Radioguided Parathyroidectomy with Portable Mini Gamma-Camera for the Treatment of Primary Hyperparathyroidism
Joint Authors
Casella, Claudio
Rossini, Pierluigi
Cappelli, Carlo
Nessi, Chiara
Nascimbeni, Riccardo
Portolani, Nazario
Source
International Journal of Endocrinology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
A proper localisation of pathological parathyroid glands is essential for a minimally invasive approach in the surgical treatment of primary hyperparathyroidism (PHP).
The recent introduction of portable mini gamma-cameras (pMGCs) enabled intraoperative scintigraphic scanning.
The aim of our study is to evaluate the efficacy of this new method and compare it with the preoperative localisation surveys.
Methods.
20 patients were studied; they were evaluated preoperatively by neck ultrasound and Tc 99mm -sestaMIBI-scintigraphy and intraoperatively with the pMGC IP Guardian 2.
The results obtained from the three evaluations were compared.
Results.
The pMGC presented a sensitivity of 95%, a specificity of 98.89%, and a diagnostic accuracy of 98.18%, which were higher than those of preoperative ultrasound (sensitivity 55%; specificity 95%; diagnostic accuracy 87%) and scintigraphy with Tc 99mm -sestaMIBI (sensitivity 73.68%; specificity 96.05%; diagnostic accuracy 91.58%).
Conclusions.
The pMGC can be used effectively as an intraoperative method to find the correct location of the pathological parathyroid glands.
The pMGC is more reliable than the currently used preoperative and intraoperative localisation techniques.
American Psychological Association (APA)
Casella, Claudio& Rossini, Pierluigi& Cappelli, Carlo& Nessi, Chiara& Nascimbeni, Riccardo& Portolani, Nazario. 2015. Radioguided Parathyroidectomy with Portable Mini Gamma-Camera for the Treatment of Primary Hyperparathyroidism. International Journal of Endocrinology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1065561
Modern Language Association (MLA)
Casella, Claudio…[et al.]. Radioguided Parathyroidectomy with Portable Mini Gamma-Camera for the Treatment of Primary Hyperparathyroidism. International Journal of Endocrinology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1065561
American Medical Association (AMA)
Casella, Claudio& Rossini, Pierluigi& Cappelli, Carlo& Nessi, Chiara& Nascimbeni, Riccardo& Portolani, Nazario. Radioguided Parathyroidectomy with Portable Mini Gamma-Camera for the Treatment of Primary Hyperparathyroidism. International Journal of Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1065561
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1065561