Limitations of Tc99m-MIBI-SPECT Imaging Scans in Persistent Primary Hyperparathyroidism

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99mTc-MIBI SPECT/CT imaging contribution in the diagnosis of patients with hyperparathyroidism

Introduction: Hyperparathyroidism is presented with increased parathyroid hormone (PTH) secretion due to hyperfunctioning of one or more of the four parathyroid glands. Primary hyperparathyroidism (p-HPT) can be due to parathyroid adenoma, hyperplasia or carcinoma of the parathyroid gland. Secondary hyperparathyroidism (s-HPT) is usually a response to hypocalcaemia and consecut...

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Tc-MIBI PINHOLE SPECT IN PRIMARY HYPERPARATHYROIDISM: COMPARISON WITH CONVENTIONAL SPECT, PLANAR SCINTIGRAPHY AND ULTRASONOGRAPHY

Purpose A pinhole collimator is routinely used to increase the resolution of scintigraphy. This prospective study was conducted to determine the interest of Tc-MIBI pinhole SPECT for the preoperative localization of parathyroid lesions in primary hyperparathyroidism. Methods All patients underwent a neck US, TcO4 and Tc-MIBI planar images, and two consecutive SPECT with a parallel (C-SPECT) and...

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The role of 99mTc-MIBI SPECT-CT in reoperation therapy of persistent hyperparathyroidism patients

To compare the role of 99mTc-MIBI SPECT-CT image and US in reoperation of persistent secondary hyperparathyroidism patients. A total of 8 persistent secondary hyperparathyroidism patients underwent parathyroidectomy. The sensitivity and accuracy of US and 99mTc-MIBI images before operation were determined. 9 of 14 surgical resection tissues from 8 persistent secondary hyperparathyroidism patien...

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Persistent or recurrent primary hyperparathyroidism.

More than 95% of patients with Primary Hyperparathyroidism (PHPT) are treated successfully at the initial operation when the operation is done by an experienced surgeon, but the success rate is considerably lower when done by an unexperienced surgeon. The approach to patients with persistent and recurrent PHPT is to confirm the diagnosis and to use precise localization procedures done by expert...

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Lesion based diagnostic performance of dual phase 99mTc-MIBI SPECT/CT imaging and ultrasonography in patients with secondary hyperparathyroidism

BACKGROUND We aimed to evaluate the diagnostic performance of 99mTc-MIBI SPECT/CT and ultrasonography in patients with secondary hyperparathyroidism (SHPT), and explored the factors that affect the diagnostic performance. METHODS 99mTc-MIBI SPECT/CT and ultrasonography were performed in 50 patients with SHPT within 1 month before they underwent surgery. Imaging results were confirmed by the p...

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ژورنال

عنوان ژورنال: World Journal of Surgery

سال: 2010

ISSN: 0364-2313,1432-2323

DOI: 10.1007/s00268-010-0818-4