Importance of parathyroid SPECT and 99mTc scintigraphy, and of clinical, laboratorial, ultrasonographic and citologic correlation in the pre-operative localization of the parathyroid adenoma - pictorial assay

被引：1

作者：

Conde de Oliveira, Marco Antonio ^{[1
]}

Maeda, Sergio Setsuo

Alberto Lobo, Patricia Dreyer

de Andrade, Victor Piana

Hoff, Ana O.

Mello Biscolla, Rosa Paula

Smanio, Paola ^{[1
]}

Brandao, Cynthia M. A.

Vieira, Jose G.

机构：

[1] Fleury Med & Saude, Secao Med Nucl, BR-01333910 Sao Paulo, Brazil

来源：

ARQUIVOS BRASILEIROS DE ENDOCRINOLOGIA E METABOLOGIA | 2010年 / 54卷 / 04期

关键词：

Parathyroid; scintigraphy; MIBI; localization; primary hyperparathyroidism; PRIMARY HYPERPARATHYROIDISM; TECHNETIUM-99M-SESTAMIBI; SESTAMIBI; ACCUMULATION; EXPRESSION; MANAGEMENT; ADVANTAGES; SURGERY; GLANDS; TUMOR;

D O I：

10.1590/S0004-27302010000400003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: In patients with primary hyperparathyroidism, candidates for surgical intervention, the parathyroid pre-operative localization is of fundamental importance in planning the appropriate surgical approach. Materials and methods:The additional acquisition of SPECT andTechnetium-99m images, during parathyroid scintigraphy with Sestamibi, is not common practice. Usually, only planar image acquisition, 15 minutes prior and 2 hours after radiopharmaceutical administration, is performed. Results: In our experience, the complete protocol in parathyroid scintigraphy increases the accuracy of pre-operative parathyroid localization. Conclusion: The complete utilization of all available nuclear medicine methods (SPECT e Tc-99m) and image interpretation in a multidisciplinary context can improve the accuracy of parathyroid scintigraphy. Arq Bras Endocrinol Metab. 2010;54(4):352-61

引用

页码：352 / 361

页数：10

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