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Irish Journal of Medical Science

, Volume 180, Issue 1, pp 191–194 | Cite as

The utility of 99mTc-sestamibi scintigraphy in the localisation of parathyroid adenomas in primary hyperparathyroidism

  • N. Glynn
  • N. Lynn
  • C. Donagh
  • R. K. Crowley
  • D. Smith
  • C. J. Thompson
  • A. D. K. Hill
  • F. Keeling
  • A. Agha
Original Article

Abstract

Background

There are conflicting data in the literature about the sensitivity of sestamibi scintigraphy in parathyroid tumour localisation in primary hyperparathyroidism (PHPT).

Aim

We aimed to evaluate the overall sensitivity of this modality in parathyroid tumour localisation and to determine clinical and biochemical factors which influence sensitivity of this method.

Methods

We performed a retrospective review of 57 patients with a biochemical diagnosis of PHPT who had sestamibi scintigraphy performed.

Results

The sensitivity of sestamibi scanning was 56% in whole group and 63% in those without nodular thyroid disease. Among the patients with confirmed single gland disease (biochemical cure after surgical removal of a single adenoma), sensitivity was 71%. A positive scan was associated with younger age, greater adenoma weight and higher pre-operative serum calcium. Concordance between the sestamibi and neck ultrasonography was 92% accurate in pre-operative tumour localisation.

Conclusion

Sestamibi scintigraphy was more likely to be positive in younger patients without nodular thyroid disease who have larger parathyroid adenomas with more severe hyperparathyroidism.

Keywords

Primary hyperparathyroidism Sestamibi scintigraphy Neck ultrasound Parathyroidectomy Hypercalcaemia 

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Copyright information

© Royal Academy of Medicine in Ireland 2010

Authors and Affiliations

  • N. Glynn
    • 1
  • N. Lynn
    • 1
  • C. Donagh
    • 1
  • R. K. Crowley
    • 1
  • D. Smith
    • 1
  • C. J. Thompson
    • 1
  • A. D. K. Hill
    • 2
  • F. Keeling
    • 3
  • A. Agha
    • 1
  1. 1.Division of EndocrinologyBeaumont Hospital, RCSI Medical SchoolDublin 9Ireland
  2. 2.Division of SurgeryBeaumont Hospital, RCSI Medical SchoolDublinIreland
  3. 3.Division of Nuclear MedicineBeaumont Hospital, RCSI Medical SchoolDublinIreland

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