0 27

Cited 8 times in

Refinement of the positive predictive value of gallbladder non-visualization after morphine administration for acute cholecystitis based on the temporal pattern of common bile duct activity

Authors
 CHUN K. KIM  ;  MIJIN YUN  ;  JEUNG-KEUN LIM  ;  XIAOJIN LIN  ;  BORYS R. KRYNYCKYI  ;  JOSEF MACHAC 
Citation
 Clinical Nuclear Medicine, Vol.25(8) : 603-607, 2000 
Journal Title
 Clinical Nuclear Medicine 
ISSN
 0363-9762 
Issue Date
2000
Keywords
Acute Disease ; Cholecystitis ; radionuclide imaging ; Chronic Disease ; Common Bile Duct ; Diagnosis ; Differential ; Female ; Gallbladder ; Humans ; Image Enhancement ; methods ; Liver ; Male ; Middle Aged ; Morphine ; pharmacology ; Muscle Contraction ; drug effects ; Narcotics ; Parasympatholytics ; Retrospective Studies ; Sphincter of Oddi ; Statistics as Topic ; Time Factors
Abstract
Methods Thirty-six patients who had morphine-augmented cholescintigraphy were divided into two groups: 19 with BD↑ after morphine administration and 17 with BD↓. Results Of the 36 patients, 22 had acute cholecystitis. The positive predictive value (PPV) of gallbladder nonvisualization was 61%. All of the remaining 14 had chronic cholecystitis. Of 19 patients with BD↑, 15 had acute cholecystitis (PPV = 79%), whereas only 7 of 17 patients with BD↑ (PPV = 41%) had acute cholecystitis (P = 0.023 by the one-tailed and 0.038 by the two-tailed Fisher exact tests). Conclusions Gallbladder nonvisualization after morphine administration with the pattern of BD↓ is not as reliable (intermediate probability in this series) for the diagnosis of acute cholecystitis as is nonvisualization of the gallbladder in patients with a pattern of BD↑ (high probability).
Full Text
https://insights.ovid.com/crossref?an=00003072-200008000-00006
DOI
10.1097/00003072-200008000-00006
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
Yonsei Authors
Yun, Mi Jin(윤미진) ORCID logo https://orcid.org/0000-0002-1712-163X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171606
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse