[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].
| Autor: | Oliveira MA; Serviços de Medicina Nuclear, Fleury Medicina e Saúde, São Paulo, SP, Brasil. marco.oliveira@fleury.com.br, Maeda SS, Dreyer P, Lobo A, Andrade VP, Hoff AO, Biscolla RP, Smanio P, Brandão CM, Vieira JG |
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| Jazyk: | portugalština |
| Zdroj: | Arquivos brasileiros de endocrinologia e metabologia [Arq Bras Endocrinol Metabol] 2010 Jun; Vol. 54 (4), pp. 352-61. |
| DOI: | 10.1590/s0004-27302010000400003 |
| Abstrakt: | 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 and Technetium-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 99mTc) and image interpretation in a multidisciplinary context can improve the accuracy of parathyroid scintigraphy. |
| Databáze: | MEDLINE |
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