대학 의학부 진단방사선과학교실) ;
  • 김옥동 (대구 가톨릭대학 의학부 진단방사선과학교실)
  • Published : 1993.06.15

Abstract

Retrospective analysis of cholescintigraphy and ultrasonography was done in 76 patients with clinically suspected acute cholecystitis to assess the relative value of the two modalities. Excluding the Patients with obstructive jaundice, the overall results of cholescintigraphy(sensitivity 100%, specificity 95%, false positive rate 5%, false negative rate 0%, accuracy 97%) are nearly identical with or rather superior to those of the ultrasonography(sensitivity 94%, specificity 100%, false positive rate 0%, false negative rate 5%, accuracy 97%). We recommend the cholescintigraphy as the initial modality in patients with clinically suspected acute cholecystitis, and ultrasonography can be used in jaundiced patients to exclude the possibility of the false positive of cholescintigraphy.

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