THE ADVANTAGE OF DOUBLE PHASE99™ TC-MIBI SCINTIGRAPHY OVER DUAL-TRACER SUBTRACTION METHOD IN TERTIARY HYPERPARATHYROIDISM WITH SICK EUTHYROID SYNDROME
Keywords:
Sick euthyroid syndrome, parathyroid scintigraphy, tertiary hyperparathyroidism, chronic renal failureAbstract
Pre-operative parathyroid scintigraphy can be performed by 2 major means, dualtracer subtraction method and double-phase 99mTc-MIBI method. Although, the sensitivities of both techniques are similar, many types of patient cannot be studied using the former one. Here is a case of tertiary hyperparathyroidism in chronic renal failure who has co-existing sick euthyroid syndrome causing no uptake of 99mTc-pertechnetate. The double-phase 99mTc-MIBI technique in this type of patient is proven to be more useful.
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