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Twenty-three consecutive patients who underwent reoperation for persistent primary hyperparathyroidism were studied with computerized technetium/thallium scans to evaluate it as a localization test. Prospective and blinded retrospective readings of the scans were correlated with findings at surgery. Computerized technetium/thallium scanning detected 52% of the parathyroid adenomas found at surgery. Forty-two percent of adenomas were localized exactly. There were no false positive scans. No normal parathyroid glands were imaged. No mediastinal glands were imaged. The study was not observer dependent. We conclude that computerized technetium/thallium scanning is helpful in patients undergoing parathyroid reoperation. If positive, it can accurately localize adenomas. If negative, we recommend more invasive studies.
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
January 1987,
Cleveland Clinic journal of medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
June 1990,
Postgraduate medical journal,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
January 1991,
Journal of the Royal Society of Medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
August 1998,
Journal of nuclear medicine : official publication, Society of Nuclear Medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
June 1990,
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
March 1987,
Archives of internal medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
June 1988,
Archives of internal medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
October 1987,
Acta chirurgica Scandinavica,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
November 1984,
Journal of nuclear medicine : official publication, Society of Nuclear Medicine,
J M Skibber, and
J C Reynolds, and
A M Spiegel, and
S J Marx, and
L A Fitzpatrick, and
G D Aurbach, and
R A Wesley, and
J A Norton
January 1988,
Nephrologie,
