Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci
Introduction: Primary hyperparathyroidism is an endocrine disorder that causes disturbances in calcium and phosphorus metabolism in the human body. The most effective permanent treatment is surgery, which involves the removal of the affected gland. To locate such small glands, various imaging di...
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| Format: | Article |
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Kazimierz Wielki University
2025-06-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/60366 |
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| author | Laura Loryś Klaudia Klimczak Kamila Budzyńska Marcin Narloch Stanisław Kasprzak Karolina Kasprzak Jakub Kamiński Norbert Kandefer |
| author_facet | Laura Loryś Klaudia Klimczak Kamila Budzyńska Marcin Narloch Stanisław Kasprzak Karolina Kasprzak Jakub Kamiński Norbert Kandefer |
| author_sort | Laura Loryś |
| collection | DOAJ |
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Introduction:
Primary hyperparathyroidism is an endocrine disorder that causes disturbances in calcium and phosphorus metabolism in the human body. The most effective permanent treatment is surgery, which involves the removal of the affected gland. To locate such small glands, various imaging diagnostic methods, including nuclear medicine, are currently used. This study aims to review current imaging protocols for hyperparathyroid glands and compare first- and second-line methods, particularly in cases of ectopic foci.
Material and methods:
This review was prepared based on articles available on PubMed. The literature review was conducted using the following keywords: primary hyperparathyroidism, primary hyperparathyroidism imaging, primary hyperparathyroidism US, primary hyperparathyroidism MIBI, primary hyperparathyroidism PET/CT, primary hyperparathyroidism 4DCT, ectopic hyperparathyroidism imaging.
The current state of knowledge:
Primary hyperparathyroidism is a condition that can go unnoticed for an extended period. The diagnosis of the disease is based on laboratory tests, followed by the crucial step of locating the gland responsible for progressively causing damage to the body over time. Identifying the hyperactive gland is essential for performing a successful surgery and curing the patient. However, this often poses a significant challenge, due to the potential for ectopic gland locations.
Summary:
It is hard to unequivocally state the superiority of one imaging line over the other, as each has specific pros and cons in specific cases. However, in the case of ectopic foci, the 2nd imaging line shows promising results.
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| format | Article |
| id | doaj-art-63dc4ae1ea074328a2f2da9c69e6955b |
| institution | DOAJ |
| issn | 2391-8306 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-63dc4ae1ea074328a2f2da9c69e6955b2025-08-20T02:39:23ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-06-018210.12775/JEHS.2025.82.60366Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic fociLaura Loryś0https://orcid.org/0009-0002-4245-4898Klaudia Klimczak1https://orcid.org/0009-0000-6331-6043Kamila Budzyńska2https://orcid.org/0009-0002-4377-7189Marcin Narloch3https://orcid.org/0009-0005-8717-4031Stanisław Kasprzak4https://orcid.org/0009-0001-1748-0704Karolina Kasprzak5https://orcid.org/0009-0001-4287-6428Jakub Kamiński6https://orcid.org/0009-0008-0741-8107Norbert Kandefer7https://orcid.org/0009-0007-3743-59391st Military Clinical Hospital with SPZOZ Polyclinic in Lublin, PolandFryderyk Chopin University Clinical Hospital in Rzeszów, PolandFryderyk Chopin University Clinical Hospital in Rzeszów, PolandUniversity Clinical Hospital No. 4 in Lublin, Poland1st Military Clinical Hospital with SPZOZ Polyclinic in Lublin, PolandMedical University of Lublin1st Military Clinical Hospital with SPZOZ Polyclinic in Lublin, PolandSteafan Kardynał Wyszyński Province Specialist Hospital in Lublin, Poland Introduction: Primary hyperparathyroidism is an endocrine disorder that causes disturbances in calcium and phosphorus metabolism in the human body. The most effective permanent treatment is surgery, which involves the removal of the affected gland. To locate such small glands, various imaging diagnostic methods, including nuclear medicine, are currently used. This study aims to review current imaging protocols for hyperparathyroid glands and compare first- and second-line methods, particularly in cases of ectopic foci. Material and methods: This review was prepared based on articles available on PubMed. The literature review was conducted using the following keywords: primary hyperparathyroidism, primary hyperparathyroidism imaging, primary hyperparathyroidism US, primary hyperparathyroidism MIBI, primary hyperparathyroidism PET/CT, primary hyperparathyroidism 4DCT, ectopic hyperparathyroidism imaging. The current state of knowledge: Primary hyperparathyroidism is a condition that can go unnoticed for an extended period. The diagnosis of the disease is based on laboratory tests, followed by the crucial step of locating the gland responsible for progressively causing damage to the body over time. Identifying the hyperactive gland is essential for performing a successful surgery and curing the patient. However, this often poses a significant challenge, due to the potential for ectopic gland locations. Summary: It is hard to unequivocally state the superiority of one imaging line over the other, as each has specific pros and cons in specific cases. However, in the case of ectopic foci, the 2nd imaging line shows promising results. https://apcz.umk.pl/JEHS/article/view/60366ectopic hyperparathyroidismprimary hyperparathyroidism imaginghyperparathyroidism MIBIhyperparathyroidism ultrasoundhyperparathyroidism PET/CThyperparathyroidism 4DCT |
| spellingShingle | Laura Loryś Klaudia Klimczak Kamila Budzyńska Marcin Narloch Stanisław Kasprzak Karolina Kasprzak Jakub Kamiński Norbert Kandefer Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci Journal of Education, Health and Sport ectopic hyperparathyroidism primary hyperparathyroidism imaging hyperparathyroidism MIBI hyperparathyroidism ultrasound hyperparathyroidism PET/CT hyperparathyroidism 4DCT |
| title | Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| title_full | Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| title_fullStr | Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| title_full_unstemmed | Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| title_short | Comparison of first- and second-line imaging diagnostics (ultrasound + scintigraphy and PET + 4DCT) in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| title_sort | comparison of first and second line imaging diagnostics ultrasound scintigraphy and pet 4dct in visualizing parathyroid glands in primary hyperparathyroidism including ectopic foci |
| topic | ectopic hyperparathyroidism primary hyperparathyroidism imaging hyperparathyroidism MIBI hyperparathyroidism ultrasound hyperparathyroidism PET/CT hyperparathyroidism 4DCT |
| url | https://apcz.umk.pl/JEHS/article/view/60366 |
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