Kuzminski Samuel J, Sosa Julie A, Hoang Jenny K
Department of Radiological Sciences, University of Oklahoma Health Sciences Center, College of Medicine, PO Box 2690, Garrison Tower, Suite 4G4250, Oklahoma City, OK 73126, USA.
Department of Surgery, Duke University, Duke University Medical Center, Box 2945, Durham, NC 27710, USA.
Magn Reson Imaging Clin N Am. 2018 Feb;26(1):151-166. doi: 10.1016/j.mric.2017.08.009. Epub 2017 Oct 21.
Primary hyperparathyroidism (PHPT) is characterized by excessive, dysregulated production of parathyroid hormone (PTH) by 1 or more abnormal parathyroid glands. Minimally invasive surgical techniques have created a need for more precise localization of the parathyroid lesion by imaging. A variety of imaging protocols and techniques have been used for this purpose, but no one modality is clearly superior. Nuclear medicine scintigraphy and ultrasound imaging are established modalities, although multiphase or 4-dimensional computed tomography is an emerging modality with several advantages. This review provides a background regarding PHPT and key anatomy, and discusses these alternative parathyroid imaging modalities with updates.
原发性甲状旁腺功能亢进症（PHPT）的特征是一个或多个异常甲状旁腺过度、失调地分泌甲状旁腺激素（PTH）。微创外科技术使得通过成像更精确地定位甲状旁腺病变成为必要。为此已使用了多种成像方案和技术，但没有一种方式明显更具优势。核医学闪烁扫描和超声成像是已确立的方式，尽管多期或四维计算机断层扫描是一种具有若干优势的新兴方式。本综述提供了关于PHPT和关键解剖结构的背景知识，并讨论了这些替代的甲状旁腺成像方式及其最新情况。
