Format

Send to

Choose Destination
See comment in PubMed Commons below
Surg Clin North Am. 2014 Jun;94(3):587-605. doi: 10.1016/j.suc.2014.02.006. Epub 2014 Mar 29.

Minimizing cost and maximizing success in the preoperative localization strategy for primary hyperparathyroidism.

Author information

  • 1Division of Surgical Oncology and Endocrine Surgery, Vanderbilt University Medical Center, 597 PRB, 2220 Pierce Avenue, Nashville, TN 37232, USA. Electronic address: Carmen.solorzano@vanderbilt.edu.
  • 2Division of Oncologic and Endocrine Surgery, Medical University of South Carolina, 25 Courtenay Drive, 7008, Charleston, SC 29414, USA.

Abstract

Ultrasonography of the thyroid, parathyroid, and soft tissues of the neck should always be performed before parathyroidectomy. The most cost-effective localization strategies seem to be ultrasonography followed by four-dimensional computed tomography (4DCT) or ultrasonography followed by sestamibi ± 4DCT. These localization strategies are highly dependent on the quality of imaging. Surgeons should critically evaluate the imaging and operative data at their own institution to determine the best preoperative localization strategy before parathyroidectomy. Surgeons should communicate with the referring physicians about the best localization algorithms in the local area and become the decision maker as to when to obtain them.

KEYWORDS:

Cost-effectiveness; Four-dimensional computed tomography; Hyperparathyroidism; Localization; Parathyroidectomy; Sestamibi scan; Ultrasonography

PMID:
24857578
DOI:
10.1016/j.suc.2014.02.006
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center