Parathyroid hyperplasia may be missed by double-phase Tc-99m sestamibi scintigraphy alone
Chen, E.M.; Mishkin, F.S.
Clinical Nuclear Medicine 22(4): 222-226
1997
ISSN/ISBN: 0363-9762 PMID: 9099476 Document Number: 480168
The authors report two cases of parathyroid imaging with double-phase Tc-99m sestamibi used in conjunction with Tc-99m pertechnetate that detected parathyroid hyperplasia when the wash out rate of MIBI from the glands paralleled normal thyroid tissue. Routine use of thyroid images for comparison may avoid this pitfall. The authors also observed that Tc-99m sestamibi has early uptake in brown tumors.
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