부갑상선 기능 항진증에서 병변의 영상학적 진단과 위치 탐색 방법의 비교 연구
- Title
- 부갑상선 기능 항진증에서 병변의 영상학적 진단과 위치 탐색 방법의 비교 연구
- Author
- 최윤영
- Keywords
- Ultrasonography; 99mTc-sestamibi scan; Parathyroidectomy; Hyperparathyroidism; Localization
- Issue Date
- 2012-10
- Publisher
- 대한이비인후과학회
- Citation
- 대한이비인후과학회지 두경부외과학 ,
- Abstract
- Background and Objectives Accurate preoperative localization of abnormal parathyroid gland is essential for successful parathyroidectomy. The aim of this study was to evaluate the accuracy of a localization test for hyperparathyroidism including ultrasonography (US), computed tomography (CT) and 99mTc-sestamibi scan.Subjects and Method We studied 47 patients with hyperparathyroidism who underwent parathyroidectomy from January 2003 through December 2010, retrospectively. 99mTc-sestamibi scan, US and CT were carried out as a preoperative localization test and their accuracy were analyzed according to the size, location and pathology of parathyroid lesions.Results The accuracy of 99mTc-sestamibi scan, US and CT were 93%, 77% and 65%, respectively. The accuracy of 99mTc-sestamibi scan and CT combined was 94% and US and CT 73%. The accuracy of combination of US and 99mTc-sestamibi scan was 96%, which was not different depending on size, location and pathology of parathyroid lesions.Conclusion The combination of 99mTc-sestamibi scan and US is the most effective method for preoperative detection and the localization of hyperparathyroidism.
- URI
- http://www.kjorl.org/journal/view.php?doi=10.3342/kjorl-hns.2012.55.9.565http://hdl.handle.net/20.500.11754/67697
- ISSN
- 1225-035X
- DOI
- 10.3342/kjorl-hns.2012.55.9.565
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML