Role of nuclear medicine in pancreaticobiliary imaging

Question 1

What is hepato-biliary scintigraphy

Answer 1

A radionuclide diagnostic imaging study that evaluates:
- Hepatocelllar function
- Biliary system by tracing the production and flow of bile

Includes planar imaging, SPECT, hybrid imaging sucg as SPECT/CT

Question 2

What are the advantages of hepato-biliary scintography

Answer 2

Non-invasive
Physiological

Question 3

Explain TC-99m IDA movement

Answer 3

Excreted in a similar manner to billirubin
….

Question 4

Whata re the indications for TC-99m

Answer 4

Acute cholecystitis
…..

Question 5

Explain the procedure for diagnosis

Answer 5

History of previous surgeries
Current medicatoons
Results of billirubin and liver enzymes
Results of the gall bladder or abdominal US

Question 6

How is the patient prepared

Answer 6

Fasting 2-6 hours
Not fasting beyond 24hours
Withdrawal of opoids for 4half live
When evaluating biliary atresia vs neonatal ….

Question 7

What are the other modalities that canb be used

Answer 7

F-18 FDG PET/CT
In-111 or Tc-99m radiolabelled
Ga-67 citrate
Tc-99 anti-granulocyteantibody