Doctor insights on:
Mrcp Vs Hida
Magnetic resonance cholangiopancreatography (mrcp) uses a strong magnet to obtain images of the biliary and pancreatic ducts. It is an alternative to the more invasive endoscopic retrograde cholangiopancreatography (ERCP) done with an endoscope. Mrcp can be used to visualize gallstones, bile duct narrowing and the structures surrounding the bile ducts. ...Read more
HIDA showed 6%EF. Only have occasional nausea & discomfort in GB region. MRCP showed sludge and now taking Urso. Can EF% improve or GB removal needed?
Hida Scan - delayed transit -10 mins (Pain, walked after 1 hr, then resumed scan);MRCP-Mild prominence of PD;US-Distal CBD 7.7mm.Sphincter of oddi???
ACALCULOUS CHOLECYST: ACALCULOUS CHOLECYSTITIS or gallbladder inflammation without stones can be tough to treat. I recommends gluten free low fat diet. Gutbliss.com. Whole approach.com. If symptoms flare more than 2x a year surgery can be done laparoscopically. Follow up with GI and surgeon. ...Read more
In diagosing pancreatitis, which is more useful, MRI or CT? And are regular abodominal MRI and CT different from MRCP or HIDA scan?
Each has its place: CT is the standard study for demonstrating pancreatitis but usually it can be diagnosed by blood test and clinical exam. CT is usually reserved for looking for complications. It's faster & cheaper than MRI or HIDA. MRI & HIDA are used to look for causes of pancreatitis, like obstructed ducts. Most cases of pancreatitis require only simple ultrasound to rule out obstruction, and no other studies. ...Read more
5wks ago i passed out ruq pain under rib going into back. Have duodenitis. Ct mrcp norm amylase was 137 then 97 now 154 hida scan40% extraction? Help
GB function normal: 40% ejection fraction means your gall bladder is contracting normally. You may have passed out a stone from your gall bladder 5 weeks ago, hence, the severe pain and the variable amylase level. If mrcp is normal, it means nothing is left in the biliary tree for you to worry about. Best thing you can do now is to eat less fatty food until pain has completely abated. ...Read moreSee 1 more doctor answer
To colin kopes-kerr: I have had mrcp, CT abd/pel (3) abd us, endoscopy, colonoscopy, hida scan, chest x-rays, ekg! norm but still have upper abd pain:(?
Abdominal pain: Is the pain after eating? Has it responded to any medications? Are any of your blood tests abnormal? Liver function tests done? During the hida scan, did they calculate your gallbladder ejection fraction? Perhaps you ought to consider a second opinion. ...Read moreSee 1 more doctor answer
4mos of upper rt quad acute spasms under rt breast, ribs , back, mrcp & sono w/ dilated 9cm bile duct , lab work neg/no stones. If hida scan neg ?
Possibly dyskinesia: Sometimes spasm at sphincter of oddi where common bile duct enters duodenum can occur with pain in right upper quadrant.Do not have stone or fixed obstruction. This diagnosis can be made sometimes on hida scan by looking at common bile duct and its response to cck. This is hard diagnosis to make. In addults with ERCP perfom manometrics as gold standard. Botox treatmentor stent have helped some. ...Read moreSee 1 more doctor answer
CT/MRCP shows inflammation of gallbladder,liver and spleen. Sev RUQ pain. 18yo. ANA positive,IgG low, no stones. Dr ordered hida scan. Ideas?
See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup. ...Read moreSee 1 more doctor answer
Type of MRI: Magnetic resonance cholangiopancreatography (mrcp) is a type of MRI not requiring contrast, used to look at the biliary system (including liver, gall bladder, pancreas). Examples of problems that can lead to mrcp being performed include cholangiocarcinoma, pancreatic cysts, and biliary tract stones. ...Read moreSee 1 more doctor answer
MRCP: Magnetic resonance cholangiopancreatography is a radiology exam that uses magnetic resonance imaging to visualize the biliary and pancreatic ducts, pancreas, and gallbladder. This procedure can be used to determine if stones are lodged in any of the ducts and to look for abnormal enlargement of the ducts. ...Read more
Yes: Hida scan is a method to look at the ability of the liver to excrete a radioactive dye - a nuclear medicine study. It may tell if there is blockage of bile coming out of the liver or if the gallbladder is not working. Since it does not involve instrumentation of the pancreas, it does not worsen pancreatitis. It does have limitations, cannot be used if the bilirubin is elevated and not specific. ...Read moreSee 1 more doctor answer
Depends: Depends if symptoms related to biliary colic. Other alternatives are diet avoiding fatty foods that can cause gall bladder attacks. 15% is low ejection fraction for gall bladder and usually means chronic gall bladder disease or dyskinesia. Should consult your physician for educated decision. ...Read moreSee 3 more doctor answers
Ejection fraction : Recent concensus among many adult nuclear medicine specialists is greater than 38% gallbladder ejection following an hour of cck infusion. The big variable among these tests is duration of intravenous injection from a few minute bolus injection to sslow intravenous drip of an hour. ...Read moreSee 3 more doctor answers
No.: There are typically 2 ways to use the results of a hida scan. If the gallbladder doesn't appear, then that is consistent with disease (called cholecystitis). If the functioning of the gallbladder is poor with a ejection fraction less than 30%, it is called dyskinesia and may be a cause for problems. ...Read moreSee 2 more doctor answers
Gallstone etiology: In the dyerentiation of gallstone from non- gallstone pancreatitis, hida scanning can be helpful by identifying gall bladder duct obstruction associated with pancreatitis and is sometimes better than liver function profile and clinical picture. ...Read moreSee 1 more doctor answer
Ejection fraction: The 34% is the ejection fraction, the effectiveness of gallbladder contraction which is at around the lower end of normal. Talk to your doctor as I am sure this was done due to symptoms, and that is what your doctor is treating and may not necessarily be the numbers. ...Read moreSee 1 more doctor answer
Patient is injected intravenously with isotope tagged to chemical hida that is extracted preferentially by liver cells mimicking bile. Some of this is stored in gall bladder and some enters small bowel from common bile duct. Cholecystokinin is a natural hormone slowly injected intravenously to stimulate gall bladder contraction. Normal function has at least 50% ...Read more