99mTc-Sestamibi: Clinical Applications by Stefan Guhlke (auth.), Jan Bucerius, Hojjat Ahmadzadehfar,

By Stefan Guhlke (auth.), Jan Bucerius, Hojjat Ahmadzadehfar, Hans-Jürgen Biersack (eds.)

99mTc-sestamibi is a single-photon emission computed tomography (SPECT) radiotracer that's ordinary for the imaging of myocardial perfusion, in addition to various malignant and benign ailments. 99mTc-Sestamibi – medical functions offers a close and informative evaluation of just about all of the oncologic and non-oncologic functions of 99mTc-sestamibi SPECT, together with numerous fairly infrequent symptoms. diverse disease-related protocols for 99mTc-sestamibi SPECT are provided, and for every disorder a finished precis of the correct pathology and epidemiology is supplied. all through, there's a powerful emphasis at the useful features of use of this well known tracer, together with directions for the instruction of numerous commercially to be had tracer kits. medical practitioners will locate this ebook to be a useful consultant to the applying and merits of 99mTc-sestamibi SPECT in either the inpatient and the outpatient setting.

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Extra resources for 99mTc-Sestamibi: Clinical Applications

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6 Effects on Ability to Drive and Use Machines Tc-99m-sestamibi has no influence on the ability to drive and use machines. 7 Undesirable Effects [1] For each patient, exposure to ionizing radiation must be justified on the basis of likely benefit, and the radiation dose should be kept as low as reasonably possible without affecting the intended diagnostic or therapeutic result. As investigations are generally performed with low radiation doses of less than 20 mSv, the adverse events are expected to occur with a very low probability.

Frozensection analysis of that tissue during parathyroid surgery need not be performed, and the intraoperative measurement of parathyroid hormone is unnecessary. However, Friedman et al. [75] stated in the “Guidelines for Radioguided Parathyroid Surgery” that the ex vivo radioactivity percentages greater than 20% above background clearly can differentiate hyperactive parathyroid tissue from any other tissue, but no definitive conclusions can be made to differentiate single-gland disease from multigland disease (parathyroid hyperplasia or multiple adenoma).

Conversion to a bilateral operation was required in one unilateral neck exploration patient because no adenoma was found on one side. The total operative time for the unilateral procedure was significantly shorter than for bilateral neck exploration. All the results were histologically confirmed. Takebayashi et al. [38] reviewed the Sestamibi scans of 31 patients who underwent parathyroidectomies. The resected glands were investigated histologically. -J. Biersack and U. Heiden 61 hyperplastic parathyroids.

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