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Functional Hepatobiliary Disease
Paula Vergara-Wentland, MD; Paige Bennett, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Chronic calculous cholecystitis
              • Decreased gallbladder ejection fraction (GBEF) in presence of cholelithiasis
            • Chronic acalculous cholecystitis/GB dyskinesia
              • Decreased GBEF in absence of cholelithiasis
            • Sphincter of Oddi dysfunction (SOD)
              • Delayed biliary-to-bowel radiotracer transit

          IMAGING

          • General Features

            • Imaging Recommendations

              DIFFERENTIAL DIAGNOSIS

                PATHOLOGY

                • General Features

                  CLINICAL ISSUES

                  • Treatment

                    DIAGNOSTIC CHECKLIST

                    • Consider

                      • Image Interpretation Pearls

                        • Reporting Tips

                          Selected References

                          1. Ziessman HA: Hepatobiliary Scintigraphy in 2014. J Nucl Med. 55(6):967-975, 2014
                          2. Santhosh S et al: Quantitative cholescintigraphy with fatty meal in the diagnosis of sphincter of Oddi dysfunction and acalculous cholecystopathy. Indian J Gastroenterol. 31(4):186-90, 2012
                          3. Ziessman HA: Functional hepatobiliary disease: chronic acalculous gallbladder and chronic acalculous biliary disease. Semin Nucl Med. 36(2):119-32, 2006
                          4. Sostre S et al: A noninvasive test of sphincter of Oddi dysfunction in postcholecystectomy patients: the scintigraphic score. J Nucl Med. 33(6):1216-22, 1992
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Top Differential Diagnoses

                                • Diagnostic Checklist

                                  TERMINOLOGY

                                  • Definitions

                                    • Chronic calculous cholecystitis
                                      • Decreased gallbladder ejection fraction (GBEF) in presence of cholelithiasis
                                    • Chronic acalculous cholecystitis/GB dyskinesia
                                      • Decreased GBEF in absence of cholelithiasis
                                    • Sphincter of Oddi dysfunction (SOD)
                                      • Delayed biliary-to-bowel radiotracer transit

                                  IMAGING

                                  • General Features

                                    • Imaging Recommendations

                                      DIFFERENTIAL DIAGNOSIS

                                        PATHOLOGY

                                        • General Features

                                          CLINICAL ISSUES

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                • Reporting Tips

                                                  Selected References

                                                  1. Ziessman HA: Hepatobiliary Scintigraphy in 2014. J Nucl Med. 55(6):967-975, 2014
                                                  2. Santhosh S et al: Quantitative cholescintigraphy with fatty meal in the diagnosis of sphincter of Oddi dysfunction and acalculous cholecystopathy. Indian J Gastroenterol. 31(4):186-90, 2012
                                                  3. Ziessman HA: Functional hepatobiliary disease: chronic acalculous gallbladder and chronic acalculous biliary disease. Semin Nucl Med. 36(2):119-32, 2006
                                                  4. Sostre S et al: A noninvasive test of sphincter of Oddi dysfunction in postcholecystectomy patients: the scintigraphic score. J Nucl Med. 33(6):1216-22, 1992