The cmparison of different imaging diagnostic methods and the combined application value for primary hyperparathy-roidism
WANG Meng
WU Nannan
Abstract：Objective To compare the value among the SPECT/CT, the planar scintigraphy in dual time, ultrasound (US) and CT. Methods The 70 patients (22 males,48 females) who came to our department with suspicious PHPT were retrospec-tively recruited. SPECT/CT,the planar scintigraphy in dual time,US and CT were all used in each patients. There were totally 280 parathyroid glands in 70 patients. All of them were verified by pathological examination which was regarded as the diagnostic criteria. The sensitivity and specificity were compared by the test of multiple comparisons among multiple sample rates. Two ways which were considered more accuracy will be used combined in order to contrasting with each way singly. Results 70 abnormal parathyroid lesions were found in 70 patients with parathyroid glands. Pathological diagnosis proved that 42 cases of them were parathyroid adenoma and parathyroid hyperplasia in the other 28 cases. Among the different imaging modalities,the highest diag-nostic sensitivity belonged to the SPECT/CT. The ultrasound had highest specificity. The combination of the two methods had bet-ter performance. Conclusion SPECT/CT proved better in diagnosis than the planar scintigraphy in dual time. The combined of SPECT/CT and ultrasound examination can provide more information for the next treatment.
Keywords：Primary hyper parathyroidismSingle-photon emission computed tomographyUltrasonography
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 207-210 )