The diagnostic value of 99mTc-sestamibi scintigraphy and CT in primary hyperparathyroidism

CHEN Zheng-guo; LIU Qi-yu; CHEN Jiao; YANG Xing; HE Yu

Journal of China Clinic Medical Imaging ›› 2016, Vol. 27 ›› Issue (4) : 239-242.

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Abstract

Objective: To explore the clinical value of 99mTc-sestamibi(MIBI) scintigraphy and CT in the diagnosis of primary hyperparathyroidism. Methods: Retrospectively analyzed the image features of 99mTc-MIBI and CT in 38 patients with primary hyperparathyroidism, which were confirmed by pathology. Comparison of the sensitivity of 99mTc-MIBI scintigraphy, CT, the combination of the two methods. Results: The sensitivity of 99mTc-MIBI, CT and the combined methods in diagnosis of primary hyperparathyroidism was 89.65%, 64.00% and 93.75% respectively. There were significant difference between 99mTc-MIBI and CT, CT and the combination group. The sensitivity of the combination group was superior to the other two methods. Conclusion: Both 99mTc-MIBI and CT provide important information for the pre-operation evaluation of primary hyperparathyroidism. 99mTc-MIBI in combination with CT can increase the accuracy of diagnosis of the primary hyperparathyroidism.

Key words

Hyperparathyroidism / Technetium Tc 99m sestamibi / Radionuclide imaging / Tomography, X-ray computed

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CHEN Zheng-guo, LIU Qi-yu, CHEN Jiao, YANG Xing, HE Yu. The diagnostic value of 99mTc-sestamibi scintigraphy and CT in primary hyperparathyroidism[J]. Journal of China Clinic Medical Imaging. 2016, 27(4): 239-242

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