甲状旁腺腺瘤的影像

谢 谢！
4. Johnson NA, Tublin ME, Ogilvie JB. Parathyroid imaging: technique and role in the preoperative evaluation of primary hyperparathyroidism. AJR Am J Roentgenol 2007;188(6):1706–1715.
❖ 正常的99mTC-MIBI显像
❖ 经典的甲状旁腺瘤
❖ TC99-MIBI甲状旁腺腺瘤显像
❖ 压脂肪T2WI ❖ T1WI ❖ 压脂T1WI增强
De Feo ML, Colagrande S, Biagini C, et al. Parathyroid glands: combination of (99m)Tc MIBI scintigraphy and US for demonstration ofparathyroid glands and nodules. Radiology. 2000;214(2):393-402.
Anatomy & Location of Parathyroid Gland
❖ 99mTc-MIBI优于US
❖ 99mTc-MIBI+US效果好
❖ 增强CT与MR通常用于检查术中无法发现的异位的肿瘤（纵 隔）
1. Ruda JM, Hollenbeak C, Stack BC Jr. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003. Otolaryngol Head Neck Surg 2005;132(3):359–372.
甲状旁腺腺瘤的影像
原发性甲旁亢的原因
❖ single parathyroid adenoma (90%) ❖ double adenomas (4%) ❖ hyperplasia of multiple glands (6%) ❖ parathyroid carcinoma (<1%)
Ruda JM, Hollenbeak C, Stack BC Jr. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003. Otolaryngol Head Neck Surg 2005;132(3):359–372.
3. Solorzano CC, Carneiro-Pla DM, Irvin GL 3rd. Surgeon-performed ultrasonography as the initial and only localizing study in sporadic and primary hyperparathyroidism. J Am Coll Surg 2006;202(1): 18–24.
2. Lumachi F, Zucchetta P, Marzola MC, et al. AdvantaHale Waihona Puke Baidues of combined technetium-99m-sestamibi scintigraphy and high-resolution ultrasonography in parathyroid localization: comparative study in 91 patients with primary hyperparathyroidism. Eur J Endocrinol 2000;143(6):755–760.