Em. Chen et Fs. Mishkin, PARATHYROID HYPERPLASIA MAY BE MISSED BY DOUBLE-PHASE TC-99M SESTAMIBI SCINTIGRAPHY ALONE, Clinical nuclear medicine, 22(4), 1997, pp. 222-226
The authors report two cases of parathyroid imaging with double-phase
Tc-99m sestamibi used in conjunction with Tc-99m pertechnetate that de
tected parathyroid hyperplasia when the wash out rate of MIBI from the
glands paralleled normal thryoid tissue, Routine use of thyroid image
s for comparison may avoid this pitfall. The authors also absented tha
t Tc-99m sestamibi has early uptake in brown tumors.