Diagnostic Accuracy of 3T MR for Secondary Hyperparathyroidism Comparison With 4DCT
NCT05540795 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 15
Last updated 2023-09-13
Summary
Secondary hyperparathyroidism (SHPT) is a common serious complication in the maintenance process of hemodialysis patients, characterized by diffuse or nodular hyperplasia of parathyroid glands. Parathyroidectomy for patients with drug-refractory SHPT is recommended in the clinical practice guidelines of the Global Organization for Improving Prognosis in Kidney Disease (KDIGO) and the Japanese Dialysis Therapy Society (JSDT) . Therefore, accurate localization and detection of parathyroid abnormalities is the key to avoid persistent recurrence of the disease. However, the sensitivity and specificity of the existing ultrasound and 99MTC-MIBI diagnosis are limited. CT examination is radiative and requires iodine contrast medium with nephrotoxicity, which may require timely dialysis and long-term monitoring for hemodialysis patients. 3T MRI has no radiation and does not need to use iodine contrast agent, which can well detect parathyroid lesions . Previous studies have reported that 3T MRI can diagnose primary hyperparathyroidism (PHPT), but the diagnostic efficacy of SHPT is still unclear. Therefore, this study aims to evaluate the preoperative diagnostic value of non-enhanced 3T MRI compared with 4DCT in patients with secondary hyperparathyroidism after hemodialysis.
Conditions
- Parathyroid Gland Disease
- Secondary Hyperparathyroidism
Sponsors & Collaborators
-
Fifth Affiliated Hospital, Sun Yat-Sen University
lead OTHER
Principal Investigators
-
Ying Wang, MD · Fifth Affiliated Hospital, Sun Yat-Sen University
Eligibility
- Min Age
- 16 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-02-06
- Primary Completion
- 2023-05-28
- Completion
- 2023-07-20
Countries
- China
Study Locations
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