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Titlebook: Atlas of Parathyroid Imaging and Pathology; Alexander L. Shifrin,L. Daniel Neistadt,Pritinder Book 2020 The Editor(s) (if applicable) and

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Correlative Ultrasoundoid glands and parathyroid adenomas are usually predominantly echo-poor relative to the thyroid, and vascularity is usually demonstrated on color Doppler. Though the parathyroid adenoma is typically diffusely echo-poor (at least 50% of the time), echogenic components may be seen within the enlarged
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Experimental approaches to mechanism,wever, a very mild persistent focus of increased tracer activity may be identified. More accurate testing to detect a parathyroid adenoma would consist of a SPECT/CT sestamibi scan (rather than a regular sestamibi scan) in combination with a dedicated parathyroid ultrasound study or 4D CT scan.
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Imaging of the Parathyroid Carcinoma that can clearly establish the diagnosis of parathyroid carcinoma, but some imaging modalities such as ultrasound and CT scan can be helpful in the initial evaluation of patients with a suspected diagnosis of parathyroid carcinoma. Sestamibi scans can also help in localization.
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