Revision parathyroidectomy guided by intraoperative radionuclide imaging (original) (raw)

The Israel Medical Association journal : IMAJ, 2003

Abstract

Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration. To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy. We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration. In all cases the pathologic glands were successfully detected and removed. With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.

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