• Neuroimaging Clin. N. Am. · Aug 2021

    Review

    Parathyroid Imaging: Four-dimensional Computed Tomography, Sestamibi, and Ultrasonography.

    • Sara B Strauss, Michelle Roytman, and C Douglas Phillips.
    • Department of Radiology, Weill Cornell Medical College, NewYork-Presbyterian Hospital, 525 E 68th Street, New York, NY 10065, USA.
    • Neuroimaging Clin. N. Am. 2021 Aug 1; 31 (3): 379-395.

    AbstractPrimary hyperparathyroidism results most commonly from a parathyroid adenoma, a benign parathyroid tumor that causes high levels of parathyroid hormone production. Given recent advances in surgical techniques allowing more focused, minimally invasive procedures, presurgical identification of candidate operative tissue has become increasingly useful in avoidance of 4-gland exploration. Imaging modalities for identification of parathyroid adenoma include ultrasonography, parathyroid scintigraphy, four-dimensional computed tomography, and magnetic resonance imaging. This article discusses technical and interpretive approaches for the available modalities, and reviews their strengths and weaknesses. Updates to the individual modalities and approaches for problem solving in lesion detection are also addressed.Copyright © 2021 Elsevier Inc. All rights reserved.

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