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Thallium‐Technetium Subtraction Scintigraphy as an Aid to Parathyroid Surgery
Author(s) -
PERCIVAL R. C.,
BLAKE G. M.,
URWIN G. H.,
WILLIAMS J. L.,
KANIS J. A.
Publication year - 1985
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1985.tb06405.x
Subject(s) - tertiary hyperparathyroidism , thallium , medicine , scintigraphy , technetium , hyperparathyroidism , primary hyperparathyroidism , radiology , subtraction , secondary hyperparathyroidism , nuclear medicine , surgery , parathyroid hormone , chemistry , calcium , inorganic chemistry , arithmetic , mathematics
Summary— We describe the application of thallium‐technetium subtraction scintigraphy in nine patients with failed previous parathyroid surgery or with tertiary hyperparathyroidism due to chronic renal failure. The technique successfully located all adenomas, but only 45% of hyperplastic glands. The series included three abnormal glands located retrosternally. The technique appeared to be more useful in patients with primary hyperparathyroidism than in tertiary hyperparathyroidism, possibly related to differences in gland mass. We conclude that this method of scintigraphy is a valuable adjunct to the management of patients with parathyroid disorders, particularly those requiring revision surgery.