Update of the role of Nuclear Medicine techniques in the pre-surgical localization of primary hyperparathyroidism

Publication date: Available online 15 February 2019Source: Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)Author(s): P. García-Talavera San Miguel, F. Gómez-Caminero López, J.G. Villanueva Curto, M.P. Tamayo Alonso, M.E. Martín GómezAbstractPrimary hyperparathyroidism is one of the most frequent endocrine disorders. Its diagnosis is biochemical. Imaging techniques are not useful for the diagnosis of this pathology; they are just tools for pre-surgical localization. In this continuing education, we will analyze the different imaging modalities used in this indication, focusing on Nuclear Medicine. The most commonly used imaging technique in this context is the parathyroid scintigraphy, nowadays double phase protocol with 99mTc-MIBI and the double tracer with 99mTc-MIBI/99mTc-pertechnetate, associated in the first case to SPECT or SPECT/CT, in an early or late phase. The PET/CT with different tracers is showing good results, especially applied to cases of failure in the pre-surgical scintigraphic localization. We expose the results of the morphological imaging techniques as well, and the usefulness of combining techniques.ResumenEl hiperparatiroidismo primario es una de las enfermedades endocrinas más frecuentes. Su diagnóstico es bioquímico. Las pruebas de imagen no tienen utilidad para el diagnóstico de esta afección, únicamente son pruebas localizadoras prequirúrgicas. En esta formación continuada analizaremos las diferentes modalidade...
Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research