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원발성 부갑상선 기능 항진증의 수술전 병소확인에서 99mTc - Sestamibi 스캔의 유용성
백세현(S . H . Baik),김수미(S . M . Kim),최경묵(K . M . Choi),최윤상(Y . S . Choi),김상진(S . J . Kim),유재명(J . M . Yu),최동섭(D . S . Choi),최재걸(J . C . Choe) 대한핵의학회 1995 핵의학 분자영상 Vol.29 No.4
N/A An accurate preoperative localization in patients with primary hyperparathyroidism is important for successful surgical intervention . There are many methods for the localization of the primary hyperparathyroidism such as ultrasonography, computerized tomography(CT), magnetic resonance imaging(MRI), angiography and 201T1/99mTc- subtraction scan. Among them 201T1/99mTc subtraction scan in known as the most accurate tool for preoperative localization. Recently 201T1/ 99mTc-Sestamibi has been used for parathyroid gland imaging. We experienced 19 primary hyperparathyroidisms accurately localized with 201T1/99mTc subtraction imaging and Tc-99m- Sestamibi. The sensitivities of the Tc-99m-Sestamibi, 201T1/99mTc subtraction imaging, CT and US were 100%(5/5), 89.5%(17/19) and 61.7(12/19) respectively. With the combination of Tc-99m- Sestamibi and 201T1/99mTc subtraction imaging we could localize with 100% accuracy. Although the case number is small, this study suggests that the Tc-99m-Sestamibi parathyroid scan is very useful and easy to use for preoperative localization in primary hyperparathyroidism.