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[99m锝-甲氧基异丁基异腈闪烁扫描术用于检测甲状旁腺功能亢进患者的甲状旁腺病变]

[99mTc-MIBI scintigraphy for the detection of parathyroid lesions in patients with hyperparathyroidism].

作者信息

Okuda I, Saitoh K, Maruno T, Hatano O, Takizawa Y, Murata H, Koyano H, Ozawa Y, Shimizu T, Shishiba Y

机构信息

Division of Nuclear Medicine, Toranomon Hospital.

出版信息

Kaku Igaku. 1995 Jun;32(6):557-62.

PMID:7674565
Abstract

The usefulness of 99mTc-MIBI scintigraphy for the detection of parathyroid lesions was evaluated in 17 patients with hyperparathyroidism. Delayed image was used to evaluate the lesions. Detectability of MIBI for parathyroid lesions was 86% (18/21). The smallest lesion detected was parathyroid hyperplasia weighted 270 mg. Ectopic parathyroid adenoma and bone metastases of parathyroid carcinoma were clearly demonstrated. Detectability of MIBI scintigraphy for the lesions including ectopic and metastatic lesions was the highest among those of ultrasonography, CT and MRI methods. MIBI scintigraphy was thought to be useful for the detection of parathyroid lesions, especially for ectopic and metastatic lesions.

摘要

对17例甲状旁腺功能亢进患者评估了99mTc-MIBI闪烁扫描术检测甲状旁腺病变的有效性。采用延迟显像评估病变。MIBI对甲状旁腺病变的可检测率为86%(18/21)。检测到的最小病变是重270mg的甲状旁腺增生。异位甲状旁腺腺瘤和甲状旁腺癌的骨转移灶均清晰显示。在超声、CT和MRI等检查方法中,MIBI闪烁扫描术对包括异位和转移病变在内的甲状旁腺病变的可检测率最高。MIBI闪烁扫描术被认为对甲状旁腺病变的检测有用,尤其是对异位和转移病变。

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