How to perform parathyroid 4D CT: tips and traps for technique and interpretation.

Radiology

From the Department of Radiology, Division of Neuroradiology, Duke University Medical Center, Box 3808, Erwin Rd, Durham NC, 27710 (J.K.H., W.K.S., M.B.); and Department of Radiology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, NY (C.D.P.).

Published: January 2014

Parathyroid four-dimensional (4D) computed tomography (CT) is an imaging technique for preoperative localization of parathyroid adenomas that involves multidetector CT image acquisition during two or more contrast enhancement phases. Four-dimensional CT offers an alternative or additional tool in the evaluation of primary hyperparathyroidism. The purpose of this article is to describe the 4D CT technique and provide a practical guide to the radiologist for imaging interpretation. The article will discuss the rationale for imaging, approach to interpretation, imaging findings, and pitfalls.

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Source
http://dx.doi.org/10.1148/radiol.13122661DOI Listing

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