
Provided clinical image
Before performing this type of hepatobiliary scan, what patient preparation is required to ensure a diagnostic study?
C. The patient should fast for 2–4 hours before the study, as recent food intake causes gallbladder contraction and may prevent normal gallbladder filling during imaging
Patients should fast for 2–4 hours before a Tc-99m mebrofenin hepatobiliary scan. Eating causes cholecystokinin (CCK) release, which contracts the gallbladder and prevents it from filling with tracer during the study, leading to false non-visualization. However, prolonged fasting (>24 hours) can also cause non-visualization of the gallbladder due to inspissated bile, so the 2–4 hour window is important. Morphine sulfate or sincalide (CCK) may be used to improve diagnostic accuracy in some protocols.
Meckel’s Diverticulum Scan with Tc-99m Pertechnetate
Acute Cholecystitis on HIDA Scan with Morphine
Low Gallbladder Ejection Fraction on CCK HIDA
Biliary Atresia on Neonatal HIDA Scan
Active Lower GI Bleed on Tagged RBC Scan
Normal Hepatobiliary Scan Sequence (Mebrofenin)
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