用锝-99m甲氧基异丁基异腈单光子发射计算机断层扫描（SPECT）和图像融合计算机断层扫描定位异位甲状旁腺腺瘤。

Ectopic parathyroid adenoma localised with sestamibi SPECT and image-fused computed tomography.

作者信息

Ng Patrick, Lenzo Nat P, McCarthy Michael C, Thompson Ivan, Leedman Peter J

机构信息

Department of Nuclear Medicine, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia.

出版信息

Med J Aust. 2003 Nov 3;179(9):485-7. doi: 10.5694/j.1326-5377.2003.tb05652.x.

DOI:10.5694/j.1326-5377.2003.tb05652.x

PMID:14583080

Abstract

Confident localisation of ectopic parathyroid adenomas, particularly those outside the neck, can be difficult. Even preoperative radiological imaging may not be helpful, as there are few characteristic findings. We report a case in which hyperfunctioning ectopic parathyroid tissue in the mediastinum was detected with technetium-99m-sestamibi single-photon emission computed tomography and accurately localised non-invasively with image-fused computed tomography. This technique directly modified management.

摘要

异位甲状旁腺腺瘤的准确定位，尤其是位于颈部以外的腺瘤，可能具有挑战性。即使术前影像学检查也可能无济于事，因为特征性表现很少。我们报告了一例病例，通过锝-99m-甲氧基异丁基异腈单光子发射计算机断层扫描检测到纵隔内功能亢进的异位甲状旁腺组织，并通过图像融合计算机断层扫描进行了准确的非侵入性定位。这项技术直接改变了治疗方案。