Comparison of imaging methods for diagnosing enlarged parathyroid glands in chronic renal failure.

Abstract:

:Three noninvasive imaging methods, CT, scintigraphy with 201TlCl and 99mTcO4-, and ultrasonography, were performed on 36 patients with chronic renal failure and secondary hyperparathyroidism. The patients subsequently underwent total parathyroidectomy and parathyroid autograft. The detection rates of the three methods for the 143 excised parathyroid glands were compared according to gland weight and location. Computed tomography detected 53.8% of all glands and 77.6% of 76 glands weighing more than 500 mg. Scintigraphy detected 51.0% of all glands and 77.6% of glands heavier than 500 mg. Ultrasonography detected 42.7% of all glands and 65.8% of glands heavier than 500 mg. The detection rate of upper glands was best with CT (53.5 and 87.9%): that of lower glands was best with scintigraphy (62.0 and 78.6%). Although the combination of the three methods diagnosed 66.4% of all glands and 89.5% of glands heavier than 500 mg, CT and scintigraphy, the best two combinations, visualized 64.3 and 88.2%.

journal_name

J Comput Assist Tomogr

authors

Takagi H,Tominaga Y,Uchida K,Yamada N,Kano T,Kawai M,Morimoto T

doi

10.1097/00004728-198507010-00014

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

733-7

issue

4

eissn

0363-8715

issn

1532-3145

journal_volume

9

pub_type

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