title: Advantages of hybrid SPECT-CT imaging in preoperative localization of parathyroid glands in a patient with secondary hyperparathyroidism. A case report.
abstract: BACKGROUND
  Secondary hyperparathyroidism is a frequent complication of chronic renal failure. Patients resistant to pharmacotherapy are candidates for parathyroidectomy. Invasiveness of surgical treatment can be minimized by precise preoperative localization of parathyroid glands. Imaging modalities routinely used for this purpose are ultrasonography and MIBI-Tc99m scintigraphy.
  
  
  METHODS
  Our case report shows advantages of co-registered computer tomography and conventional SPECT imaging (SPECT/CT) in a patient with advanced secondary hyperparathyroidism successfully treated with surgery.
  
  
  RESULTS
  Hybrid SPECT/CT parathyroid imaging enables better surgical planning and is superior to conventional scintigraphy.
authors.affiliation: Department of Nuclear Medicine, Medical University of Gdańsk, Gdańsk, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Cytawa
authors.forename: Jacek
authors.initials: J
authors.lastname: Teodorczyk
authors.forename: Piotr
authors.initials: P
authors.lastname: Lass
keywords: SPECT/CT; hyperparathyroidism; secondary