Main description:

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.

Contents:

Part I. Ultrasound, Sestamibi Scan, and Pathology of the Parathyroid Glands
1 Parathyroid Ultrasound

2 Scintigraphic Parathyroid Imaging

3 Pathology of the Parathyroid Glands

Part II. Normal Anatomical Location of the Parathyroid Glands Adenomas: Ultrasound, Sestamibi Scan, and Gross Pathology

4 Right Superior Parathyroid Adenoma

5 Right Inferior Parathyroid Adenoma

6 Left Superior Parathyroid Adenoma

7 Left Inferior Parathyroid Adenoma

8 Ultrasonography, Sestamibi Scan, and SPECT/CT Sestamibi Scan of an Intrathyroidal Parathyroid Adenoma and Cystic Parathyroid Adenoma

9 Imaging of the Parathyroid Carcinoma

Part III. CT Scan of the Neck in Evaluation of Parathyroid Glands

10 Motivation for Imaging Studies

11 Contrast CT Approach

12 The CT Technique

13 Individual CT Phases

14 Sources of False Positive and False Negative Enlarged Parathyroid Glands

15 Correlative Ultrasound

16 Shape, Number, and Size of Parathyroids

17 Location of Parathyroid Glands

18 Multigland Disease

19 Rare Parathyroid Presentations

20 Illustrative Cases

21 Summary: CT Scan of the Neck in the Evaluation of Parathyroid Glands

22 Invasive Techniques for Parathyroid Localization

Part IV. MRI of the Parathyroid Glands

23 MRI of the Parathyroid Glands