Journal article
ACR Appropriateness Criteria® Parathyroid Adenoma
Journal of the American College of Radiology, Vol.18(11), pp.S406-S422
11/2021
DOI: 10.1016/j.jacr.2021.08.013
PMID: 34794597
Abstract
Hyperparathyroidism is defined as excessive parathyroid hormone production. The diagnosis is made through biochemical testing, in which imaging has no role. However, imaging is appropriate for preoperative parathyroid gland localization with the intent of surgical cure. Imaging is particularly useful in the setting of primary hyperparathyroidism whereby accurate localization of a single parathyroid adenoma can facilitate minimally invasive parathyroidectomy. Imaging can also be useful to localize ectopic or supernumerary parathyroid glands and detail anatomy, which may impact surgery. This document summarizes the literature and provides imaging recommendations for hyperparathyroidism including primary hyperparathyroidism, recurrent or persistent primary hyperparathyroidism after parathyroid surgery, secondary hyperparathyroidism, and tertiary hyperparathyroidism. Recommendations include ultrasound, CT neck without and with contrast, and nuclear medicine parathyroid scans.
The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Details
- Title: Subtitle
- ACR Appropriateness Criteria® Parathyroid Adenoma
- Creators
- David Zander - University of Colorado DenverPaul M. Bunch - Wake Forest UniversityBruno Policeni - University of IowaAmy F. Juliano - Massachusetts Eye and Ear InfirmaryDenise Carneiro-Pla - American Thyroid AssociationPrachi Dubey - Methodist HospitalMaria K. Gule-Monroe - The University of Texas MD Anderson Cancer CenterMari Hagiwara - New York University Langone Medical CenterJenny K. Hoang - Johns Hopkins HospitalVikas Jain - MetroHealthLawrence T. Kim - American College of SurgeonsGul Moonis - Columbia University Medical CenterMatthew S. Parsons - MallinckrodtTanya J. Rath - Director, Neuroradiology Division Education, Mayo Clinic Arizona, Phoenix, Arizona; and President, Eastern Neuroradiological Society.Carmen C. Solórzano - Vanderbilt University Medical CenterRathan M. Subramaniam - University of Otago, Dunedin, Otepoti, New Zealand; and PET Center of Excellence, Society of Nuclear Medicine and Molecular Imaging.M. Reza Taheri - George Washington University HospitalKate DuChene Thoma - University of IowaAndrew T. Trout - Cincinnati Children's Hospital Medical CenterMark E. Zafereo - American Academy of Otolaryngology — Head and Neck SurgeryAmanda S. Corey - Atlanta VA Health Care SystemExpert Panel on Neurological Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.18(11), pp.S406-S422
- DOI
- 10.1016/j.jacr.2021.08.013
- PMID
- 34794597
- NLM abbreviation
- J Am Coll Radiol
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 11/2021
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Family and Community Medicine; Otolaryngology
- Record Identifier
- 9984318694502771
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