Diagnostic value of magnetic resonance for preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients
10.16066/j.1672-7002.2017.10.001
- VernacularTitle:磁共振成像在继发性甲状旁腺功能亢进症术前定位的诊断价值
- Author:
Yudong NING
1
;
Tiantian WANG
;
Shaojun BO
;
Hongyue LI
;
Xiaoqi YANG
;
Xianfa XU
Author Information
1. 北京大学民航临床医学院
- Keywords:
Hyperparathyroidism,Secondary;
Diagnosis;
Contrast Sensitivity;
Magnetic Resonance Imaging
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(10):497-500
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To make a research on the diagnostic value of Magnetic resonance image for preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients.METHODS This retrospective study was on 51 patients with secondary hyperparathyroidism who underwent parathyroid gland resection and autoplastic transplantation and were examined with Magnetic resonance imaging 99mTC-MIBI nuclide imaging and Color doppler ultrasound in our hospital from 2010 to 2016.Compare to the gold standard of pathological diagnosis after operation,the sensitivity of various imaging examination on identifying the parathyroid glands were calculated.RESULTS The number of parathyroid glands diagnosed by pathology was 197,including 180 conventional parathyroid glands and 17 eetopic parathyroid glands.The sensitivity of MRI,99mTC-MIBI nuclide imaging and Color doppler ultrasound on identifying the conventional parathyroid glands was 76.67％,51.11％ and 44.44％ respectively,and the sensitivity on identifying the ectopic parathyroid was 29.41％,0 and 0 respectively.Sensitivity of the Magnetic resonance on identifying the conventional parathyroid and the ectopic parathyroid imagin were better than 99mTC-MIBI nuclide imaging and color doppler(P＜0.05).CONCLUSION Magnetic resonance imaging is an effective auxiliary examination on preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients and can be the first choice of the image examination.
