Arq Bras Endocrinol Metab 2010;54(4):352-361

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

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

DOI: 10.1590/S0004-27302010000400003

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.

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

Keywords: ; ; ; ;

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