ArticleJournal of endocrinological investigation2026
Comparative analysis of PTH Washout and 99mTc-MIBI SPECT/CT in presurgical localization for patients with primary hyperparathyroidism.
Article in Journal of endocrinological investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeOur study aimed to evaluate the performance and concordance of parathyroid hormone wash-out (PTHw) and
methodsThis was a real-life, retrospective study involving 125 participants, who underwent ultrasound-guided fine needle aspiration biopsy with PTHw determined by electrochemiluminescence (Elecsys analyser) and subtraction scintigraphy together with SPECT/CT images.
resultsPTHw was positive in 84.8% and MIBI in 84.0% of cases, with concordant findings in 73.6% of patients. In MIBI-negative cases, PTHw accurately localized PA in 70.0%, while MIBI identified lesions in 68.4% of PTHw-negative cases. Larger lesions were associated with improved performance for both techniques, although a significant size-dependent effect (≥10 mm) was observed only for MIBI (χ
conclusionOur findings reinforce the complementary role of ultrasound-guided parathyroid hormone washout and
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