Imaging techniques in parathyroid surgery for primary hyperparathyroidism Journal Article


Authors: Mohebati, A.; Shaha, A. R.
Article Title: Imaging techniques in parathyroid surgery for primary hyperparathyroidism
Abstract: As more patients present with the incidental diagnosis of primary hyperparathyroidism due to biochemical screening, treatment guidelines have been developed for the treatment of hyperparathyroidism. Management of primary hyperparathyroidism has evolved in recent years, with considerable interest in minimally invasive approaches. Successful localization of the diseased gland(s) by nuclear imaging and anatomical studies, along with rapid intraoperative parathyroid hormone assay, has allowed for focused and minimally invasive surgical approaches. Patients in whom the localization studies have identified single-gland adenoma or unilateral disease are candidates for such focused approaches instead of the traditional approach of bilateral exploration. These imaging techniques have also been critical in the successful management of patients with persistent or recurrent disease. © 2012 Elsevier Inc. All rights reserved.
Keywords: review; nuclear magnetic resonance imaging; biological markers; computer assisted tomography; embryology; calcium; calcium blood level; hypercalcemia; practice guideline; molecular imaging; diagnostic imaging; ultrasound; albumin; kidney calcification; intraoperative period; incidental findings; methoxy isobutyl isonitrile technetium tc 99m; recurrent disease; surgical procedures, minimally invasive; parathyroid adenoma; parathyroid hormone; scintigraphy; hormone determination; nephrolithiasis; parathyroid gland; kidney dysfunction; parathyroidectomy; primary hyperparathyroidism; invasive procedure; thallium; albumin blood level; calcium homeostasis; pertechnetic acid tc 99m; parathyroid hyperplasia; hyperparathyroidism, primary
Journal Title: American Journal of Otolaryngology
Volume: 33
Issue: 4
ISSN: 0196-0709
Publisher: W.B. Saunders Co.  
Date Published: 2012-07-01
Start Page: 457
End Page: 468
Language: English
DOI: 10.1016/j.amjoto.2011.10.010
PROVIDER: scopus
PMCID: PMC3311773
PUBMED: 22154018
DOI/URL:
Notes: --- - "Export Date: 1 August 2012" - "CODEN: AJOTD" - "Source: Scopus"
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  1. Ashok R Shaha
    697 Shaha