Radioguided surgery in primary hyperparathyroidism: a review of the different available techniques
Por:
Goñi-Gironés E, Fuertes-Cabero S, Blanco-Sáiz I, Casáns-Tormo I, García-Talavera San Miguel P, Martín-Gil J, Sampol-Bas C, Abreu-Sánchez P, Díaz-Expósito R and Vidal-Sicart S
Publicada:
1 ene 2021
Ahead of Print:
1 ene 2021
Categoría:
Radiology, nuclear medicine and imaging
Resumen:
Parathyroidectomy has evolved over the years from bilateral neck exploration to a single gland approach using minimally invasive surgery. The precise presurgical localization of the problem gland, using functional techniques, such as double-phase scintigraphy with [Tc-99m] Tc-MIBI including SPECT-CT and PET-CT with [F-18]-Choline and morphological ones, such as ultrasound have played a crucial role in this paradigm's shift. Radioguided surgery techniques have also adapted and grown with new contributions known for their indication in other fields. Thus, we currently have a wide range of techniques that have been added to the minimally invasive radioguided parathyroidectomy with [Tc-99m] Tc-MIBI, which was the first on the stage and for which more experience exists. Among them, in this update, we will discuss parathyroidectomy using ultrasound-guided ROLL technique as well as with the use of I-125 seeds and finally, hybrid techniques that use radiotracer and fluorescence. (C) 2020 Sociedad Espanola de Medicina Nuclear e Imagen Molecular. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Goñi-Gironés E:
Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, Navarra, España
Fuertes-Cabero S:
Servicio de Medicina Nuclear, Hospital Universitario Quirónsalud Madrid, Madrid, España
Blanco-Sáiz I:
Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra, Pamplona, Navarra, España
Casáns-Tormo I:
Servicio de Medicina Nuclear, Hospital Clínico Universitario de Valencia, Valencia, España
García-Talavera San Miguel P:
Servicio de Medicina Nuclear, Hospital Universitario de Salamanca, Salamanca, España
Martín-Gil J:
Servicio de Cirugía General, Hospital Quirónsalud San José, Madrid, España
Sampol-Bas C:
Servicio de Medicina Nuclear, Hospital Universitari Son Espases, Mallorca, España
:
Servicio de Medicina Nuclear, Hospital Universitario Doctor Peset, Valencia, España
Díaz-Expósito R:
Servicio de Medicina Nuclear, Fundación Instituto Valenciano de Oncología, Valencia, España
Vidal-Sicart S:
Servicio de Medicina Nuclear, Hospital Clinic Barcelona, Barcelona, España
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