Parathyroid Surgery: What Radiologists Need to Know

Aditya S Shirali; Uriel Clemente-Gutierrez; Nancy D Perrier

doi:10.1016/j.nic.2021.04.011

Parathyroid Surgery: What Radiologists Need to Know

Neuroimaging Clin N Am. 2021 Aug;31(3):397-408. doi: 10.1016/j.nic.2021.04.011.

Authors

Aditya S Shirali¹, Uriel Clemente-Gutierrez¹, Nancy D Perrier²

Affiliations

¹ Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, PO Box 301402, Houston, TX 77030-4009, USA.
² Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1484, PO Box 301402, Houston, TX 77030-4009, USA. Electronic address: nperrier@mdanderson.org.

PMID: 34243873
DOI: 10.1016/j.nic.2021.04.011

Abstract

Surgical intervention remains the mainstay of treatment of hyperparathyroidism and provides the highest chance at cure. After the disease is confirmed by biochemical testing, surgeons must use a combination of patient clinical history and radiographic imaging to determine the most appropriate surgical strategy. Through either minimally invasive parathyroidectomy or bilateral cervical exploration, surgeons provide high rates of cure for hyperparathyroidism with low rates of persistence or recurrence.

Keywords: Hypercalcemia; Hyperparathyroidism; Localization; Parathyroid carcinoma; Parathyroidectomy.

Publication types

Review

MeSH terms

Humans
Hyperparathyroidism* / diagnostic imaging
Hyperparathyroidism* / surgery
Minimally Invasive Surgical Procedures*
Neck
Parathyroidectomy
Radiologists