Preoperative Localization of Parathyroid Adenomas Using 4-Dimensional Computed Tomography: A Pictorial Essay

被引:11
作者
Ellika, Shehanaz [1 ]
Patel, Suresh [2 ]
Aho, Todd [2 ]
Marin, Horia [2 ]
机构
[1] Childrens Hosp, Div Pediat Neuroradiol, Dept Radiol, Boston, MA 02115 USA
[2] Henry Ford Hlth Syst, Dept Radiol, Div Neuroradiol, Detroit, MI USA
来源
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES | 2013年 / 64卷 / 03期
关键词
MINIMALLY INVASIVE PARATHYROIDECTOMY; PRIMARY HYPERPARATHYROIDISM; SURGICAL ANATOMY; SESTAMIBI-SPECT; CERVICAL BLOCK; SURGERY; EXPLORATION; ULTRASOUND; ULTRASONOGRAPHY; ACCURACY;
D O I
10.1016/j.carj.2012.03.002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Accurate preoperative localization is the key to successful parathyroid surgery in the era of minimally invasive parathyroid surgery. This article presents and discusses the embryologic basis of parathyroid gland and ectopic location and different imaging modalities helpful in diagnosing and localizing parathyroid adenomas and/or hyperplasia. We also aim to review the current surgical concepts in treatment of parathyroid adenomas and/or hyperplasia, the utility of 4-dimensional computed tomography for accurate preoperative localization of hyperfunctioning parathyroid glands, imaging classification of adenomas and/or hyperplasia, and, finally, present some of the limitations of 4-dimensional computed tomography.
引用
收藏
页码:258 / 268
页数:11
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