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The EANM practice guidelines for parathyroid imaging
by
Talbot Jean-Noël
, Luster, Markus
, Giovanella Luca
, Weber, Theresia
, Petranović Ovčariček Petra
, Hindié Elif
, Piccardo Arnoldo
, Huellner, Martin W
, Carrió Gasset Ignasi
, Verburg, Frederik Anton
in
Adenoma
/ Clinical practice guidelines
/ Computed tomography
/ Emission analysis
/ Guidelines
/ Hyperparathyroidism
/ Localization
/ Magnetic resonance imaging
/ Medical imaging
/ Nuclear medicine
/ Parathyroid
/ Parathyroid gland
/ Parathyroidectomy
/ Photon emission
/ Physicians
/ Positron emission
/ Positron emission tomography
/ Radioisotopes
/ Scintigraphy
/ Single photon emission computed tomography
/ Surgery
/ Tomography
2021
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The EANM practice guidelines for parathyroid imaging
by
Talbot Jean-Noël
, Luster, Markus
, Giovanella Luca
, Weber, Theresia
, Petranović Ovčariček Petra
, Hindié Elif
, Piccardo Arnoldo
, Huellner, Martin W
, Carrió Gasset Ignasi
, Verburg, Frederik Anton
in
Adenoma
/ Clinical practice guidelines
/ Computed tomography
/ Emission analysis
/ Guidelines
/ Hyperparathyroidism
/ Localization
/ Magnetic resonance imaging
/ Medical imaging
/ Nuclear medicine
/ Parathyroid
/ Parathyroid gland
/ Parathyroidectomy
/ Photon emission
/ Physicians
/ Positron emission
/ Positron emission tomography
/ Radioisotopes
/ Scintigraphy
/ Single photon emission computed tomography
/ Surgery
/ Tomography
2021
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The EANM practice guidelines for parathyroid imaging
by
Talbot Jean-Noël
, Luster, Markus
, Giovanella Luca
, Weber, Theresia
, Petranović Ovčariček Petra
, Hindié Elif
, Piccardo Arnoldo
, Huellner, Martin W
, Carrió Gasset Ignasi
, Verburg, Frederik Anton
in
Adenoma
/ Clinical practice guidelines
/ Computed tomography
/ Emission analysis
/ Guidelines
/ Hyperparathyroidism
/ Localization
/ Magnetic resonance imaging
/ Medical imaging
/ Nuclear medicine
/ Parathyroid
/ Parathyroid gland
/ Parathyroidectomy
/ Photon emission
/ Physicians
/ Positron emission
/ Positron emission tomography
/ Radioisotopes
/ Scintigraphy
/ Single photon emission computed tomography
/ Surgery
/ Tomography
2021
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Journal Article
The EANM practice guidelines for parathyroid imaging
2021
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Overview
IntroductionNuclear medicine parathyroid imaging is important in the identification of hyperfunctioning parathyroid glands in primary hyperparathyroidism (pHPT), but it may be also valuable before surgical treatment in secondary hyperparathyroidism (sHPT). Parathyroid radionuclide imaging with scintigraphy or positron emission tomography (PET) is a highly sensitive procedure for the assessment of the presence and number of hyperfunctioning parathyroid glands, located either at typical sites or ectopically. The treatment of pHPT is mostly directed toward minimally invasive parathyroidectomy, especially in cases with a single adenoma. In experienced hands, successful surgery depends mainly on the exact preoperative localization of one or more hyperfunctioning parathyroid adenomas. Failure to preoperatively identify the hyperfunctioning parathyroid gland challenges minimally invasive parathyroidectomy and might require bilateral open neck exploration.MethodsOver a decade has now passed since the European Association of Nuclear Medicine (EANM) issued the first edition of the guideline on parathyroid imaging, and a number of new insights and techniques have been developed since. The aim of the present document is to provide state-of-the-art guidelines for nuclear medicine physicians performing parathyroid scintigraphy, single-photon emission computed tomography/computed tomography (SPECT/CT), positron emission tomography/computed tomography (PET/CT), and positron emission tomography/magnetic resonance imaging (PET/MRI) in patients with pHPT, as well as in those with sHPT.ConclusionThese guidelines are written and authorized by the EANM to promote optimal parathyroid imaging. They will assist nuclear medicine physicians in the detection and correct localization of hyperfunctioning parathyroid lesions.
Publisher
Springer Nature B.V
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