From the Department of Nuclear Medicine, Northwest Clinics, Alkmaar, the Netherlands.
Clin Nucl Med. 2018 Oct;43(10):766-768. doi: 10.1097/RLU.0000000000002230.
A 27-year-old man, with a history of chronic renal failure due to obstructive uropathy, treated with hemodialysis and awaiting kidney transplantation, presented with tertiary hyperparathyroidism. Despite regulation of phosphate and calcium and treatment with cinacalcet, the serum parathyroid hormone levels remained elevated. The patient was referred for parathyroidectomy, and a F-fluorocholine PET/CT was acquired for preoperative planning. Besides visualization of the hyperfunctioning parathyroid glands, the scan also showed a typical picture of renal osteodystrophy, a finding on F-fluorocholine PET/CT that has not been reported before.
一位 27 岁男性，因梗阻性尿路病导致慢性肾衰竭，接受血液透析治疗并等待肾移植，现出现三发性甲状旁腺功能亢进。尽管磷酸盐和钙得到了调节，并使用西那卡塞进行治疗，但甲状旁腺激素水平仍居高不下。患者被转介行甲状旁腺切除术，并进行 F-氟胆碱 PET/CT 扫描以进行术前规划。除了显示功能亢进的甲状旁腺外，该扫描还显示了典型的肾性骨营养不良表现，这是 F-氟胆碱 PET/CT 上以前未曾报道过的发现。
