Scintigraphy in Thyroid Nodular Pathology

Thyroid scintigraphy is a method that formed more than 60 years ago and retains its importance for the diagnosis and assessment of the risk of nodular malignancy. The review examines the use of the scintigraphic method in functional and metabolic assessment of nodular goiter. Prerequisites for funct...

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Main Authors: S. P. Mironov, V. B. Sergienko
Format: Article
Language:English
Published: Luchevaya Diagnostika, LLC 2022-10-01
Series:Вестник рентгенологии и радиологии
Subjects:
Online Access:https://www.russianradiology.ru/jour/article/view/747
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author S. P. Mironov
V. B. Sergienko
author_facet S. P. Mironov
V. B. Sergienko
author_sort S. P. Mironov
collection DOAJ
description Thyroid scintigraphy is a method that formed more than 60 years ago and retains its importance for the diagnosis and assessment of the risk of nodular malignancy. The review examines the use of the scintigraphic method in functional and metabolic assessment of nodular goiter. Prerequisites for functional thyroid nodes screening with short-lived 99mTc-pertechnetate are outlined. Information is provided on the principles of its preparation and pharmacokinetics, as well as variants of the thyroid nodes functional activity, their possible malignant potential and indications for metabolic screening. The characteristic of metabolic activity allows to assess the risk of functionally “cold” thyroid nodes malignancy. The main stages of the use of nonspecific tumorotropic radiopharmaceuticals, the mechanism of their accumulation and metabolism in the thyroid tumors, the possibilities of the differential diagnosis of various types of nodular formations are presented. Modern views on the diagnostic capabilities of two-phase scintigraphy with 99mTс-methylisobutylisonitrile are reflected taking into account the relationship of radiopharmaceuticals accumulation with factors of proliferative activity and ultrastructural cell types, a variant of oncocytic pathology and multidrug-resistant protein expression.
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spelling doaj.art-02c1edbf0e3d454db4be4258694cb2252024-01-27T18:38:37ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782022-10-011034-610811610.20862/0042-4676-2022-103-4-6-108-116425Scintigraphy in Thyroid Nodular PathologyS. P. Mironov0V. B. Sergienko1Myasnikov Research Institute of Clinical Cardiology, Chyazov National Medical Research Center for CardiologyMyasnikov Research Institute of Clinical Cardiology, Chyazov National Medical Research Center for CardiologyThyroid scintigraphy is a method that formed more than 60 years ago and retains its importance for the diagnosis and assessment of the risk of nodular malignancy. The review examines the use of the scintigraphic method in functional and metabolic assessment of nodular goiter. Prerequisites for functional thyroid nodes screening with short-lived 99mTc-pertechnetate are outlined. Information is provided on the principles of its preparation and pharmacokinetics, as well as variants of the thyroid nodes functional activity, their possible malignant potential and indications for metabolic screening. The characteristic of metabolic activity allows to assess the risk of functionally “cold” thyroid nodes malignancy. The main stages of the use of nonspecific tumorotropic radiopharmaceuticals, the mechanism of their accumulation and metabolism in the thyroid tumors, the possibilities of the differential diagnosis of various types of nodular formations are presented. Modern views on the diagnostic capabilities of two-phase scintigraphy with 99mTс-methylisobutylisonitrile are reflected taking into account the relationship of radiopharmaceuticals accumulation with factors of proliferative activity and ultrastructural cell types, a variant of oncocytic pathology and multidrug-resistant protein expression.https://www.russianradiology.ru/jour/article/view/747thyroid scintigraphynodular goiterrisk of malignancyrеview
spellingShingle S. P. Mironov
V. B. Sergienko
Scintigraphy in Thyroid Nodular Pathology
Вестник рентгенологии и радиологии
thyroid scintigraphy
nodular goiter
risk of malignancy
rеview
title Scintigraphy in Thyroid Nodular Pathology
title_full Scintigraphy in Thyroid Nodular Pathology
title_fullStr Scintigraphy in Thyroid Nodular Pathology
title_full_unstemmed Scintigraphy in Thyroid Nodular Pathology
title_short Scintigraphy in Thyroid Nodular Pathology
title_sort scintigraphy in thyroid nodular pathology
topic thyroid scintigraphy
nodular goiter
risk of malignancy
rеview
url https://www.russianradiology.ru/jour/article/view/747
work_keys_str_mv AT spmironov scintigraphyinthyroidnodularpathology
AT vbsergienko scintigraphyinthyroidnodularpathology