The hand-held MGC is a useful instrument in MIP for PHPT. It may be used to complement the standard tools used to date, or may even replace them, at least in selected cases of single adenomas.
BMI-calculated doses, which are often lower than strictly weight-based doses, can be administered while maintaining acquisition times. This dose reduction is not only consistent with the as-low-as-reasonably-achievable principle but can be performed without diminishing diagnostic accuracy and should lead to lower dose to staff and potential economic savings.
Choline-PET/CT has a high global sensitivity while WB-DW-MRI has a high specificity, and so they are complementary techniques. Future studies with more enrolled patients and a longer follow-up period will be required to confirm these data. The initial data show that the best technique for evaluating response after SBRT is choline-PET/CT. Trial registration number NCT02858128.
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