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Update in Radiology
Available online 18 December 2023
Update in imaging tests used for the localization of parathyroid pathology
Actualización de las pruebas de imagen utilizadas en la localización de patología paratiroidea
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A. Adarve Castroa,b, D. Domínguez Pinosa,b,
Corresponding author
ddominguezp@uma.es

Corresponding author.
, V. Soria Utrillac, J.A. O’Farrell del Campob, F. Sendra Porteroa, M.J. Ruiz-Gómeza
a Departamento de Radiología y Medicina Física, Facultad de Medicina, Universidad de Málaga, Málaga, Spain
b Hospital Universitario Virgen de la Victoria, Málaga, Spain
c Hospital Regional Universitario de Málaga, Málaga, Spain
This item has received
Received 06 March 2023. Accepted 28 April 2023
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Table 1. Sensitivity, specificity and precision of different imaging tests used for the localization of parathyroid pathology. N/A (not available).
Table 2. Advantages and disadvantages of the diagnostic techniques used.
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Abstract

Preoperative localization of parathyroid pathology, generally a parathyroid adenoma, can be difficult in some cases due to the anatomical variants that these glands present. The objective of this review is to analyse the different imaging techniques used for preoperative localization of parathyroid pathology (scintigraphy, ultrasound, CT, MRI and PET).

There is great variability between the different tests for the preoperative localization of parathyroid pathology. The importance of knowing the different diagnostic options lies in the need to choose the most suitable test at each moment and for each patient for an adequate management of primary hyperparathyroidism (PHP) with surgical criteria.

Keywords:
Primary hyperparathyroidism
Diagnostic imaging
99mTc-sestamibi SPECT/CT
Ultrasound
MRI
18F-choline PET/CT
Resumen

La localización preoperatoria de patología paratiroidea, por lo general un adenoma paratiroideo, puede ser difícil en algunos casos debido a las variantes anatómicas que presentan estas glándulas. El objetivo de esta revisión es analizar las diferentes técnicas de diagnóstico por imagen utilizadas en la localización preoperatoria de patología paratiroidea (gammagrafía, ecografía, TC, RM y PET).

Existe una gran variabilidad entre las diferentes pruebas para la localización preoperatoria de patología paratiroidea. La importancia de conocer las diferentes opciones de diagnóstico radica en la necesidad de elegir la técnica más adecuada en cada ocasión y para cada paciente para un manejo adecuado del hiperparatiroidismo primario (HPTP) con criterio quirúrgico.

Palabras clave:
Hiperparatiroidismo primario
Diagnóstico por imagen
SPECT/TC 99mTc-sestamibi
Dcografía
RM
PET/TC 18F-colina

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