Gu. Hung et al., Recurrent hyperfunctioning parathyroid gland demonstrated on radionuclide imaging and an intraoperative gamma probe, CLIN NUCL M, 25(5), 2000, pp. 348-350
Radionuclide imaging with Tc-99m MIBI is the preferred mode of parathyroid
localization in current practice. It also successfully identifies hyperfunc
tioning autotransplanted parathyroid tissue. The authors report a case with
recurrent hyperparathyroidism after total parathyroidectomy and autotransp
lantation in the forearm. Double-phase Tc-99m MIBI imaging successfully loc
alized the hyperfunctioning parathyroid tissue, which was missed by magneti
c resonance imaging and ultrasonography. In addition, the parathyroid tissu
e was localized using an intraoperative probe at subsequent surgery.