Is There a Role for HIDA Scan in the Emergency Setting?

  • Manpreet SinghEmail author


The hydroxy iminodiacetic acid (HIDA) scan, also known as cholescintigraphy or hepatobiliary scintigraphy, is a nuclear study that outperforms ultrasound for the diagnosis of cholecystitis. However, it exposes patients to radiation, is more expensive, and takes significantly more time. Thus, HIDA has a very limited role in the emergent evaluation of biliary disease.


Acute cholecystitis HIDA scan Cholescintigraphy Hepatobiliary scintigraphy Hydroxy iminodiacetic acid (HIDA) 


  1. 1.
    Missiroli C, Mansouri M, Singh A. Emergencies of the biliary tract. In: Singh A, editor. Emergency radiology. Cham: Springer; 2018.Google Scholar
  2. 2.
    Elwood DR. Cholecystitis. Surg Clin North Am. 2008;88(6):1241–52. Scholar
  3. 3.
    Graff LG, Robinson D. Abdominal pain and emergency department evaluation. Emerg Med Clin North Am. 2001;19:123–36.CrossRefGoogle Scholar
  4. 4.
    Alobaidi M, Gupta R, Jafri SZ, Fink-Bennet DM. Current trends in imaging evaluation of acute cholecystitis. Emerg Radiol. 2004;10:256–8.CrossRefGoogle Scholar
  5. 5.
    Trowbridge RL, Rutkowski NK, Shojania KG. Does this patient have acute cholecystitis? JAMA. 2003;289:80–6.CrossRefGoogle Scholar
  6. 6.
    Behnia F, Gross JA, Ragucci M, Monti S, Mancini M, Elman S, Vesselle H, Mannelli L. Nuclear medicine and the emergency department patient: an illustrative case-based approach. Radiol Med. 2015;120:158–70.CrossRefGoogle Scholar
  7. 7.
    Jain A, Mehta N, Secko M, Schechter J, Papanagnou D, Pandya S, Sinert R. History, physical examination, laboratory testing, and emergency department ultrasonography for the diagnosis of acute cholecystitis. Acad Emerg Med. 2017;24:281–97. Scholar
  8. 8.
    Kaoutzanis C, Davies E, Leichtle SW, Welch KB, Winter S, Lampman RM, Franz MG, Arneson W. Is hepato-imino diacetic acid scan a better imaging modality than abdominal ultrasound for diagnosing acute cholecystitis? Am J Surg. 2015;210:473–82. Scholar
  9. 9.
    Mujoomdar M, Russell E, Dionne F, Moulton K, Murray C, McGill S, Lambe K. Optimizing health system use of medical isotopes and other imaging modalities. CADTH optimal use reports. Canadian Agency for Drugs and Technologies in Health: Ottawa; 2012.Google Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Emergency MedicineDavid Geffen School of Medicine at UCLA, Harbor-UCLA Medical CenterTorranceUSA

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