Update in Parathyroid Imaging

Samuel J. Kuzminski, Julie A. Sosa, Jenny K. Hoang

Research output: Contribution to journalReview articlepeer-review

Abstract

Primary hyperparathyroidism (PHPT) is characterized by excessive, dysregulated production of parathyroid hormone (PTH) by 1 or more abnormal parathyroid glands. Minimally invasive surgical techniques have created a need for more precise localization of the parathyroid lesion by imaging. A variety of imaging protocols and techniques have been used for this purpose, but no one modality is clearly superior. Nuclear medicine scintigraphy and ultrasound imaging are established modalities, although multiphase or 4-dimensional computed tomography is an emerging modality with several advantages. This review provides a background regarding PHPT and key anatomy, and discusses these alternative parathyroid imaging modalities with updates.

Original languageEnglish (US)
Pages (from-to)151-166
Number of pages16
JournalMagnetic Resonance Imaging Clinics of North America
Volume26
Issue number1
DOIs
StatePublished - Feb 2018
Externally publishedYes

Keywords

  • 4D-CT
  • Parathyroid
  • Parathyroid MR imaging
  • Parathyroid ultrasound
  • Primary hyperparathyroidism
  • Sestamibi

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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