RADIONUCLIDE VISUALIZATION OF PARATHYROID GLANDS AND THEIR CLINICAL ROLE IN HYPERPARATHYROIDISM
Lecture subject is the radionuclide visualization of the hyper functioning parathyroid glands. Hyperparathyroidism is among the three most common endocrinological diseases and is the most frequent cause of hypercalcemia. The extension of indications for surgical treatment of hyperparathyroidism and the development of minimally invasive techniques require accurate preoperative topical diagnosis. Radionuclide methods provide the opportunity, especially in primary and tertiary hyperparathyroidism, and are most important is their role in persistence and recurrence of the hyperparathyroidism. In the article radiopharmaceuticals and techniques in current use, interpretation of results, indications for the diagnostics and clinical relevance for primary, secondary, and recurrent hyperparathyroidism are discussed. Special attention is paid to the use of radioactive indicators in minimally invasive radio-assisted parathyroidectomy.