Nuclear medicine diagnosis is an important discipline in cancer searching. By using reliable radiopharmaceuticals practically all organs can be investigated, especially bone cancer.
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Neuroendocrine neoplasms of the gastrointestinal tract.
Dtsch Arztebl Int
May 2011
Klinik für Endokrinologie, Diabetologie und Rheumatologie, Universitätsklinikum Düsseldorf.
Background: Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are complex tumors whose incidence is rising and whose treatment requires precise classification and risk stratification.
Method: Selective review of the relevant literature, including recently published guidelines.
Results: GEP-NENs are initially classified by their degree of histological differentiation and their graded cell proliferation (Ki-67 index).
[Radio-guided parathyroidectomy].
G Chir
May 2010
Università degli Studi di Messina, Facoltà di Medicina e Chirurgia, Cattedra di Chirurgia Generale.
The Authors, after a careful review of literature about the instrumental diagnostic techniques (with particular attention to the nuclear-medical ones) and the surgical therapy of parathyroid diseases, report their experience on the use of the radio-guided mininvasive surgery with MIBI and gamma-probe for intraoperative localization of pathological glands. Once exposed their experience, the Authors conclude asserting that this technique is fast, slightly invasive and expensive, and certainly useful for the detection of pathological or ectopic glands. It can be widely employed because, in comparison to its numerous advantages, such as the reduction of the operating time and of the hospital-stay, the greater radicality and the possibility to use mininvasive techniques, it does not present significant technical limitations and/or radio-protectionistic problems.
View Article and Find Full Text PDF[Radio-guided parathyroidectomy. A prospective study in 54 patients with primary hyperparathyroidism].
Minerva Endocrinol
March 2001
Istituto di Clinica Chirurgica III, Azienda Ospedaliera, Università degli Studi, Padua, Italy.
Background: The contribution of nuclear-medical mapping using 99mTc-MIBI (MIBI) and the use of an intraoperative probe in primary hyperparathyroidism (I degrees HPT) surgery was evaluated prospectively in a series of patients undergoing parathyroidectomy.
Methods: Fifty-four patients, who were operated between May 1999 and July 2000, under-went a systematic preoperative evaluation using scintigraphy with a dual tracer 99Tc04/MIBI and image subtraction, and high-resolution neck ecotomography. Surgery was performed using a mini-invasive technique through an incision measuring 2-2.
[Diagnosis and surgical tactics in adrenal gland tumors].
Zentralbl Chir
May 1988
Zentrum für Chirurgie, Städtischen Klinikums Nürnberg.
Adrenal tumours are relatively rare. For localisation and reliable identification, stepwise radiological or nuclearmedical diagnosis should be added to targeted endocrinological diagnosis. Highest accuracy has been recordable from computed tomography, followed by phlebography, and arterial angiography.
View Article and Find Full Text PDFAn internistically and nephrologically as well as paediatrically well preexamined and selected group of patients in particular cases needs for the judgment of the renal function and capacity a nuclear-medical diagnostics which passes these preexaminations. Renal sequence scintigraphy including the trend scintigraphy and examinations of the renal clearance with side-separated judgment of the renal clearance with side-separated judgment of the function are at our disposal. The indication of these techniques and the value of evidence are demonstrated with the help of problem cases.
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