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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Tc-99m Sestamibi Thyroid Imaging in Patients on Chronic Amiodarone Treatment A Comparison With Tc-99m Pertechnetate Imaging

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Autor(es):
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Rossatto Oki, Glaucia Celeste [1] ; Zantut-Wittmann, Denise Engelbrecht [2] ; Santos, Allan de Oliveira [1] ; Guariento, Maria Helena [3] ; Tambascia, Marcos Antonio [2] ; de Almeida, Eros Antonio [3] ; Amorim, Barbara Juarez [1] ; Lopes Lima, Mariana Cunha [1] ; Sa Camargo Etchebehere, Elba Cristina [1] ; Camargo, Edwaldo Eduardo [1] ; Ramos, Celso Dario [1]
Número total de Autores: 11
Afiliação do(s) autor(es):
[1] Univ Estadual Campinas, Sch Med Sci, Div Nucl Med, Dept Radiol, BR-13083887 Campinas, SP - Brazil
[2] Univ Estadual Campinas, Sch Med Sci, Dept Internal Med, Div Endocrinol, BR-13083887 Campinas, SP - Brazil
[3] Univ Estadual Campinas, Sch Med Sci, Dept Internal Med, Div Internal Med, BR-13083887 Campinas, SP - Brazil
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: CLINICAL NUCLEAR MEDICINE; v. 35, n. 4, p. 223-227, APR 2010.
Citações Web of Science: 6
Resumo

Purpose of the Report: To compare thyroid imaging using Tc-99m sestamibi with the standard Tc-99m pertechnetate scintigraphy in patients on chronic use of amiodarone. Materials and Methods: A total of 23 patients on oral amiodarone for at least 4 months had thyroid scintigraphy and uptake measurement using Tc-99m pertechnetate and Tc-99m sestamibi. Thyroid function was evaluated by measuring serum concentrations of thyrotropin, free thyroxine, and free triiodothyronine, and antithyroglobulin and antithyroperoxidase antibodies. Results: Ten of the 23 patients were euthyroid, 9 hypothyroid, and 4 hyperthyroid, with normal, increased, and decreased serum thyrotropin, respectively. All euthyroid patients had markedly decreased thyroid Tc-99m pertechnetate uptake and normal or slightly increased Tc-99m sestamibi uptake, except for one patient who had increased uptake of both radiotracers. One of the 4 hyperthyroid patients had Graves' disease and markedly increased thyroid uptake of both tracers. The other 3 hyperthyroid patients had normal or decreased Tc-99m pertechnetate uptake and increased Tc-99m sestamibi uptake. Differently than expected, all 9 hypothyroid patients had normal or increased uptake of both radiopharmaceuticals. Conclusions: This study suggests that Tc-99m sestamibi may be an alternative tracer for thyroid scintigraphy and uptake measurement of patients on chronic use of amiodarone. Tc-99m sestamibi seems to be better than Tc-99m pertechnetate for the scintigraphic evaluation of the thyroid of euthyroid and hyperthyroid patients. (AU)

Processo FAPESP: 07/55588-1 - Cintilografia da tireoide em usuarios cronicos de amiodarona: pertecnenato-99mtc versus sestamibi-99mtc
Beneficiário:Celso Darío Ramos
Modalidade de apoio: Auxílio à Pesquisa - Regular