[18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency

Minimally invasive parathyroidectomy is the treatment of choice in patients with primary hyperparathyroidism (PHP), but it needs a reliable preoperative localization method to detect hyperfunctioning parathyroid tissue. Higher sensitivity and lower radiation exposure was demonstrated for [18F]fluoro...

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Main Authors: Rep Sebastijan, Sirca Klara, Lezaic Ema Macek, Zaletel Katja, Hocevar Marko, Lezaic Luka
Format: Article
Language:English
Published: Sciendo 2024-11-01
Series:Radiology and Oncology
Subjects:
Online Access:https://doi.org/10.2478/raon-2024-0058
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author Rep Sebastijan
Sirca Klara
Lezaic Ema Macek
Zaletel Katja
Hocevar Marko
Lezaic Luka
author_facet Rep Sebastijan
Sirca Klara
Lezaic Ema Macek
Zaletel Katja
Hocevar Marko
Lezaic Luka
author_sort Rep Sebastijan
collection DOAJ
description Minimally invasive parathyroidectomy is the treatment of choice in patients with primary hyperparathyroidism (PHP), but it needs a reliable preoperative localization method to detect hyperfunctioning parathyroid tissue. Higher sensitivity and lower radiation exposure was demonstrated for [18F]fluorocholine PET/CT (FCh-PET/CT) in comparison to [99mTc]sestamibi (MIBI) scintigraphy. However, data of its efficiency in resource use and patient outcomes is lacking. The aim of our study was to determine the resource efficiency and patient outcomes of FCh-PET/CT in comparison to conventional MIBI scintigraphy.
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institution Kabale University
issn 1581-3207
language English
publishDate 2024-11-01
publisher Sciendo
record_format Article
series Radiology and Oncology
spelling doaj-art-bd6e12e5156c405c93de053a456121842025-01-07T07:56:43ZengSciendoRadiology and Oncology1581-32072024-11-0158448649310.2478/raon-2024-0058[18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiencyRep Sebastijan0Sirca Klara1Lezaic Ema Macek2Zaletel Katja3Hocevar Marko4Lezaic Luka5Division of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Oncological Surgery, Institute of Oncology Ljubljana, Ljubljana, SloveniaCharité Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, GermanyDivision of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Oncological Surgery, Institute of Oncology Ljubljana, Ljubljana, SloveniaDivision of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, SloveniaMinimally invasive parathyroidectomy is the treatment of choice in patients with primary hyperparathyroidism (PHP), but it needs a reliable preoperative localization method to detect hyperfunctioning parathyroid tissue. Higher sensitivity and lower radiation exposure was demonstrated for [18F]fluorocholine PET/CT (FCh-PET/CT) in comparison to [99mTc]sestamibi (MIBI) scintigraphy. However, data of its efficiency in resource use and patient outcomes is lacking. The aim of our study was to determine the resource efficiency and patient outcomes of FCh-PET/CT in comparison to conventional MIBI scintigraphy.https://doi.org/10.2478/raon-2024-0058hyperparathyroidismsurgeryparathyroidectomycost-effectiveness[18f]choline[99mtc]sestamibipet/ctspect/ct
spellingShingle Rep Sebastijan
Sirca Klara
Lezaic Ema Macek
Zaletel Katja
Hocevar Marko
Lezaic Luka
[18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
Radiology and Oncology
hyperparathyroidism
surgery
parathyroidectomy
cost-effectiveness
[18f]choline
[99mtc]sestamibi
pet/ct
spect/ct
title [18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
title_full [18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
title_fullStr [18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
title_full_unstemmed [18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
title_short [18F]fluorocholine PET vs. [99mTc]sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism: outcomes and resource efficiency
title_sort 18f fluorocholine pet vs 99mtc sestamibi scintigraphy for detection and localization of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism outcomes and resource efficiency
topic hyperparathyroidism
surgery
parathyroidectomy
cost-effectiveness
[18f]choline
[99mtc]sestamibi
pet/ct
spect/ct
url https://doi.org/10.2478/raon-2024-0058
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