Simultaneous Identification of Tc-99m-Sestamibi-Positive Autonomous Thyroid Adenoma and Adjacent F-18-Ethylcholine-Positive Parathyroid Adenoma in Patient with Graves’ Disease Using Real-Time Ultrasound Fusion Imaging
A 49-year-old female presented for nuclear medicine diagnostics of a sonographically suspected parathyroid adenoma dorsal to the cranial pole of the right thyroid lobe. The patient received Tc-99m-pertechnetate and Tc-99m-sestamibi (including SPECT/CT) scans, revealing no sestamibi uptake by the suspected parathyroid adenoma but a ventrally adjacent autonomous thyroid adenoma. Additional F-18-ethylcholine-PET/CT as well as subsequent Tc-99m-sestamibi-SPECT/US and F-18-ethylcholine-PET/US fusion imaging confirmed the suspected diagnosis of simultaneous autonomous thyroid adenoma and parathyroid adenoma. A blood analysis showed additional Graves' disease.
Authors
- Martin G. Freesmeyer (ORCID: https://orcid.org/0000-0002-6462-3851)
- Falk Gühne (ORCID: https://orcid.org/0009-0007-1991-2076)
- Philipp Seifert (ORCID: https://orcid.org/0000-0002-3447-4971)
- Theresa Leder (ORCID: https://orcid.org/0009-0005-5483-016X)
Institutions
- Jena University Hospital (DE)
Publication Details
- Journal
- Diagnostics
- Published
- 2025-05-15
- DOI
- https://doi.org/10.3390/diagnostics15101262
- Citations
- 1
- Primary Topic
- Thyroid Cancer Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.29
Funders
- Deutsche Forschungsgemeinschaft