Differential Diagnosis of Jaundice by 99m Tc-IDA Hepatobiliary Imaging

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The utility of 99m Tc-IDA imaging in the differential diagnosis of jaundice was assessed. Although overall accuracy was 84%, this method is still inferior to the reported efficiency of ultrasonography and CT in making the correct diagnosis. Radionuclide imaging is a good alternative when these other modalities are not available and it functions well in an adjuvant capacity. The diagnostic limitations of 99m Tc-dimethyl IDA imaging in cases of moderate to severe jaundice are largely overcome by the use of 99m Tc-p-butyl IDA.

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