| Imaging of hyperparathyroidism: US, CT, MRI and MIBI scintigraphy. | |
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MedLine Citation:
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PMID: 8777906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hyperparathyroidism is a rare condition although recently the incidence has increased, particularly the asymptomatic form, as a result of routine serum calcium measurements. A definitive diagnosis can be made using modern bio-assays giving direct measurements of parathormone (PTH). Various methods are currently available for pre-operative localisation of pathological parathyroid glands. Ultrasound is sufficient prior to the initial surgery. However, if primary surgical exploration fails to localise the parathyroid glands then the surgeon faces a more complex problem and requires precise localisation prior to repeat surgery to reduce operating time and risk. No radiological method is available to localise pathological glands in 100% of cases. The surgeon is usually satisfied when two different methods are positive and in concordance. The non-invasive methods such as ultrasound, CT, MRI and scintigraphy are initially performed and if the result remains equivocal then more invasive methods such as arterial or venous sampling are undertaken. Our preliminary results in secondary hyperparathyroidism, before repeat surgery, indicate that associated and complementary tests, morphological and functional, MRI (fat-sat, T1, gadolinium) and MIBI scintigraphy, have greater efficacy. |
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Authors:
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J Giron; E Ouhayoun; M Dahan; J Berjaud; J P Esquerre; J P Senac; J J Railhac |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of radiology Volume: 21 ISSN: 0720-048X ISO Abbreviation: Eur J Radiol Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-09-17 Completed Date: 1996-09-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8106411 Medline TA: Eur J Radiol Country: IRELAND |
Other Details:
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Languages: eng Pagination: 167-73 Citation Subset: IM |
Affiliation:
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Service d'Imagerie Médicale J. Baudot, CHU Toulouse Hôpital Purpan, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma
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diagnosis,
surgery Diagnostic Imaging* Humans Hyperparathyroidism / diagnosis*, surgery Hyperparathyroidism, Secondary / diagnosis, surgery Magnetic Resonance Imaging Parathyroid Glands / pathology Parathyroid Neoplasms / diagnosis, surgery Parathyroidectomy Radionuclide Imaging Reoperation Technetium Tc 99m Sestamibi / diagnostic use Tomography, X-Ray Computed Ultrasonography |
| Chemical | |
Reg. No./Substance:
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109581-73-9/Technetium Tc 99m Sestamibi |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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