Miller D L, Doppman J L, Shawker T H, Krudy A G, Norton J A, Vucich J J, Morrish K A, Marx S J, Spiegel A M, Aurbach G D
Radiology. 1987 Jan;162(1 Pt 1):133-7. doi: 10.1148/radiology.162.1.3538145.
The authors evaluated computed tomography (CT), ultrasound (US), technetium/thallium scintigraphy, and magnetic resonance (MR) imaging as localization procedures in 53 patients with proved parathyroid adenomas and previous unsuccessful parathyroid surgery. CT had the highest overall sensitivity (47%), followed by US (36%) and scintigraphy (27%). There is still too little data to assess MR imaging. Adenoma size affected the sensitivity of CT, scintigraphy, and MR imaging but not US. When all three studies were used, at least one study depicted a lesion in 78% of patients, but definitive localization (two positive studies) was achieved in only 31%.
作者评估了计算机断层扫描（CT）、超声（US）、锝/铊闪烁扫描法和磁共振（MR）成像在53例已证实患有甲状旁腺腺瘤且先前甲状旁腺手术未成功的患者中的定位程序。CT的总体敏感性最高（47%），其次是超声（36%）和闪烁扫描法（27%）。目前评估MR成像的数据仍然太少。腺瘤大小影响CT、闪烁扫描法和MR成像的敏感性，但不影响超声。当三项研究都使用时，至少一项研究在78%的患者中显示出病变，但仅31%的患者实现了明确的定位（两项研究呈阳性）。
