实时超声引导下甲状旁腺腺瘤的定位：自由手 SPECT 融合。

Localization of Parathyroid Adenoma With Real-Time Ultrasound: Freehand SPECT Fusion.

机构信息

From the Departments of *Nuclear Medicine, and †Internal Medicine, Endocrinology and Diabetology, University Hospital of Würzburg, Würzburg, Germany.

出版信息

Clin Nucl Med. 2016 Mar;41(3):e141-2. doi: 10.1097/RLU.0000000000000960.

DOI:10.1097/RLU.0000000000000960

PMID:26284776

Abstract

Preoperative localization of parathyroid adenoma in primary hyperparathyroidism gains in importance as there is a trend toward minimally invasive parathyroid surgery. Besides MRI, 4-dimensional CT, PET/CT, invasive-selective venous sampling, or angiography, both ultrasound and scintigraphy are standard of care for lesion localization. Here we report on a 53-year-old woman with suspicion of primary hyperparathyroidism using real-time fusion of scintigraphic (freehand SPECT) and ultrasound imaging for adenoma localization. Real-time fusion of ultrasound and freehand SPECT allowed noninvasive dedicated metabolic and anatomic adenoma localization and treatment planning.

摘要

在原发性甲状旁腺功能亢进症中，甲状旁腺腺瘤的术前定位变得越来越重要，因为微创手术甲状旁腺手术的趋势。除了 MRI、4 维 CT、PET/CT、侵袭性选择性静脉采样或血管造影外，超声和闪烁显像都是病变定位的标准方法。在这里，我们报告了一例 53 岁女性，怀疑患有原发性甲状旁腺功能亢进症，使用放射性核素扫描（徒手 SPECT）和超声成像的实时融合进行腺瘤定位。超声和徒手 SPECT 的实时融合允许进行非侵入性的专门代谢和解剖腺瘤定位和治疗计划。