Radioguided surgery in primary hyperparathyroidism: a review of the different techniques available
| Autor: | Sergi Vidal-Sicart, C. Sampol Bas, R. Díaz Expósito, J. Martín Gil, S. Fuertes Cabero, I. Blanco Sáiz, I. Casáns-Tormo, P. Abreu Sánchez, E. Goñi Gironés, P. García-Talavera San Miguel |
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| Rok vydání: | 2021 |
| Předmět: |
Parathyroidectomy
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment General Engineering Radioguided Surgery Scintigraphy medicine.disease Neck exploration Invasive surgery General Earth and Planetary Sciences Medicine Radiology Stage (cooking) business Minimally invasive parathyroidectomy Primary hyperparathyroidism General Environmental Science |
| Zdroj: | Revista Española de Medicina Nuclear e Imagen Molecular (English Edition). 40:57-66 |
| ISSN: | 2253-8089 |
| Popis: | Parathyroidectomy has evolved over the years from bilateral neck exploration to a single gland approach using minimally invasive surgery. The precise presurgical localization of the problem gland, using functional Choline, such as double-phase scintigraphy with [99mTc] Tc-MIBI including SPECT/CT and PET/CT with [18F]-Colina and morphological ones, such as ultrasound have played a crucial role in this paradigm’s shift. Radioguided surgery techniques have also adapted and grown with new contributions known for their indication in other fields. Thus, we currently have a wide range of techniques that have been added to the minimally invasive radioguided parathyroidectomy with [99mTc] Tc-MIBI, which was the first on the stage and for which more experience exists. Among them, in this update, we will discuss parathyroidectomy using ultrasound-guided ROLL technique as well as with the use of 125I seeds and finally, hybrid techniques that use radiotracer and fluorescence. |
| Databáze: | OpenAIRE |
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