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Journal of Nuclear Medicine

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OtherContinuing Education

Preoperative Localization and Radioguided Parathyroid Surgery

Giuliano Mariani, Seza A. Gulec, Domenico Rubello, Giuseppe Boni, Marco Puccini, Maria Rosa Pelizzo, Gianpiero Manca, Dario Casara, Guido Sotti, Paola Erba, Duccio Volterrani and Armando E. Giuliano
Journal of Nuclear Medicine September 2003, 44 (9) 1443-1458;
Giuliano Mariani
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Seza A. Gulec
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Domenico Rubello
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Giuseppe Boni
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Marco Puccini
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Maria Rosa Pelizzo
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Gianpiero Manca
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Dario Casara
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Guido Sotti
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Paola Erba
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Duccio Volterrani
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Armando E. Giuliano
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FIGURE 3.

FIGURE 3.
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FIGURE 3.

Classical single-tracer, double-phase parathyroid scintigraphy with 99mTc-sestamibi. (Left) Image at 15 min shows physiologic early uptake in thyroid gland, with clear focus of moderately increased accumulation at lower pole of right thyroid lobe. (Right) Late scan shows almost complete washout of 99mTc-sestamibi from thyroid gland, with obvious focal retention of radioactivity at lower pole of right thyroid lobe. Minimally invasive radioguided surgery confirmed presence of parathyroid adenoma.

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Journal of Nuclear Medicine: 66 (5)
Journal of Nuclear Medicine
Vol. 66, Issue 5
May 1, 2025
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Preoperative Localization and Radioguided Parathyroid Surgery
Giuliano Mariani, Seza A. Gulec, Domenico Rubello, Giuseppe Boni, Marco Puccini, Maria Rosa Pelizzo, Gianpiero Manca, Dario Casara, Guido Sotti, Paola Erba, Duccio Volterrani, Armando E. Giuliano
Journal of Nuclear Medicine Sep 2003, 44 (9) 1443-1458;

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Preoperative Localization and Radioguided Parathyroid Surgery
Giuliano Mariani, Seza A. Gulec, Domenico Rubello, Giuseppe Boni, Marco Puccini, Maria Rosa Pelizzo, Gianpiero Manca, Dario Casara, Guido Sotti, Paola Erba, Duccio Volterrani, Armando E. Giuliano
Journal of Nuclear Medicine Sep 2003, 44 (9) 1443-1458;
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Cited By...

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  • Radioguided parathyroidectomy in forearm graft for recurrent hyperparathyroidism
  • Parathyroid Imaging and Localization Using SPECT/CT: Initial Results
  • Preoperative 123I/99mTc-Sestamibi Subtraction SPECT and SPECT/CT in Primary Hyperparathyroidism
  • Pinhole Versus Parallel-Hole Collimators for Parathyroid Imaging: An Intraindividual Comparison
  • Differences in Accuracy of 99mTc-Sestamibi Scanning Between Severe and Mild Forms of Primary Hyperparathyroidism
  • Subtraction SPECT for Parathyroid Scintigraphy Based on Maximization of Mutual Information
  • Is the "Ideal" {gamma}-Probe for Intraoperative Radioguided Surgery Conceivable?
  • Radioguided Surgery of Primary Hyperparathyroidism Using the Low-Dose 99mTc-Sestamibi Protocol: Multiinstitutional Experience from the Italian Study Group on Radioguided Surgery and Immunoscintigraphy (GISCRIS)
  • The Value of 99mTc-Sestamibi SPECT/CT over Conventional SPECT in the Evaluation of Parathyroid Adenomas or Hyperplasia
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