Wright A R, Goddard P R, Nicholson S, Kinsella D C, Davies E R, Farndon J R
Bristol MRI Centre, Frenchay Hospital.
Clin Radiol. 1992 Nov;46(5):324-8. doi: 10.1016/s0009-9260(05)80376-9.
Prospective localization of parathyroid adenomas was attempted in 16 patients with hyperparathyroidism prior to surgery. All patients had magnetic resonance imaging (MRI) using T1-weighted spin-echo (SE) sequences and a fat-suppression sequence, the short-tau inversion recovery (STIR) sequence. Correlation with the results of surgery yielded an overall sensitivity of 71% and a specificity of 94%. Performance was good in patients with previous surgery and with ectopic tumours. We believe that fat-suppression MRI is a valuable technique in the preoperative localization of parathyroid adenomas in patients with hyperparathyroidism.
在16例甲状旁腺功能亢进患者手术前，尝试对甲状旁腺腺瘤进行前瞻性定位。所有患者均接受了使用T1加权自旋回波（SE）序列和脂肪抑制序列（短反转时间反转恢复序列，即STIR序列）的磁共振成像（MRI）检查。与手术结果的相关性显示，总体敏感性为71%，特异性为94%。对于既往有手术史和异位肿瘤的患者，该方法表现良好。我们认为，脂肪抑制MRI是甲状旁腺功能亢进患者甲状旁腺腺瘤术前定位的一项有价值的技术。
