title: The value of early SPECT/CT and hand-held γ-camera in radio-guided surgery: a case of a hard-to-locate parathyroid adenoma.
abstract: A patient with primary hyperparathyroidism underwent radio-guided surgery by means of a γ-probe and a hand-held γ-camera. Before surgery, a parathyroid double-phase planar scintigraphy and an early SPECT/CT with 99mTc-MIBI were performed and suggested an ectopic parathyroid adenoma with early washout. The hand-held γ-camera was very useful for the localization of a parathyroid adenoma, which could not be found with the probe probably due to its faint uptake and to a high blood pool activity because it was localized next to the great vessels. Besides, it demonstrated the complete extirpation of the parathyroid tissue.
authors.affiliation: From the Department of Nuclear Medicine, Hospital Clínico de Valladolid, Valladolid, Spain.
authors.forename: Paloma
authors.initials: P
authors.lastname: García-Talavera
authors.forename: María Luisa
authors.initials: ML
authors.lastname: González-Selma
authors.forename: María  Ángeles
authors.initials: M
authors.lastname: Ruiz
authors.forename: Claudia
authors.initials: C
authors.lastname: Gamazo
authors.forename: Aurora
authors.initials: A
authors.lastname: Sainz-Esteban
authors.forename: Juan Gabriel
authors.initials: JG
authors.lastname: Villanueva
authors.forename: Roberto
authors.initials: R
authors.lastname: Olmos
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D015902:Gamma Cameras; D006801:Humans; D008875:Middle Aged; D064847:Multimodal Imaging; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019275:Radiopharmaceuticals; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D017256:Technetium Tc 99m Sestamibi; D015899:Tomography, Emission-Computed, Single-Photon / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi