TY - JOUR
T1 - Cholecystokinin-cholescintigraphy in adults
T2 - Consensus recommendations of an interdisciplinary panel
AU - Di Baise, John K.
AU - Richmond, Bryan K.
AU - Ziessman, Harvey A.
AU - Everson, Gregory T.
AU - Fanelli, Robert D.
AU - Maurer, Alan H.
AU - Ouyang, Ann
AU - Shamamian, Peter
AU - Simons, Richard J.
AU - Wall, Laura A.
AU - Weida, Thomas J.
AU - Tulchinsky, Mark
PY - 2012/1
Y1 - 2012/1
N2 - Background and aims: Cholecystokinin-cholescintigraphy (CCK-CS) provides a physiologic, noninvasive, and quantitative method for assessing gallbladder contraction and calculation of a gallbladder ejection fraction (GBEF). At present, it is used most commonly to identify patients with suspected functional gallbladder disorder. However, the methodology of CCK infusion and normal values differ markedly among imaging centers. Methods: This document represents the consensus opinion of an interdisciplinary panel that gathered to assess the current optimal method for performing CCK-CS in adults, potential uses and limitations of CCK-CS, and questions that require further investigation. Results: The panel recommended the use of a single, standardized, recently described CCK-CS protocol that involves infusion of 0.02 μg/kg of sincalide over 60 minutes with a normal GBEF defined as ≥38%. The panel emphasized the need for a large, multicenter, prospective clinical trial to establish the utility of CCK-CS in the diagnosis of functional gallbladder disease. Although not without controversy regarding its clinical utility, the primary indication for CCK-CS at present is the well-selected patient with suspected functional gallbladder disorder. Conclusion: Agreement was reached that the adoption of this standardized protocol is critical to improve how CCK-CS is used to direct patient care and will represent an improvement over the diverse methods currently in use by eliminating the current lack of uniformity and adding both reliability and credibility to the results.
AB - Background and aims: Cholecystokinin-cholescintigraphy (CCK-CS) provides a physiologic, noninvasive, and quantitative method for assessing gallbladder contraction and calculation of a gallbladder ejection fraction (GBEF). At present, it is used most commonly to identify patients with suspected functional gallbladder disorder. However, the methodology of CCK infusion and normal values differ markedly among imaging centers. Methods: This document represents the consensus opinion of an interdisciplinary panel that gathered to assess the current optimal method for performing CCK-CS in adults, potential uses and limitations of CCK-CS, and questions that require further investigation. Results: The panel recommended the use of a single, standardized, recently described CCK-CS protocol that involves infusion of 0.02 μg/kg of sincalide over 60 minutes with a normal GBEF defined as ≥38%. The panel emphasized the need for a large, multicenter, prospective clinical trial to establish the utility of CCK-CS in the diagnosis of functional gallbladder disease. Although not without controversy regarding its clinical utility, the primary indication for CCK-CS at present is the well-selected patient with suspected functional gallbladder disorder. Conclusion: Agreement was reached that the adoption of this standardized protocol is critical to improve how CCK-CS is used to direct patient care and will represent an improvement over the diverse methods currently in use by eliminating the current lack of uniformity and adding both reliability and credibility to the results.
KW - Cholecystokinincholescintigraphy
KW - Functional gallbladder disorder
KW - Gallbladder ejection fraction
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U2 - 10.1097/RLU.0b013e31823e26bb
DO - 10.1097/RLU.0b013e31823e26bb
M3 - Article
C2 - 22157031
AN - SCOPUS:84856448421
SN - 0363-9762
VL - 37
SP - 63
EP - 70
JO - Clinical nuclear medicine
JF - Clinical nuclear medicine
IS - 1
ER -