Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Jul-Aug;33(4):457-68.
doi: 10.1016/j.amjoto.2011.10.010. Epub 2011 Dec 7.

Imaging techniques in parathyroid surgery for primary hyperparathyroidism

Arash Mohebati  1 , Ashok R Shaha
Affiliations
Review

Imaging techniques in parathyroid surgery for primary hyperparathyroidism

Arash Mohebati et al. Am J Otolaryngol. 2012 Jul-Aug.

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Hypoechoic left lower pole (A) and behind the left lower pole (B) parathyroid adenomas identified by ultrasound
Figure 2
Figure 2
Image after administration of sestamibi (2-h) delay demonstrates left inferior parathyroid adenoma.
Figure 3
Figure 3
SPECT/CT demonstrating a right side parathyroid adenoma
Figure 4
Figure 4
Computed tomography demonstrating a left sided parathyroid adenoma
Figure 5
Figure 5
MRI demonstrating a left parathyroid adenoma
See this image and copyright information in PMC

References

    1. Heath H, 3rd, Hodgson SF, Kennedy MA. Primary hyperparathyroidism. Incidence, morbidity, and potential economic impact in a community. N Engl J Med. 1980;302(4):189–93. - PubMed
    1. Mundy GR, Cove DH, Fisken R. Primary hyperparathyroidism: changes in the pattern of clinical presentation. Lancet. 1980;1(8182):1317–20. - PubMed
    1. Cobin RH, et al. AACE/AAES medical/surgical guidelines for clinical practice: management of thyroid carcinoma. American Association of Clinical Endocrinologists. American College of Endocrinology. Endocr Pract. 2001;7(3):202–20. - PubMed
    1. Bilezikian JP, Silverberg SJ. Clinical practice. Asymptomatic primary hyperparathyroidism. N Engl J Med. 2004;350(17):1746–51. - PubMed
    1. Sadler TW, Langman J. Langman’s medical embryology. 10. xiii. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 371.

MeSH terms