期刊
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
卷 48, 期 9, 页码 2801-2822出版社
SPRINGER
DOI: 10.1007/s00259-021-05334-y
关键词
Parathyroid scintigraphy; Hyperparathyroidism; [Tc-99m]Tc-MIBI; [Tc-99m]Tc-tetrofosmin; SPECT; CT; Dual-phase scintigraphy; Dual-tracer scintigraphy; F-18-labeled choline analogues; [C-11]CH; [C-11]MET; PET; CT; Cervical ultrasonography; 4D-CT; MRI
资金
- University Medical Center Rotterdam (Erasmus MC)
Nuclear medicine parathyroid imaging plays a crucial role in diagnosing and treating hyperfunctioning parathyroid glands, with new guidelines aimed at assisting physicians in detecting and localizing these lesions more accurately.
Introduction Nuclear medicine parathyroid imaging is important in the identification of hyperfunctioning parathyroid glands in primary hyperparathyroidism (pHPT), but it may be also valuable before surgical treatment in secondary hyperparathyroidism (sHPT). Parathyroid radionuclide imaging with scintigraphy or positron emission tomography (PET) is a highly sensitive procedure for the assessment of the presence and number of hyperfunctioning parathyroid glands, located either at typical sites or ectopically. The treatment of pHPT is mostly directed toward minimally invasive parathyroidectomy, especially in cases with a single adenoma. In experienced hands, successful surgery depends mainly on the exact preoperative localization of one or more hyperfunctioning parathyroid adenomas. Failure to preoperatively identify the hyperfunctioning parathyroid gland challenges minimally invasive parathyroidectomy and might require bilateral open neck exploration. Methods Over a decade has now passed since the European Association of Nuclear Medicine (EANM) issued the first edition of the guideline on parathyroid imaging, and a number of new insights and techniques have been developed since. The aim of the present document is to provide state-of-the-art guidelines for nuclear medicine physicians performing parathyroid scintigraphy, single-photon emission computed tomography/computed tomography (SPECT/CT), positron emission tomography/computed tomography (PET/CT), and positron emission tomography/magnetic resonance imaging (PET/MRI) in patients with pHPT, as well as in those with sHPT. Conclusion These guidelines are written and authorized by the EANM to promote optimal parathyroid imaging. They will assist nuclear medicine physicians in the detection and correct localization of hyperfunctioning parathyroid lesions.
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