A comparison of radionuclide hepatobiliary imaging and real-time ultrasound for the detection of acute cholecystitis.

Abstract
The relative value of hepatobiliary scintigraphy vs. real-time ultrasound for the identification of [human] acute cholecystitis was evaluated. No significant difference in sensitivity (97 vs. 97%) existed between the 2 modalities. Scintigraphy demonstrated better specificity (93 vs. 64%) and predictive value (77 vs. 40%). Although real-time ultrasound provided improved sensitivity over static gray-scale imaging for identification of gallbladder disease, hepatobiliary scintigraphy remains the procedure of choice for acute cholecystitis detection.

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