Journal article
Sonography in primary hyperparathyroidism: Review with emphasis on scanning technique
Journal of ultrasound in medicine, Vol.21(5), pp.539-552
2002
DOI: 10.7863/jum.2002.21.5.539
PMID: 12008817
Abstract
Objective. To review the sonographic features and focused sonographic scanning techniques that may assist in the preoperative localization of parathyroid adenomas in patients with primary hyperparathyroidism. Methods. The sonographic findings were reviewed in 54 of 58 consecutive patients with pathologically proven parathyroid adenomas. A systematic scanning approach including real-time gray scale, color and power Doppler, and graded compression gray scale imaging was used in all patients. Results. Fifty-four (93%) of 58 proven adenomas were correctly identified by sonography. Gray scale imaging alone was sufficient for identifying 26 (100%) of 26 large (≥1-cm) and 3 (11%) of 25 small (<1-cm) parathyroid adenomas. However, for 25 (89%) of 28 small adenomas, a combination of color and power Doppler and graded compression real-time gray scale imaging was required for sonographic localization and identification. Conclusions. Knowledge of typical locations and characteristic imaging features, as well as a systematic scanning approach, can result in accurate preoperative sonographic localization of parathyroid adenomas.
Details
- Title: Subtitle
- Sonography in primary hyperparathyroidism: Review with emphasis on scanning technique
- Creators
- Scott B Reeder - Stanford UniversityTerry S Desser - Stanford UniversityRonald J Weigel - Stanford UniversityR. Brooke Jeffrey - Stanford University
- Resource Type
- Journal article
- Publication Details
- Journal of ultrasound in medicine, Vol.21(5), pp.539-552
- Publisher
- American Institute of Ultrasound in Medicine
- DOI
- 10.7863/jum.2002.21.5.539
- PMID
- 12008817
- ISSN
- 0278-4297
- eISSN
- 1550-9613
- Language
- English
- Date published
- 2002
- Academic Unit
- Molecular Physiology and Biophysics; Anatomy and Cell Biology; Surgery; Biochemistry and Molecular Biology
- Record Identifier
- 9984284349602771
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