PARATHYROID IMAGING

被引:46
作者
COAKLEY, AJ
机构
[1] Department of Nuclear Medicine, Kent and Canterbury Hospital, Canterbury, Kent
关键词
D O I
10.1097/00006231-199507000-00002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Developments in technology mean that it is now possible to localize abnormal parathyroid glands by a variety of imaging methods. There remain a number of unresolved issues. With all commonly used methods (radionuclide imaging, ultrasound, computed tomography and magnetic resonance imaging), there are wide variations in sensitivity of detection of glands, and in many cases this variation is not explained satisfactorily. The necessity for imaging is questioned by many parathyroid surgeons, particularly before a first operation. However, parathyroid surgery is itself changing, with a trend towards more limited neck exploration, which requires localization of the glands pre-operatively. This review describes the methods available for localizing parathyroid glands, with their advantages and limitations, and discusses the role of the techniques prior to surgery.
引用
收藏
页码:522 / 533
页数:12
相关论文
共 96 条
[1]  
Burke G.J., Wei J.P., Binet EF. Parathyroid scintigraphy with iodine-123 and 99mTc-sestamibi: Imaging findings, Am J Roentgenol, 161, pp. 1265-1268, (1993)
[2]  
Winzelberg G.G., Hydovitz J.D., Radionuclide imaging of parathyroid tumors: Historical perspectives and newer techniques, Sem Nucl Med, 15, pp. 161-170, (1985)
[3]  
Van't Hoff W., Ballardie F.W., Bicknell E.J., Primary hyperparathyroidism: The case for medical management, Br Med, 287, pp. 1605-1608, (1983)
[4]  
Tibblin S., Bondeson A.G., Bondeson L., Et al., Surgical strategy in hyperparathyroidism due to solitary adenoma, Ann Surg, 200, pp. 776-784, (1984)
[5]  
Davis R.K., Hoffmann J., Dart D., Et al., Unilateral parathyroid-ectomy, Otolaryngol Head Neck Surg, 102, pp. 635-638, (1990)
[6]  
Coakley A.J., Wells C.P., Maisey MN, Britton KE, Gilday DL, pp. 254-271, (1991)
[7]  
Sisson J.C., Beierwaltes W.H., Radiocyanocobalamine (Co57b12) Concentration in the Parathyroid Glands. Nucl Med, 3, pp. 160-162, (1962)
[8]  
Beierwaltes W.H., Di Giulio W., Sisson J.C., Parathyroid scanning, Scintillation Scanning in clini¬cal Medicine, (1964)
[9]  
Potchen E.J., Wilson R.E., Dealy J.B., External parathyroid scanning with Se-75 selenomethionine, Ann Surg, 162, (1965)
[10]  
Digiulio W., Beierwaltes WH. Parathyroid Scanning with Selenium-75 Labeled Methionine.J Nucl Med, 5, pp. 417-427, (1964)