parathyroid Flashcards
most common cause of hyperparathyroidism?
hyperfunctioning adenoma (85%)
what two factors does sestamibi parathyroid imaging depend on?
mitochondrial density and blood flow
What lesions in the head and neck like to take up sestamibi besides parathyroid adenomas?
thyroid nodules
head and neck cancers
lymphadenopathy
brown fat
What tracers could be used in a dual tracer technique in parathyroid imaging?
- Tc99 sestamibi or 201 thallium chloride
2. I-123 or pertechnetate
Should you see physiologic uptake in lymph nodes on a sestamibi scan?
no! if you see sestamibi uptake in lymph nodes you should be highly suspicious of cancer
if you see breast uptake on a sestamibi scan…
it’s breast cancer
Breast Specific Gamma Imaging (BSGI) also uses sestamibi to look for breast cancer