Localization of Parathyroid Adenoma With Real-Time Ultrasound: Freehand SPECT Fusion. (March 2016)

• Record Type: Journal Article
• Authors: Bluemel, Christina; Kirchner, Paul; Kajdi, Georg W.; Werner, Rudolf A.; Herrmann, Ken
• Is Part Of: Clinical nuclear medicine. Volume 41:Number 3(2016)
• Publication Date: 2016-03
• Subjects: freehand SPECT -- parathyroid adenoma -- hyperparathyroidism -- ultrasound; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000000960
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: Preoperative localization of parathyroid adenoma in primary hyperparathyroidism gains in importance as there is a trend toward minimally invasive parathyroid surgery. Besides MRI, 4-dimensional CT, PET/CT, invasive-selective venous sampling, or angiography, both ultrasound and scintigraphy are standard of care for lesion localization. Here we report on a 53-year-old woman with suspicion of primary hyperparathyroidism using real-time fusion of scintigraphic (freehand SPECT) and ultrasound imaging for adenoma localization. Real-time fusion of ultrasound and freehand SPECT allowed noninvasive dedicated metabolic and anatomic adenoma localization and treatment planning.