Usefulness of diagnostic imaging in primary hyperparathyroidism
Identifieur interne : 002564 ( Istex/Curation ); précédent : 002563; suivant : 002565Usefulness of diagnostic imaging in primary hyperparathyroidism
Auteurs : Kazuya Sekiyama ; Koichiro Akakura ; Kazuo Mikami ; Ken-Ichi Mizoguchi ; Toyofusa Tobe ; Koichi Nakano [Japon] ; Tsutomu Numata [Japon] ; Akiyoshi Konno [Japon] ; Haruo ItoSource :
- International Journal of Urology [ 0919-8172 ] ; 2003-01.
English descriptors
- Teeft :
- Adenoma, Detection rate, Detection rates, Diagnostic imaging, Gland, Hyperparathyroidism, Hyperplasia, Imaging, Imaging techniques, Inaccurate localization, Localization, Magnetic resonance imaging, Maximum diameter, Mibi, Mibi scintigraphy, Overall detection rate, Parathyroid, Parathyroid adenomas, Parathyroid gland, Parathyroid glands, Pathological diagnosis, Pertechnetate subtraction scintigraphy, Preoperative localization, Present study, Primary hyperparathyroidism, Scintigraphy, Subtraction scintigraphy, Surgical, Surgical removal, Surgical treatment.
Abstract
Background : In patients with primary hyperparathyroidism, prevention of urinary stone recurrence can be achieved by surgical removal of the enlarged parathyroid gland. To ensure the efficacy of surgery for primary hyperparathyroidism, preoperative localization of the enlarged gland is important. In the present study, usefulness of diagnostic imaging for localization of the enlarged gland was investigated in primary hyperparathyroidism.
Methods : We retrospectively examined the findings of imaging studies and clinical records in 79 patients (97 glands) who underwent surgical treatment for primary hyperparathyroidism at Chiba University Hospital between 1976 and 2000. The detection rates of accurate localization were investigated for imaging techniques, such as ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), thallium‐201 and technetium‐99m pertechnetate (Tl‐Tc) subtraction scintigraphy and 99mTc‐methoxyisobutylisonitrile (MIBI) scintigraphy, and analysed in relation to the size and weight of the gland and pathological diagnosis.
Results : The detection rates by US, CT, MRI, Tl‐Tc subtraction scintigraphy and MIBI scintigraphy were 70%, 67%, 73%, 38% and 78%, respectively. The overall detection rate changed from 50% to 88% before and after 1987. The detection rate of MIBI scintigraphy was superior to Tl‐Tc subtraction scintigraphy.
Conclusion : In primary hyperparathyroidism, improvement of accurate localization of an enlarged parathyroid gland was demonstrated along with recent advances in imaging techniques including MIBI scintigraphy.
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DOI: 10.1046/j.1442-2042.2003.00564.x
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Kazuya Sekiyama<affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation>Le document en format XML
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uniqKey="Ito H" first="Haruo" last="Ito">Haruo Ito</name><affiliation><mods:affiliation>Departments of Urology and</mods:affiliation><wicri:noCountry code="no comma">Departments of Urology and</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Journal of Urology</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF UROLOGY</title><idno type="ISSN">0919-8172</idno><idno type="eISSN">1442-2042</idno><imprint><biblScope unit="vol">10</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="7">7</biblScope><biblScope unit="page" to="11">11</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Science Pty</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2003-01">2003-01</date></imprint><idno type="ISSN">0919-8172</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0919-8172</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adenoma</term><term>Detection rate</term><term>Detection rates</term><term>Diagnostic imaging</term><term>Gland</term><term>Hyperparathyroidism</term><term>Hyperplasia</term><term>Imaging</term><term>Imaging techniques</term><term>Inaccurate localization</term><term>Localization</term><term>Magnetic resonance imaging</term><term>Maximum diameter</term><term>Mibi</term><term>Mibi scintigraphy</term><term>Overall detection rate</term><term>Parathyroid</term><term>Parathyroid adenomas</term><term>Parathyroid gland</term><term>Parathyroid glands</term><term>Pathological diagnosis</term><term>Pertechnetate subtraction scintigraphy</term><term>Preoperative localization</term><term>Present study</term><term>Primary hyperparathyroidism</term><term>Scintigraphy</term><term>Subtraction scintigraphy</term><term>Surgical</term><term>Surgical removal</term><term>Surgical treatment</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background : In patients with primary hyperparathyroidism, prevention of urinary stone recurrence can be achieved by surgical removal of the enlarged parathyroid gland. To ensure the efficacy of surgery for primary hyperparathyroidism, preoperative localization of the enlarged gland is important. In the present study, usefulness of diagnostic imaging for localization of the enlarged gland was investigated in primary hyperparathyroidism.</div><div type="abstract">Methods : We retrospectively examined the findings of imaging studies and clinical records in 79 patients (97 glands) who underwent surgical treatment for primary hyperparathyroidism at Chiba University Hospital between 1976 and 2000. The detection rates of accurate localization were investigated for imaging techniques, such as ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), thallium‐201 and technetium‐99m pertechnetate (Tl‐Tc) subtraction scintigraphy and 99mTc‐methoxyisobutylisonitrile (MIBI) scintigraphy, and analysed in relation to the size and weight of the gland and pathological diagnosis.</div><div type="abstract">Results : The detection rates by US, CT, MRI, Tl‐Tc subtraction scintigraphy and MIBI scintigraphy were 70%, 67%, 73%, 38% and 78%, respectively. The overall detection rate changed from 50% to 88% before and after 1987. The detection rate of MIBI scintigraphy was superior to Tl‐Tc subtraction scintigraphy.</div><div type="abstract">Conclusion : In primary hyperparathyroidism, improvement of accurate localization of an enlarged parathyroid gland was demonstrated along with recent advances in imaging techniques including MIBI scintigraphy.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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