Parathyroid Gland Imaging

  • Localization studies for Primary Hyperparathyroidism (PHPT):
    • Are used for surgical planning
  • Nuclear medicine parathyroid scan (Sestamibi scan):
    • Is the most commonly employed test
  • There are a number of variations to how this is performed in different centers (e.g., subtraction scans with a second isotope or combined with SPECT [single photon emission CT])
  • Meta-analyses suggest that the sensitivity of this test:
    • Is around 80%
  • However, the range of sensitivities reported in the literature illustrate that the accuracy of this test may be influenced by patients and disease factors, as well as the experience of the practice.
  • More info at:

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