Summary
Single injection dual-phase MIBI thyroid scintigraphy was performed on 49 pts with a cold nodule on a previous Tc99m scintigraphy. In 8 pts the nodule displayed intense and persistent MIBI uptake (8 Hürthle cell tumors). In 23 pts the nodule displayed early intense uptake with late fading activity (9 benign and 14 malignant nodules). In 18 patients the nodule showed no MIBI uptake (3 malignant and 15 benign nodules). This tecnique is able to identify Hürthle cell tumors since they retain MIBI due to the presence of an abundant granular acidophilic cytoplasm represented by crowded mitochondria.
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References
McDonald RJ, Wu S, Jensen JL, et al. Malignant trasformation of a Hürthle cell tumor: case report and survey of the literature. J Nucl Med 1991; 32: 1266–1269.
Solbiati L, Volterrani L, Rizzato G, et al. The thyroid gland with low uptake lesions: evaluation by ultrasound. Radiology 1985; 155: 187–191.
Ochi H, Sawa H, Fukuda T, et al. Thallium-201-chloride thyroid scintigraphy to evaluate benign and/or malignant nodules. Cancer 1982; 50: 236–240.
Bleichrodt RP, Vermey A, Piers A, et al. Early and delayed thallium 201 imaging. Diagnosis of patients with cold thyroid nodules. Cancer 1987; 60: 2621–2623.
Henze E, Roth J, Boerer H, et al. Diagnostic value of early and delayed T1–201 thyroid scintigraphy in the evaluation of cold nodules for malignancy. Eur J Nucl Med 1986; 211: 413–416.
Hardoff R, Baron E and Sheinfeld M. Early and late lesion-to-non-lesion ratio of thallium-201-chloride uptake in the evaluation of “cold” thyroid nodules. J Nucl Med 1991; 32: 1873–1876.
Taillefer R, Lambert R, Dupras G, et al. Clinical comparison between thallium-201 and Tc99m-methoxy isobutyl isonitrile (hexamibi) myocardial perfusion imaging for detection for coronary artery disease. Eur J Nucl Med 1989; 15: 280–286.
Vattimo A, Bertelli P and Burroni L. Effective visualization of suppressed thyroid tissue by means of baseline Methoxy-isobutylisonitrile in comparison with Tc99m pertechnetate scintigraphy after TSH stimulation. J Nucl Biol Med 1992; 36: 315–318.
Taillefer R, Boucher Y, Potvin C, et al. Detection and localization of parathyroid adenomas in patients with hyperparathyroidism using a single radionuclide imaging procedure with technetium-99m-sestamibi (double-phase study). J Nucl Med 1992; 33: 1801–1807.
Földes I, Lèvay A and Stotz G. Comparative scanning of thyroid nodules with technetium-99m pertecnetate and technetium-99m methoxyisobutylisonitrile. Eur J Nucl Med 1993; 20: 330–333.
Gundry SR, Burney RE, Thompson NW, et al. Total thyroidectomy for Hurthle cell neoplasm of the thyroid. Arch Surg 1983; 118: 529–532.
Yen T, Lin H, Lee C, et al. The role of technetium-99m sestamibi whole body scans in diagnosing metastatic Hürthle cell carcinoma of the thyroid gland after total thyroidectomy: a comparison with iodine-131 and thallium-201 whole body scans. Eur J Nucl Med 1994; 21: 980–983.
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Vattimo, A., Volterrani, D., Bertelli, P., Burroni, L., Vella, A. (1997). Hürthle Cell Tumor and Technetium-99m-Sestamibi Scintigraphy (Single Injection Double-Phase Study). In: Bergmann, H., Kroiss, A., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research. Advances in Pharmacological Sciences. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-7772-5_12
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DOI: https://doi.org/10.1007/978-3-0348-7772-5_12
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