Visualization of a parathyroid adenoma with Tc-99m MIBI in a case with iodine saturation and impaired thallium uptake.
A case of a parathyroid adenoma is presented in which the conventional Tl-201 minus Tc-99m subtraction technique failed to localize the adenoma because of prior iodide administration and a low Tl-201 uptake. Ultrasonography and CT could not provide useful data either. However, a Tc-99m methoxylisobutylisonitrile (MIBI) scintigram clearly delineated the adenoma and the thyroid tissue.
Department of Radiotherapy and Nuclear Medicine, University Hospital, Ghent, Belgium.
K
K
Osmanagaoglu
K
K
Schelstraete
M
M
Lippens
E
E
Obrie
I
I
De Feyter
D000236:Adenoma / Q000000981:diagnostic imaging*; D000368:Aged; D000369:Aged, 80 and over; D000638:Amiodarone / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D010280:Parathyroid Glands / Q000000981:diagnostic imaging; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m; D013382:Subtraction Technique; D017256:Technetium Tc 99m Sestamibi; D013794:Thallium Radioisotopes; D013961:Thyroid Gland / Q000000981:diagnostic imaging
D013794:Thallium Radioisotopes; D017256:Technetium Tc 99m Sestamibi; D013670:Sodium Pertechnetate Tc 99m; D000638:Amiodarone