METHOD OF TOPIC DIAGNOSTICS AND VISUALIZATION BY ADENOM OF THE SENSITIC GLANDS WITH SECONDARY AND TERTIARY HYPERPARATIROSIS Russian patent published in 2019 - IPC A61B5/55 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to radiation diagnosis, endocrine surgery and information technology, and can be used for topical diagnosis and visualization of parathyroid adenomas in secondary and tertiary hyperparathyroidism. Perform the patient the magnetic resonance imaging (MRI) of zone of interest. Analyze the results of the study. MRI data are processed in the system of the hardware-software complex “Autoplan”. Download the received result in the DICOM format into the “Autoplan” software. Led separate series of images in the study to a single coordinate system. Images distinguish the boundaries of the anatomical formations of the neck: esophagus, trachea, thyroid cartilage, thyroid gland, adenomas of the parathyroid glands. Build a three-dimensional model of the region of interest. Indicate on the model the four key points: the middle of the anterior-upper edge of the jugular notch of the sternum, the middle of the upper edge of the thyroid cartilage, the middle of the inner edges of the nodule muscles, the right and the left. In order to increase the accuracy of navigation, ten additional points are placed, that are located on the lines connecting four key points, in addition to the line connecting the middle of the inner edges of the snapping muscles to the right and left. At the same time have key points on two on each line equidistant. Before the incision is made, the prepared model is combined with the patient's body using a navigation pointer, positioning it at points on the patient's neck corresponding to points marked on the model. Making a cut, move the pointer on the surface of the surgical field, observing its location on the three-dimensional model and finding the real location of the adenomas of the parathyroid glands.

EFFECT: method provides high-precision topical diagnosis of parathyroid adenomas with optimization of surgical access, reduction of complications during surgical interventions in patients with secondary and tertiary hyperparathyroidism due to the processing of MRI data in the system of the “Autoplan” hardware-software complex with the construction of lines and key points in the three-dimensional model of the region of interest and the combination of this model with the patient's body using a navigation pointer, positioning it at the points on the patient's neck corresponding to the points marked on models.

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