Hung G U, Wu H S, Tsai S C, Kao C H, Lin W Y, Lin J H, Wang S J
Department of Nuclear Medicine, Taichung Veterans General Hospital, Taiwan.
Clin Nucl Med. 2000 May;25(5):348-50. doi: 10.1097/00003072-200005000-00005.
Radionuclide imaging with Tc-99m MIBI is the preferred mode of parathyroid localization in current practice. It also successfully identifies hyperfunctioning autotransplanted parathyroid tissue. The authors report a case with recurrent hyperparathyroidism after total parathyroidectomy and autotransplantation in the forearm. Double-phase Tc-99m MIBI imaging successfully localized the hyperfunctioning parathyroid tissue, which was missed by magnetic resonance imaging and ultrasonography. In addition, the parathyroid tissue was localized using an intraoperative probe at subsequent surgery.
在当前的临床实践中，使用锝-99m甲氧基异丁基异腈（Tc-99m MIBI）进行放射性核素显像，是甲状旁腺定位的首选方式。它也能成功识别功能亢进的自体移植甲状旁腺组织。作者报告了一例在甲状旁腺全切术及前臂自体移植术后出现复发性甲状旁腺功能亢进的病例。双期Tc-99m MIBI显像成功定位了功能亢进的甲状旁腺组织，而磁共振成像和超声检查均未发现该组织。此外，在后续手术中使用术中探头对甲状旁腺组织进行了定位。
