title: Pre-operative parathyroid localisation: surgical review of sesta-methoxyisobutylisonitrile images is important.
abstract: OBJECTIVE
  To highlight the importance of pre-operative review of sesta-methoxyisobutylisonitrile imaging before parathyroid surgery.
  
  
  METHODS
  Technetium-99 m sesta-methoxyisobutylisonitrile scanning is a well established imaging modality undertaken to locate the parathyroid glands prior to parathyroidectomy. Because of the relative lack of detail in the images obtained, the radiological report is normally the most important piece of information used by the surgeon for surgical planning. We report a case that illustrates the importance of surgical image review prior to revision parathyroid surgery. We also present a review of literature highlighting the need for surgical review of such imaging.
  
  
  CONCLUSIONS
  We propose that surgeons routinely review sesta-methoxyisobutylisonitrile images pre-operatively.
authors: Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull, UK. awobem@doctors.org.uk
authors: A A
authors: AA
authors: Awobem
authors: R J A
authors: RJ
authors: England
mesh_terms: D000368:Aged; D003952:Diagnostic Imaging / Q000379:methods; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000000981:diagnostic imaging*; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D010280:Parathyroid Glands / Q000000981:diagnostic imaging*; D011300:Preoperative Care / Q000379:methods; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D016896:Treatment Outcome
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi