AbstractIntroduction The purpose of this study was to compare preoperative HIDA scans, ultrasound, and patients' symptoms with final surgical pathology on patients who underwent cholecystectomy. Methods A retrospective chart review was conducted on patients who underwent cholecystectomy between 1/1/2020 and 12/31/2022 at our local hospital. Data were collected on patient demographics, preoperative symptoms, gallbladder ultrasound results, HIDA scan results, and pathology results. Results A total of 116 patients met the study inclusion criteria. HIDA scan findings had a sensitivity of 80.4%, a specificity of 33.3%, and an AUC of 0.594, P= .482. For those with normal findings on HIDA scan, 83.3% had a pathological finding of chronic cholecystitis, 44.4% had cholesterolosis, and 26.3% had cholelithiasis. Conclusions Our findings suggest that the benefit of the HIDA scan appears to be in the presence of positive symptomology and negative ultrasound findings as HIDA scans are a relatively weak discriminator of positive pathology.
Binns et al. (Mon,) studied this question.