May 2015 European journal of endocrinology

Preoperative imaging for focused parathyroidectomy: making a good strategy even better.

Auteurs

Guerin C, Lowery A, Gabriel S, Castinetti F, Philippon M, Vaillant-Lombard J, Loundou A, Henry JF, Sebag F, Taïeb D

Résumé

Surgical treatment for primary hyperparathyroidism (pHPT) has undergone a major paradigm shift during the last decades from bilateral cervicotomy with four-gland neck exploration to image-guided focused approaches. The primary objective of the present study was to compare the performances of parathyroid scintigraphy (PS), parathyroid ultrasonography (US), and the combination of both procedures for guiding a focused approach on the basis of modified interpretation criteria.

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