Serafini A N, Al-Sheikh W, Barkin J S, Hourani M, Sfakiankis G, Clarke L P, Ashkar F S
Radiology. 1982 Aug;144(3):591-5. doi: 10.1148/radiology.144.3.7100478.
A prospective study was carried out in 60 patients to determine the efficacy of 99mTc-PIPIDA scintigraphy in differentiating biliary pancreatitis from nonbiliary pancreatitis. Forty patients were classified as having biliary pancreatitis and 20 patients as having the nonbiliary type. Scintigraphic scans were divided into five main types according to the time to visualization of the gallbladder and the time to excretion of 99mTc-PIPIDA into the intestinal tract. Normal scans were obtained on 95% of patients (19/20) with nonbiliary pancreatitis; 22.5% of patients (9/40) with biliary pancreatitis had normal scans. It is concluded that elevated amylase levels together with an abnormal biliary scan, as defined by the criteria presented here, indicate biliary pancreatitis, while a normal scan largely excludes such diagnosis.
对60例患者进行了一项前瞻性研究，以确定99mTc-PIPIDA闪烁扫描在鉴别胆源性胰腺炎和非胆源性胰腺炎方面的有效性。40例患者被归类为胆源性胰腺炎，20例患者为非胆源性胰腺炎。根据胆囊显影时间和99mTc-PIPIDA排入肠道的时间，闪烁扫描分为五种主要类型。95%的非胆源性胰腺炎患者（19/20）扫描结果正常；22.5%的胆源性胰腺炎患者（9/40）扫描结果正常。结论是，淀粉酶水平升高以及如本文所述标准所定义的胆道扫描异常提示胆源性胰腺炎，而扫描结果正常则基本可排除该诊断。
