How to Perform Parathyroid 4D CT: Tips and Traps for Technique and Interpretation

被引:112
作者
Hoang, Jenny K. [1 ]
Sung, Won-kyung [1 ]
Bahl, Manisha [1 ]
Phillips, C. Douglas [2 ]
机构
[1] Duke Univ, Med Ctr, Dept Radiol, Div Neuroradiol, Durham, NC 27710 USA
[2] New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, New York, NY USA
关键词
4-DIMENSIONAL COMPUTED-TOMOGRAPHY; POORLY LOCALIZED PATIENTS; PRIMARY HYPERPARATHYROIDISM; PREOPERATIVE LOCALIZATION; DIRECTED PARATHYROIDECTOMY; 4D-COMPUTED TOMOGRAPHY; ADENOMAS; ACCURACY; SCINTIGRAPHY; ULTRASOUND;
D O I
10.1148/radiol.13122661
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
Parathyroid four-dimensional (4D) computed tomography (CT) is an imaging technique for preoperative localization of parathyroid adenomas that involves multidetector CT image acquisition during two or more contrast enhancement phases. Four-dimensional CT offers an alternative or additional tool in the evaluation of primary hyperparathyroidism. The purpose of this article is to describe the 4D CT technique and provide a practical guide to the radiologist for imaging interpretation. The article will discuss the rationale for imaging, approach to interpretation, imaging findings, and pitfalls. (C) RSNA, 2014
引用
收藏
页码:14 / 23
页数:10
相关论文
共 36 条
[1]   Intrathyroid parathyroid adenoma in primary hyperparathyroidism: Can it be predicted preoperatively? [J].
Abboud, Bassam ;
Sleilaty, Ghassan ;
Ayoub, Selim ;
Hachem, Kamal ;
Smayra, Tarek ;
Ghorra, Claude ;
Abadjian, Gerard .
WORLD JOURNAL OF SURGERY, 2007, 31 (04) :817-823
[2]  
[Anonymous], J AM COLL SURG, DOI DOI 10.1016/J.JAMC0LLSURG.2007.12.044)
[3]  
Bahl M, 2013, AJNR AM J NEURORADIO
[4]   Dynamic MDCT for Localization of Occult Parathyroid Adenomas in 26 Patients With Primary Hyperparathyroidism [J].
Beland, Michael D. ;
Mayo-Smith, William W. ;
Grand, David J. ;
Machan, Jason T. ;
Monchik, Jack M. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 196 (01) :61-65
[5]  
Carlson D, 2010, ARCH PATHOL LAB MED, V134, P1639, DOI 10.1043/2009-0578-CCR.1
[6]  
Carty SE, 2010, SURGERY, V148, P1137
[7]   Prospective evaluation of delayed technetium-99m sestamibi SPECT scintigraphy for preoperative localization of primary hyperparathyroidism [J].
Civelek, AC ;
Ozalp, E ;
Donovan, P ;
Udelsman, R .
SURGERY, 2002, 131 (02) :149-157
[8]  
Doherty GM, 2011, J AM COLL SURGEONS, V212, P529
[9]   STAINING OF PARATHYROID ADENOMAS BY SELECTIVE ARTERIOGRAPHY [J].
DOPPMAN, JL ;
HAMMOND, WG ;
MELSON, GL ;
EVENS, RG ;
KETCHAM, AS .
RADIOLOGY, 1969, 92 (03) :527-&
[10]   Parathyroid Lesions: Characterization with Dual-Phase Arterial and Venous Enhanced CT of the Neck [J].
Gafton, A. R. ;
Glastonbury, C. M. ;
Eastwood, J. D. ;
Hoang, J. K. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2012, 33 (05) :949-952