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British Journal of Radiology (2004) 77, 100-103
© 2004 British Institute of Radiology
doi: 10.1259/bjr/44399050
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Technetium-99m sestamibi scintigraphy and helical CT together in patients with primary hyperparathyroidism: a prospective clinical study

F Lumachi, MD 1 A Tregnaghi, MD 2 P Zucchetta, MD 3 M C Marzola, MD 3 D Cecchin, MD 3 P Marchesi, MD 2 F Fallo, MD 4 and F Bui, MD, PhD 4

1 Endocrine Surgery Unit, Department of Surgical and Gastoenterological Sciences, 2 Radiology Section and 3 Nuclear Medicine Service, Department of Diagnostic Medical Sciences and 4 Department of Medical and Surgical Sciences, University of Padua, School of Medicine, Via Giustiniani 2, 35128 Padova, Italy



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  		Figure 1. 99Tcm-sestamibi/99Tcm-pertechnetate subtraction scintigraphy in a 56-year-old woman (planar anterior view) revealing two focal areas of increased tracer uptake (circle) corresponding to two parathyroid adenomata.

 


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  		Figure 2. (a) Typical CT appearance of a parathyroid adenoma in a 67-year-old man. Contrast-enhanced axial helical CT-scanning (window width 440 H, level 40 H, collimation 5 mm) revealing a significantly enhanced nodule, 21 x 11 mm in size, posterior to the inferior aspect of the right thyroid lobe (arrow). (b) Helical CT image (window width 370 H, level 40 H, collimation 5 mm) from a 42-year-old woman showing a retrotracheal parathyroid adenoma (arrow) of the right inferior parathyroid gland, 17 x 18 mm in size.

 




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