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Elevated serum calcium (>10.7 mg/dl) and elevated serum PTH (BOTH)
Postoperative patients with known parathyroid adenoma with persistent or recurrent hyperparathyroidism to detect residual or ectopic parathyroid tissue
Reference: ACR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF PARATHYROID SCINTIGRAPHY Revised 2019 (Resolution 38)
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