Intraoperative radio-guided identification of parathyroid adenomas with the gamma probe: initial experiences in a community hospital.
Previous radiological imaging studies for identification of parathyroid adenomas have generally been unreliable. Currently, preoperative administration of Tc-99m sestamibi improves detection of parathyroid adenomas. Combining preoperative administration of sestamibi radionuclide with the gamma probe intraoperatively can successfully identify the exact location of parathyroid adenomas in a community hospital setting and facilitate a safe and efficient operation. A team approach, including surgeon, radiologist, and technologist, is recommended to facilitate mastery of the learning curve.
Baskies
A M
AM
Department of Surgery, Rancocas Hospital, Willingboro, New Jersey 08046, USA.
Mayer
P
P
Holaday
W J
WJ
Cannon
A J
AJ
Rosenbaum
D N
DN
Choi
H Y
HY
Davis
L V
LV
Tilton
C M
CM
D000236:Adenoma / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005720:Gamma Rays; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D009515:New Jersey; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi