How to perform parathyroid 4D CT: tips and traps for technique and interpretation.

Hoang, Jenny K; Sung, Won-kyung; Bahl, Manisha; Phillips, C Douglas · Radiology · 2014

review · Level V

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Abstract

Parathyroid four-dimensional (4D) computed tomography (CT) is an imaging technique for preoperative localization of parathyroid adenomas that involves multidetector CT image acquisition during two or more contrast enhancement phases. Four-dimensional CT offers an alternative or additional tool in the evaluation of primary hyperparathyroidism. The purpose of this article is to describe the 4D CT technique and provide a practical guide to the radiologist for imaging interpretation. The article will discuss the rationale for imaging, approach to interpretation, imaging findings, and pitfalls.

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