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Title: Image diagnosis of parathyroid glands in chronic renal failure

Twenty-two out of 31 patients with chronic renal failure and secondary hyperparathyroidism who underwent parathyroidectomy before operation underwent non-invasive image diagnosis of parathyroid glands by computed tomography (CT), scintigraphy with /sup 201/TlCl and /sup 99m/TcO/sup 4 +/, and/or ultrasonography. CT visualized 39 of 45 parathyroid glands (86.7%), weighing more than 500 mg. Scintigraphy with a subtraction method using a computer performed the diagnosis in 19 of 27 glands (70.4%). Ultrasonography detected 21 of 27 glands (77.8%). Image diagnosis was also useful in the postoperative follow-up study. The non-invasive image diagnosis of parathyroid glands in patients with chronic renal failure is thus valuable for 1) definite diagnosis of secondary hyperparathyroidism, 2) localization, and 3) diagnosis for effectiveness of conservative treatment.
Authors:
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Publication Date:
OSTI Identifier:
5021993
Resource Type:
Journal Article
Resource Relation:
Journal Name: Ann. Surg.; (United States); Journal Volume: 198:1
Research Org:
Aichi Cancer Center Hospital, Japan
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ENDOCRINE DISEASES; DIAGNOSIS; PARATHYROID GLANDS; COMPUTERIZED TOMOGRAPHY; SCINTISCANNING; ULTRASONOGRAPHY; TECHNETIUM 99; THALLIUM 201; ISOMERIC NUCLEI; KIDNEYS; PATIENTS; TECHNETIUM OXIDES; THALLIUM CHLORIDES; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CHALCOGENIDES; CHLORIDES; CHLORINE COMPOUNDS; COUNTING TECHNIQUES; DAYS LIVING RADIOISOTOPES; DIAGNOSTIC TECHNIQUES; DISEASES; ELECTRON CAPTURE RADIOISOTOPES; ENDOCRINE GLANDS; GLANDS; HALIDES; HALOGEN COMPOUNDS; HEAVY NUCLEI; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; OXIDES; OXYGEN COMPOUNDS; RADIOISOTOPE SCANNING; RADIOISOTOPES; SECONDS LIVING RADIOISOTOPES; TECHNETIUM COMPOUNDS; TECHNETIUM ISOTOPES; THALLIUM COMPOUNDS; THALLIUM ISOTOPES; TOMOGRAPHY; TRANSITION ELEMENT COMPOUNDS; YEARS LIVING RADIOISOTOPES 550601* -- Medicine-- Unsealed Radionuclides in Diagnostics; 550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)