Localization of hyperfunctioning parathyroid glands by means of thallium-201 and iodine-131 subtraction scintigraphy in patients with primary and secondary hyperparathyroidism

• Published in: Annals of nuclear medicine Vol. 6; no. 3; pp. 185 - 190
• Main Authors: Suehiro, Mitsuko, Fukuchi, Minoru
• Format: Journal Article
• Language: English
• Published: Japan 01.09.1992
• Subjects: Adenoma - complications; Adenoma - diagnostic imaging; Adenoma - physiopathology; Adult; Aged; Aged, 80 and over; Female; Humans; Hyperparathyroidism - diagnostic imaging; Hyperparathyroidism - etiology; Hyperparathyroidism - physiopathology; Hyperparathyroidism, Secondary - diagnostic imaging; Hyperparathyroidism, Secondary - etiology; Hyperparathyroidism, Secondary - physiopathology; Iodine Radioisotopes; Male; Middle Aged; Neoplasms, Multiple Primary - complications; Neoplasms, Multiple Primary - diagnostic imaging; Neoplasms, Multiple Primary - physiopathology; Parathyroid Glands - diagnostic imaging; Parathyroid Glands - physiopathology; Parathyroid Neoplasms - complications; Parathyroid Neoplasms - diagnostic imaging; Parathyroid Neoplasms - physiopathology; Preoperative Care; Radionuclide Imaging; Subtraction Technique; Thallium Radioisotopes
• ISSN: 0914-7187; 1864-6433
• DOI: 10.1007/BF03178311

The accuracy of the preoperative localization of hyperfunctioning parathyroid glands by subtraction scintigraphy with 201Tl and 131I was evaluated by comparison with the operative findings. The subjects were 67 consecutive patients with hyperparathyroidism (HPT), including 24 with primary and 43 with secondary HPT. In primary HPT, surgery revealed 26 adenomas weighing 0.26-15.80 g (mean +/- SD; 3.01 +/- 3.04 g). Two patients had double adenomas. Scintigraphy correctly localized 25/26 adenomas (96.2%) in primary HPT for a sensitivity, specificity, and accuracy of 96.2%, 98.5%, and 97.9%, respectively. In secondary HPT, 163 hyperplastic glands weighing 0.03-5.08 g (0.85 +/- 0.93 g) were found. Scintigraphy correctly localized 79 glands (48.5%) weighing 0.03-5.08 g (1.19 +/- 1.10 g), but 84 glands (51.5%) weighing 0.04-2.70 g (0.51 +/- 0.50 g) were not detected. Thus, the sensitivity, specificity, and accuracy of scintigraphy were respectively 48.5%, 100%, and 51.2%, in secondary HPT. These results show that scintigraphy with 201Tl and 131I can be used to locate abnormal parathyroid glands with an efficacy equal to or better than that of the conventional methods with 201Tl and 99mTc or 201Tl and 123I.