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This book provides a visual demonstration of normal and ectopic locations of parathyroid adenomas using different modalities in patients with PHPT and to describe parathyroid gland–related pathology. It includes several modern imaging modalities for localization of parathyroid glands and parathyroid adenomas, such as Sestamibi scan, SPECT/CT Sestamibi scan, neck ultrasound, MRI, thin-cut CT, and 4D CT scans. Written by experts in the field, chapters include pathology images corresponding to radiology imaging for some presented cases (gross and high-power view). Authors have also collected radiological images of difficult-to-localize parathyroid adenomas in ectopic (abnormal) locations. The atlas is organized by location of the adenomas in upper and lower eutopic locations followed by ectopic locations. Each case demonstrates dual or triple modalities such as US, Sestamibi scan, or SPECT/CT Sestamibi scan, thin-cut CT scan, or 4D CT performed on the same patient. A chapter on parathyroid pathology is also included to help the reader understand challenges in pathological interpretation.
Atlas of Parathyroid Imaging and Pathology serves as a valuable reference for radiologists, endocrine surgeons, head and neck surgeons, ENT surgeons, surgical oncologists, endocrinologists, pathologists, nephrologists, students, and all physicians and allayed health practitioners involved in the treatment of patients with primary, secondary, and tertiary hyperparathyroidism.
Pages i-xii
Pages 1-1
Alexander L. Shifrin, Pritinder K. Thind
Pages 3-9
Scintigraphic Parathyroid Imaging
Pritinder K. Thind
Pages 11-14
Pathology of the Parathyroid Glands
Min Zheng, Virginia A. LiVolsi
Pages 15-31
Pages 33-33
Right Superior Parathyroid Adenoma
Alexander L. Shifrin, Pritinder K. Thind
Pages 35-45
Right Inferior Parathyroid Adenoma
Alexander L. Shifrin, Pritinder K. Thind
Pages 47-69
Left Superior Parathyroid Adenoma
Alexander L. Shifrin, Pritinder K. Thind
Pages 71-82
Left Inferior Parathyroid Adenoma
Alexander L. Shifrin, Pritinder K. Thind
Pages 83-98
Pages 99-99
Alexander L. Shifrin, Pritinder K. Thind
Pages 101-132
Imaging of the Parathyroid Carcinoma
Alexander L. Shifrin, Pritinder K. Thind, Hubert H. Chuang, Nancy D. Perrier
Pages 133-142
Pages 143-143
Motivation for Imaging Studies
L. Daniel Neistadt
Pages 145-147
L. Daniel Neistadt
Pages 149-150
L. Daniel Neistadt
Pages 151-152
L. Daniel Neistadt
Pages 153-155
Sources of False Positive and False Negative Enlarged Parathyroid Glands
L. Daniel Neistadt
Pages 157-159
L. Daniel Neistadt
Pages 161-162
Shape, Number, and Size of Parathyroids
L. Daniel Neistadt
Pages 163-164
Location of Parathyroid Glands
L. Daniel Neistadt
Pages 165-168
L. Daniel Neistadt
Pages 169-170
Rare Parathyroid Presentations
L. Daniel Neistadt
Pages 171-173
L. Daniel Neistadt
Pages 175-252
Summary: CT Scan of the Neck in the Evaluation of Parathyroid Glands
L. Daniel Neistadt
Pages 253-254
Pages 255-255
Invasive Techniques for Parathyroid Localization
Richard Chang
Pages 257-270
Pages 271-271
MRI for Imaging Parathyroid Disease
Jennifer L. Becker, Puneet S. Pawha, Kambiz Nael
Pages 273-279
Pages 281-283
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