Localization of Parathyroid Adenoma With Real-Time Ultrasound: Freehand SPECT Fusion.
Preoperative localization of parathyroid adenoma in primary hyperparathyroidism gains in importance as there is a trend toward minimally invasive parathyroid surgery. Besides MRI, 4-dimensional CT, PET/CT, invasive-selective venous sampling, or angiography, both ultrasound and scintigraphy are standard of care for lesion localization. Here we report on a 53-year-old woman with suspicion of primary hyperparathyroidism using real-time fusion of scintigraphic (freehand SPECT) and ultrasound imaging for adenoma localization. Real-time fusion of ultrasound and freehand SPECT allowed noninvasive dedicated metabolic and anatomic adenoma localization and treatment planning.
From the Departments of *Nuclear Medicine, and †Internal Medicine, Endocrinology and Diabetology, University Hospital of Würzburg, Würzburg, Germany.
Christina
C
Bluemel
Paul
P
Kirchner
Georg W
GW
Kajdi
Rudolf A
RA
Werner
Ken
K
Herrmann
D000236:Adenoma / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged; D064847:Multimodal Imaging; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography