1
Nuclear Medicine Department, Faculty of Medicine, Mersin University, Mersin, Turkey
2
General Surgery Department, Faculty of Medicine, Mersin University, Mersin, Turkey
Abstract
Novel surgical applications include radioguided procedures in parathyroidectomy operations. In order to investigate the feasibility of usage of the portable gamma camera in parathyroidectomy operations; intraoperative radioguided parathyroidectomy operation was performed in three hyperparathyroidism patients with inconclusive preoperative parathyroid scintigraphy results. Intraoperative portable gamma camera did not reveal additional benefit over gamma probe in the patients with preoperative inconclusive parathyroid scintigraphy results that have parathyroid adenomas in close proximity to the thyroid lobes. However this modality might be evaluated by future studies regarding the ability to replace frozen section analysis or quick PTH analysis in the verification of the excision of the parathyroid adenoma.
Phillips CD, Shatzkes DR. Imaging of the parathyroid glands. Semin Ultrasound CT MR. 2012 Apr;33(2):123-9.
Casella C, Rossini P, Cappelli C, Nessi C, Nascimbeni R, Portolani N. Radioguided Parathyroidectomy with Portable Mini Gamma-Camera for the Treatment of Primary Hyperparathyroidism. Int J Endocrinol. 2015;2015:134731.
Hassler S, Ben-Sellem D, Hubele F, Constantinesco A, Goetz C. Dual-isotope 99mTc-MIBI/123I parathyroid scintigraphy in primary hyperparathyroidism: comparison of subtraction SPECT/CT and pinhole planar scan. Clin Nucl Med. 2014 Jan;39(1):32-6.
Estrems P, Guallart F, Abreu P, Sopena P, Dalmau J, Sopena R. The intraoperative mini gamma camera in primary hyperparathyroidism surgery. Acta Otorrinolaringol Esp. 2012 Nov-Dec;63(6):450-7.
Hall NC, Plews RL, Agrawal A, Povoski SP, Wright CL, Zhang J, Martin EW Jr, Phay J. Intraoperative scintigraphy using a large field-of-view portable gamma camera for primary hyperparathyroidism: initial experience. Biomed Res Int. 2015;2015:930575.
Koc, Z. P., Ozcan Kara, P., Dag, A., & Berkesoglu, M. (2018). Feasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification. Iranian Journal of Nuclear Medicine, 26(1), 62-65.
MLA
Zehra Pinar Koc; Pelin Ozcan Kara; Ahmet Dag; Mustafa Berkesoglu. "Feasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification". Iranian Journal of Nuclear Medicine, 26, 1, 2018, 62-65.
HARVARD
Koc, Z. P., Ozcan Kara, P., Dag, A., Berkesoglu, M. (2018). 'Feasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification', Iranian Journal of Nuclear Medicine, 26(1), pp. 62-65.
VANCOUVER
Koc, Z. P., Ozcan Kara, P., Dag, A., Berkesoglu, M. Feasibility of portable gamma camera imaging in intraoperative radioguided parathyroid adenoma identification. Iranian Journal of Nuclear Medicine, 2018; 26(1): 62-65.