Nuclear Medicine - HIDA

What is a Biliary Scan?

A biliary scan, also known as a HIDA, is a diagnostic exam used to evaluate the biliary tract and the gall bladder function.  A small Isotope of 99mTc-Choletec will be injected.  If an EF is needed, another injection of a non-radioactive medicine called CCK will be necessary.

Indication

  • Right upper abdomen pain
  • Nausea and vomiting before or after meals 
  • Jaundice 
  • Bile leakage post surgery or trauma

Preparation

  • No food or drink for at least 4 hours (NPO)
  • No IVP or CT prior to exam 
  • No Morphine or Demerol 8 hours prior to exam

Expectation

  • You will be in the department for 1 hour to 1 ½ hours
  • A hep-loc will be inserted in vein 
  • Dynamic images of liver and gall bladder will be taken for 1 hour 
  • If CCK needed another set of dynamic mages will be taken for 30 minutes