28 – Détection à la sonde gamma
Oncologie
- Détection du Ganglion sentinelle dans le cadre du traitement chirurgical des néoplasies du sein, du mélanome et autres tumeurs malignes solides.
Orthopédie
- Repérage et vérification per-opératoire du caractère complet de l’exérèse d’un ostéome ostéoïde hyperfixant à la scintigraphie osseuse.
ORL
- Détection des adénomes parathyroïdiens fonctionnels captant activement le Sestamibi à la scintigraphie parathyroïdienne.
- Détection des foyers fixant l’Iode131, évoquant une origine métastatique ganglionnaire, dans le cadre du traitement du carcinome thyroïdien différencié.
![](data:image/jpeg;base64,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)
Dr Majdi MAHERSI