Levine Daniel S, Belzberg Allan S, Wiseman Sam M
Department of Nuclear Medicine, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada.
Clin Nucl Med. 2009 Nov;34(11):779-84. doi: 10.1097/RLU.0b013e3181b7dacf.
The utility of hybrid single photon emission computed tomography/computed tomography imaging for primary hyperparathyroidism is both intuitive and becoming increasingly apparent clinically, particularly for patients with prior failed surgery and for those with suspected ectopic adenomas. Second generation imaging equipment, capable of superimposing functional information on highly detailed anatomic images is proving useful in surgical planning, permitting the successful application of minimally invasive techniques. The clinical background and hybrid imaging modality are discussed, together with a selection of illustrative case images. Special emphasis is placed on the use of the technique for imaging ectopic parathyroid adenomas.
混合单光子发射计算机断层扫描/计算机断层扫描成像在原发性甲状旁腺功能亢进症中的应用既直观，在临床上也日益明显，特别是对于既往手术失败的患者以及疑似异位腺瘤的患者。能够将功能信息叠加在高度详细的解剖图像上的第二代成像设备在手术规划中证明是有用的，允许成功应用微创技术。本文讨论了临床背景和混合成像方式，并展示了一些具有代表性的病例图像。特别强调了该技术在异位甲状旁腺腺瘤成像中的应用。
