[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: Marco Antônio Condé de, Oliveira, Sérgio Setsuo, Maeda, Patrícia, Dreyer, Alberto, Lobo, Victor Piana de, Andrade, Ana O, Hoff, Rosa Paula Mello, Biscolla, Paola, Smanio, Cynthia M A, Brandão, José G, Vieira
Rok vydání: 2009
Předmět:
Zdroj: Arquivos brasileiros de endocrinologia e metabologia. 54(4)
ISSN: 1677-9487
Popis: In patients with primary hyperparathyroidism, candidates for surgical intervention, the parathyroid pre-operative localization is of fundamental importance in planning the appropriate surgical approach.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.In our experience, the complete protocol in parathyroid scintigraphy increases the accuracy of pre-operative parathyroid localization.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: OpenAIRE