多种影像学技术在甲状旁腺功能亢进症术前定位和诊断中的应用进展  

Application progress of multiple imaging modalities in preoperative localization and diagnosis of hyperparathyroidism

作　　者：谢玉洁 岳殿超[1] Xie Yujie;Yue Dianchao(Department of Nuclear Medicine,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院核医学科,广州510080

出　　处：《国际放射医学核医学杂志》2021年第1期47-53,共7页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：甲状旁腺功能亢进症(HPT)的主要治疗方法为手术治疗,准确的术前影像学定位对手术至关重要。目前HPT手术的术前定位方法有很多种,包括超声、甲状旁腺核素平面显像、CT和MRI。超声、CT、MRI可显示颈部病灶的位置及解剖关系,甲状旁腺核素平面显像可以相对特异地定位病变的甲状旁腺,但均存在一定的局限性。甲状旁腺体积小,数量与位置多变异,SPECT/CT、PET/CT、超声造影、四维CT和四维MRI的应用,可进一步提高HPT术前定位的灵敏度、准确率和手术成功率。笔者旨在介绍并分析各种甲状旁腺影像学检查的优劣势。The best management of hyperparathyroidism(HPT)is surgical treatment,accurate preoperative imaging localization is very important for operation.At present,there are many common preoperative localization methods for parathyroid surgery,including ultrasound,parathyroid radionuclide imaging,CT and MRI.Ultrasound,CT and MRI can show the location and anatomical relationship of neck lesions.Parathyroid radionuclide imaging can locate the parathyroid gland relatively specifically,but there are some limitations.The parathyroid gland is small in size and varied in number and position.The application of SPECT/CT,PET/CT,contrast-enhanced ultrasound,four-dimensional CT and four-dimensional MRI can further improve the sensitivity,accuracy and success rate of preoperative localization of parathyroid gland.The purpose of this paper is to introduce and analyze the advantages and disadvantages of various imaging methods of parathyroid gland.

关 键 词：甲状旁腺功能亢进症 体层摄影术 发射型计算机 单光子 四维计算机体层摄影术 磁共振成像 放射性核素显像 

分 类 号：R653[医药卫生—外科学]