Preoperative imaging based on the probability of having adenomas can significantly reduce unnecessary bilateral neck explorations in patients undergoing parathyroidectomy. Adenomas were associated with higher calcium and parathyroid hormone levels compared to hyperplasia. The likelihood that imaging helped with operative planning increased with the predicted probability of adenoma. A selective imaging approach considering preoperative probability could save patients millions of dollars and prevent excess radiation exposure.
Journal Article by Lunardi N, Jacob A (…) Balentine CJ et 7 al. in BMC Surg
Published by Elsevier Inc.