Radionuclide imaging in primary hyperparathyroidism using 99mTc sestamibi : Four case reports

Radionuclide imaging using the 99m Tc sestamibi either singly or as a subtraction technique with pertechnetate is a recent and reliable method in localising parathyroid adenomas prior to surgery. This is of use in pre-operative planning, as well as in failed first neck exploration. Four local patients with primary hyperparathyroidism whose parathyroidadenomas were localised by this scintigraphy are presented. The value and limitations of this imaging modality are discussed.