Thallium/technetium subtraction scanning for primary hyperparathyroidism: scan sensitivity and effect on operative time.

J A Bergman; R Pallant

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PubMed · 9615521

Thallium/technetium subtraction scanning for primary hyperparathyroidism: scan sensitivity and effect on operative time.

J A Bergman·R Pallant

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Abstract

Over a ten-year period 26 patients were evaluated by the authors for elevated serum calcium and parathormone levels. All patients were clinically asymptomatic and were referred for parathyroid evaluation following a diagnosis of hypercalcemia made on routine SMA-12 studies. Twenty-four patients had positive thallium/technetium subtraction studies; two were suggestive of bilateral adenomata, one of which was confirmed at surgery. In two patients both thallium/technetium and technetium sestamibi scanning studies were negative. These patients were managed medically without surgical exploration. In all operative cases the patients remained normocalcemic during a six-month follow-up period. Operative times in all cases were less than one hour.

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Adenoma Adult Aged Aged, 80 and over Female Humans Hypercalcemia Hyperparathyroidism Male Middle Aged Parathyroid Neoplasms Radionuclide Imaging Sensitivity and Specificity Subtraction Technique Technetium Technetium Tc 99m Sestamibi Thallium Radioisotopes Journal Article

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J A Bergman, R Pallant. 1998. Thallium/technetium subtraction scanning for primary hyperparathyroidism: scan sensitivity and effect on operative time.. https://pubmed.ncbi.nlm.nih.gov/9615521/

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