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Doctor insights on: What Is The Difference Between Pipida Scan And Hida Scan

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Dr. Joseph Accurso
313 doctors shared insights

Hida Scan (Definition)

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


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Is hida scan a very common procedure?

HIDA scan is easy: Hida scan is a common test by nuclear medicine. Hida is injected into blood, then is taken up by your liver & excreted into the bile ducts. If your gallbladder functions (is not sick), it will "light up" when it concentrates the hida material. Giving cck then allows measurement of gallbladder emptying time, patency of the bile ducts, & how effectively the hida material enters your small bowel. ...Read more

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Hida scan fluctuating numbers, what's wrong?

Up or down: It is really depend if the numbers are going down mean your gallbladder function getting the worst
if is up and down the test is not reliable
and depend on your symptoms
if the fluctuation up and down but still below 30% your gallbladder could be the problem. ...Read more

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Still having pain after hida scan is this normal?

Pain at the: Injection site or abdominal pain? A standard HIDA scan should not induce abdominal pain. If you also received a CCK injection to check the gallbladder ejection fraction, however, it could cause temporary pain. ...Read more

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Can you tell me what is expected during a hida scan?

Can you tell me what is expected during a hida scan?

HIDA: Hida scan involves IV injection of a tc tracer. The tracer doesn't cause any side effects. Physicians look to be sure that the gallbladder and bowel fill with tracer to rule out cystic duct (cholecystitis) or common bile duct obstruction. Hida is performed with or without cck. Cck is helpful for chronic conditions to determine a gallbladder ejection fraction. Cck may cause cramping or pain. ...Read more

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Can you tell me the things can be seen by doing hida scan?

Can you tell me the things can be seen by doing hida scan?

Many things: Liver function, bile ducts, gall bladder, and bowel. Hida mimics bile excretion in body. Obstructions to duct of gall bladder, main bile duct, spasm of sphincter where bile duct enters duodenum. Cystic dilatations or outpouchings of common bile duct called choledochal cysts. In infants, lack of bile ducts or biliary atresia. Sometimes bowel obstruction or malrotation. Duodenogastric reflux/bile gastritis. ...Read more

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Need a simple explaination for this. What happens when you get a hida scan?

Need a simple explaination for this. What happens when you get a hida scan?

Gall bladder test: The patient is injected intravenously with tc99m hida (radiotracer). The liver extracts the material from blood stream and excretes it into bile ducts, gall bladder, and bowel.(30-60 min imaging) usually when gall bladder is full, patient is injected IV with cck (hormone to contract gb)patient may experience some pain, and calculate % of gb emptying(60 min. Imaging) normal usually > 35% in adults. ...Read more

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What is a hida scan and a mrcp test?

What is a hida scan and a mrcp test?

Nuclear, MRI scans: Hida is a nuclear medicine scan which looks at the functioning of your biliary system and mrcp is a mr study that shows the anatomy of your biliary system. ...Read more

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Hida scan safe if you have pancreatitis?

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 more

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15% hida scan should I have gallbladder out?

15% hida scan should I have gallbladder out?

Depends: Depends on 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 more

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Will being hungover change results of hida scan?

Will being hungover change results of hida scan?

Why be hungover: Alcoholism may increase bile viscosity and result in abnormal hepatobiliary function. Should have HIDA test performed under optimal conditions. ...Read more

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Are there ways to get a false positive hida scan?

Yes: If you are fasting for more than 12 hours prior to scan, the gallbladder is full of bile, therefore the nuclear radiotracer cannot get inside the gallbladder. This will give the appearance of acute inflammation or cholecystitis. ...Read more

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Does 45% hida scan mean my gallbladder is getting sick?

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 an ejection fraction less than 30%, it is called dyskinesia and may be a cause for problems. ...Read more

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What is HIDA scan for in context of diagnosing pancreatitis?

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 more

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Hida scan resultsare 34% with no stones. What is my prognosis?

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 more

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Hi doctors, was just wondering what to expect during a hida scan?

Hi doctors, was just wondering what to expect during a hida scan?

Gall bladder test: The patient is injected intravenously with tc99m hida (radiotracer). The patient lies on table with scaning camera over anterior abdomen. First part of study shows extracction of tracer from blood stream, visualization of gb and bowel.(30-40 min) patient receives slow injection of cck to stimulate gall bladder contraction. (60 min more imaging). Sometimes discomfort possibly related to gb disease. ...Read more

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Before hida scan I fasted for 20 hrs could this throw the results off?

Not likely: Usually we say don't fast more than 24 hrs. So in general 20 hrs would probably be ok... We would not want someone to fast much longer than that. However, if someone has fasted longer than 24 hrs, a medicine can be given before the study...So that we don't have problems caused by this. ...Read more

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My hida scan said my gallbladder is working at 29%. What does that mean?

Borderline: That means that after they stimulated your gallbladder, it ejected 29% of the radioactive tracer. Typically, if it is less than 30-35% (depending on the lab), it indicates some type of gallbladder dysfunction as the etiology of a person's pain that may be helped by surgical intervention. However, since you are on the borderline, your physician will make a decision based on your clinical condition. ...Read more

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Can hida scan irritate the gallbladder? Since I had mine my pain is worse?

Not usually. : The hida scan is a nuclear medicine test that measures the uptake of some radiolabeled IV medicine. It is not commonly associated with causing pain. If your pain is worse than perhaps whatever the test was ordered for is getting worse. Do you know what the results of the test were? ...Read more

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