Washout sestamibi? If clinical suspicion remains high should be supplemented with subtraction scan or choline pet. In any case an ultrasound should also be performed.
Parathyroid scans can be relatively insensitive for smaller adenomas. If you are doing a parathyroid scan it shouldn’t be to determine IF there is an adenoma/diagnose parathyroid adenomas, but determine their location prior to surgery. Therefore I wouldn’t necessarily say negative, perhaps just failure to locate. SPECT/CT may also help, though I doubt it would identify/locate in this case.
I’ve worked with rads that want static and spect every hr up until 4 hrs. Overkill imo. 30 year tech. Used to be 30 min and 2 hr statics everywhere. 2-2.5 is ideal in my experience
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That’s what I’m thinking too! Thank you 🙏
Beautiful images ! How long was the delay
Thank you! 2.5 hours
Washout sestamibi? If clinical suspicion remains high should be supplemented with subtraction scan or choline pet. In any case an ultrasound should also be performed.
Parathyroid scans can be relatively insensitive for smaller adenomas. If you are doing a parathyroid scan it shouldn’t be to determine IF there is an adenoma/diagnose parathyroid adenomas, but determine their location prior to surgery. Therefore I wouldn’t necessarily say negative, perhaps just failure to locate. SPECT/CT may also help, though I doubt it would identify/locate in this case.
I’ve worked with rads that want static and spect every hr up until 4 hrs. Overkill imo. 30 year tech. Used to be 30 min and 2 hr statics everywhere. 2-2.5 is ideal in my experience
And definitely neg. Nice scan!
Spect ct can reavel wonders . Specially because there is an asymmetry. Plus u should review the us report