Medicina NuclearDiagnóstico de la patología de tiroides y paratiroides

  1. Paloma García-Talavera 1
  2. Luis Gonzaga Diaz-González 1
  3. Esther Martín-Gómez 1
  4. Andrea Carolina Peñaherrera-Cepeda 1
  5. Sara López-Puche 1
  6. Pilar Tamayo-Alonso 1
  1. 1 Hospital Universitario de Salamanca
    info

    Hospital Universitario de Salamanca

    Salamanca, España

    ROR https://ror.org/0131vfw26

Revista:
Revista ORL

ISSN: 2444-7986 2444-7986

Año de publicación: 2020

Volumen: 11

Volumen: 3

Páginas: 283-295

Tipo: Artículo

DOI: 10.14201/ORL.21496 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista ORL

Objetivos de desarrollo sostenible

Resumen

Introduction and objective: Nuclear Medicine has a relevant role in the study of thyroid and parathyroid gland pathology. The aim of this work is to review the imaging techniques available nowadays in Nuclear Medicine, to study this pathology. Synthesis: Thyroid scinthigraphy is, even today, a useful tool in the study of thyroid pathology, such us in the thyroid nodule or in congenital hypothyroidism. SPECT-CT, compared to whole body scintigraphy (WBS) with radioiodine, improve the diagnosis and change the therapeutic management in patients with differentiated thyroid cancer, at the same time that, added to the parathyroid scintigraphy, it helps planning the surgery, especially in ectopic adenomas. PET-CT with FDG and other tracers has a relevant role in several indications and histology types of thyroid cancer, although mainly in the suspicion of recurrence. In addition, Fluorocholine PET-CT is an excellent alternative, with high successful localization rate, in cases with primary hyperparathyroidism (pHPT) and negative conventional techniques. Conclusions: With technical advances in the area of Nuclear Medicine, and particularly with hybrid imaging, the study of thyroid pathology has improved, especially in thyroid cancer, as well as pre-surgical localization of pHPT.

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