We will discuss the contribution of 4D-CT to imaging parathyroid adenomas and parathyroid hyperplasia and whether or not the technique is of value in the current radiation-conscious era.
A physician wishing to accurately diagnose and localize parathyroid tissue for minimally invasive parathyroid surgery (MIPS) has a number of potential choices. They may choose to not image the patient. They may utilize Tc-99m SESTAMIBI imaging with or without SPECT or CT fusion, they may order US, MRI, or CT studies. 4D-CT has gained attention as an accurate and reliable test to localize parathyroid tissue for MIPS. The questions regarding this technique are 1) does it answer the question reliably? and 2) is it worth the dose to an individual patient?
Phillips, C,
Loevner, L,
4DCT in Parathyroid Adenoma Search: Is It Worth the Dose?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14002737.html
