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Copyright © 2006 American Medical Association. All rights reserved.

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Presentation on theme: "Copyright © 2006 American Medical Association. All rights reserved."— Presentation transcript:

1 Copyright © 2006 American Medical Association. All rights reserved.
From: Unilateral Cervical Surgical Exploration Aided by Intraoperative Parathyroid Hormone Monitoring in Patients With Primary Hyperparathyroidism and Equivocal Sestamibi Scan Results Arch Surg. 2006;141(6): doi: /archsurg Figure Legend: An initial image after the injection of 925 MBq of technetium Tc 99m sestamibi shows a left inferior parathyroid adenoma. This is representative of a positive parathyroid scan result. Date of download: 12/17/2017 Copyright © 2006 American Medical Association. All rights reserved.

2 Copyright © 2006 American Medical Association. All rights reserved.
From: Unilateral Cervical Surgical Exploration Aided by Intraoperative Parathyroid Hormone Monitoring in Patients With Primary Hyperparathyroidism and Equivocal Sestamibi Scan Results Arch Surg. 2006;141(6): doi: /archsurg Figure Legend: Representative equivocal parathyroid technetium Tc 99m sestamibi scan results. A, An initial image at 15 minutes after the injection of 925 MBq of technetium Tc 99m sestamibi shows some asymmetry between the right and left sides of the neck. B, A delayed image at 120 minutes after the injection of 925 MBq of technetium Tc 99m sestamibi shows asymmetry between the right and left sides of the neck with increased retention of the isotope in a location corresponding to a right inferior parathyroid adenoma. C, An initial pinhole image at 15 minutes after the injection of 925 MBq of technetium Tc 99m sestamibi shows some asymmetry between the right and left sides of the neck with increased intensity on the left side of the neck. Date of download: 12/17/2017 Copyright © 2006 American Medical Association. All rights reserved.

3 Copyright © 2006 American Medical Association. All rights reserved.
From: Unilateral Cervical Surgical Exploration Aided by Intraoperative Parathyroid Hormone Monitoring in Patients With Primary Hyperparathyroidism and Equivocal Sestamibi Scan Results Arch Surg. 2006;141(6): doi: /archsurg Figure Legend: Overall prospective algorithm for patients with primary hyperparathyroidism referred for parathyroidectomy. iPTH indicates intraoperative parathyroid hormone; MIRP, minimally invasive radioguided parathyroidectomy. Date of download: 12/17/2017 Copyright © 2006 American Medical Association. All rights reserved.

4 Copyright © 2006 American Medical Association. All rights reserved.
From: Unilateral Cervical Surgical Exploration Aided by Intraoperative Parathyroid Hormone Monitoring in Patients With Primary Hyperparathyroidism and Equivocal Sestamibi Scan Results Arch Surg. 2006;141(6): doi: /archsurg Figure Legend: Overall scheme of patients with equivocal parathyroid scan results who underwent unilateral or bilateral neck surgical explorations. MIBI indicates technetium Tc 99m sestamibi. Date of download: 12/17/2017 Copyright © 2006 American Medical Association. All rights reserved.

5 Copyright © 2006 American Medical Association. All rights reserved.
From: Unilateral Cervical Surgical Exploration Aided by Intraoperative Parathyroid Hormone Monitoring in Patients With Primary Hyperparathyroidism and Equivocal Sestamibi Scan Results Arch Surg. 2006;141(6): doi: /archsurg Figure Legend: Outcomes of the 33 patients with equivocal parathyroid scan results who underwent bilateral cervical surgical explorations. iPTH indicates intraoperative parathyroid hormone. Date of download: 12/17/2017 Copyright © 2006 American Medical Association. All rights reserved.


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