Imaging of parathyroid lesions with radionuclides - Is it worth doing?
Publish place: Iranian Journal of Nuclear Medicine، Vol: 3، Issue: 1
Publish Year: 1374
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_IRJNM-3-1_001
تاریخ نمایه سازی: 7 تیر 1401
Abstract:
Parathyroid adenomas, or hyperplasia may be present in patients with hypercalcemia. Treatment Is by surgical excision, but about ۱۰% of the lesions may be In ectopic locations. Pre-operative localization of the lesions with non-lvasive imaging, using radionuclides, ultrasound, CT, or MR], may simplify surgery, and reduce patient morbidity. However, the reports of the accuracy of the currently available techniques have shown wide variations. This problem Is reviewed, with emphasis on the radionuclide methods of duai radiopharmaceutical thailium-pertechnetate subtraction, and sestamibi delayed Imaging protocols. The author recommends the routine use of sestamibi, with additional non-Invasive imaging techniques to be added If the original scan Is negative.
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Authors
David Greyson
Department of Radiology and St. Michael&#۰۳۹;s Hospital, University of Toronto, Toronto, Canada