Vijayasarathi Arvind, Karnezis Stellios, Azizyan Avetis, Salamon Noriko, Sepahdari Ali
UCLA Department of Radiology, Neuroradiology Section, Los Angeles, CA.
UCLA Department of Radiology, Neuroradiology Section, Los Angeles, CA.
Curr Probl Diagn Radiol. 2022 Jul-Aug;51(4):659-665. doi: 10.1067/j.cpradiol.2020.02.012. Epub 2020 Feb 29.
Primary hyperparathyroidism is a morbid disease that affects multiple organ systems and causes a multitude of debilitating symptoms if not properly diagnosed and treated. Minimally invasive parathyroidectomy is now the standard of care for the treatment of primary hyperparathyroidism. In the hands of experienced high-volume surgeons, the success rate of this treatment is approximately 95%. Preoperative planning with 4-dimensional computed tomography (4DCT) is becoming increasingly common as a first line imaging modality. It is important for general radiologists to become familiar with this type of study in order to better assist their surgical colleagues. This image-rich review will discuss hyperparathyroidism, benefits, and weaknesses of different imaging modalities, 4DCT imaging protocol, relevant anatomy, expected appearance, and location of parathyroid adenomas, ectopic and atypical appearances, multigland disease and important mimics.
原发性甲状旁腺功能亢进是一种影响多个器官系统的疾病，如果未得到正确诊断和治疗，会引发多种使人衰弱的症状。微创甲状旁腺切除术现已成为治疗原发性甲状旁腺功能亢进的标准治疗方法。在经验丰富、手术量大的外科医生手中，这种治疗方法的成功率约为95%。使用四维计算机断层扫描（4DCT）进行术前规划作为一线成像方式正变得越来越普遍。普通放射科医生熟悉这类检查很重要，以便更好地协助外科同事。这篇内容丰富且配有大量图片的综述将讨论甲状旁腺功能亢进、不同成像方式的优缺点、4DCT成像方案、相关解剖结构、甲状旁腺腺瘤的预期表现和位置、异位及非典型表现、多腺体疾病以及重要的相似病症。
