Revision parathyroidectomy guided by intraoperative radionuclide imaging

Isr Med Assoc J. 2003 Jun;5(6):403-6.

Abstract

Background: Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration.

Objective: To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.

Methods: We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.

Results: In all cases the pathologic glands were successfully detected and removed.

Conclusions: With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / blood
  • Adenoma / diagnostic imaging*
  • Adenoma / surgery*
  • Adult
  • Aged
  • Calcium / blood
  • Equipment Design
  • Female
  • Gamma Rays*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Monitoring, Intraoperative / instrumentation
  • Monitoring, Intraoperative / methods*
  • Parathyroid Hormone / blood
  • Parathyroid Neoplasms / blood
  • Parathyroid Neoplasms / diagnostic imaging*
  • Parathyroid Neoplasms / surgery*
  • Parathyroidectomy / methods*
  • Phosphorus / blood
  • Radiography, Interventional / instrumentation
  • Radiography, Interventional / methods*
  • Radionuclide Imaging
  • Radiopharmaceuticals*
  • Reoperation / instrumentation
  • Reoperation / methods*
  • Technetium Tc 99m Sestamibi*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Parathyroid Hormone
  • Radiopharmaceuticals
  • Phosphorus
  • Technetium Tc 99m Sestamibi
  • Calcium