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Journal of Nuclear Medicine Technology

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Research ArticleIMAGING

Improved Delineation of Parathyroid Lesions in Patients with Chronic Renal Failure Using Magnified Pinhole Imaging

Layla Ali, Issa Loutfi, Gautam Biswas, Nadia Hadi and Tamer Girgis
Journal of Nuclear Medicine Technology March 2011, 39 (1) 35-39; DOI: https://doi.org/10.2967/jnmt.110.076984
Layla Ali
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Issa Loutfi
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Gautam Biswas
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Nadia Hadi
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Tamer Girgis
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  • FIGURE 1.
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    FIGURE 1.

    Lesion delineation in lower and middle left lobes was better on pinhole imaging at 10 min (A) and 2 h (B) than on parallel-hole imaging at 2 h (C), which had inconclusive findings. High noise level on SPECT images (D) precluded identification of parathyroid lesions.

  • FIGURE 2.
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    FIGURE 2.

    Four lesions are found on pinhole imaging (at 10 min [A] and 2 h [B]), but only 2 lesions are found on high-resolution parallel-hole imaging (C) and SPECT (D).

Tables

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    TABLE 1

    McNemar Test Results for Comparison Between Pinhole and Parallel Collimators for Observer 1

    Pinhole collimator
    Parallel collimator+−Total
    +606
    −15217
    Total21 (91.3%)2 (8.7%)P < 0.001
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    TABLE 2

    McNemar Test Results for Comparison Between Pinhole Collimator and SPECT for Observer 1

    SPECT
    Pinhole collimator+−Total
    +91120
    −213
    Total11 (47.8%)12 (52.2%)P < 0.03
    • View popup
    TABLE 3

    McNemar Test Results for Comparison Between Pinhole and Parallel Collimators for Observer 2

    Pinhole collimator
    Parallel collimator+−Total
    +606
    −13417
    Total19 (82.6%)4 (17.4%)P < 0.001
    • View popup
    TABLE 4

    McNemar Test Results for Comparison Between Pinhole Collimator and SPECT for Observer 2

    SPECT
    Pinhole collimator+−Total
    +111122
    −101
    Total12 (52%)11(48%)P < 0.01
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Journal of Nuclear Medicine Technology: 39 (1)
Journal of Nuclear Medicine Technology
Vol. 39, Issue 1
March 1, 2011
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Improved Delineation of Parathyroid Lesions in Patients with Chronic Renal Failure Using Magnified Pinhole Imaging
Layla Ali, Issa Loutfi, Gautam Biswas, Nadia Hadi, Tamer Girgis
Journal of Nuclear Medicine Technology Mar 2011, 39 (1) 35-39; DOI: 10.2967/jnmt.110.076984

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Improved Delineation of Parathyroid Lesions in Patients with Chronic Renal Failure Using Magnified Pinhole Imaging
Layla Ali, Issa Loutfi, Gautam Biswas, Nadia Hadi, Tamer Girgis
Journal of Nuclear Medicine Technology Mar 2011, 39 (1) 35-39; DOI: 10.2967/jnmt.110.076984
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