Parathyroid 4D CT: What the Surgeon Wants to Know.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
Paul M BunchHillary R Kelly

Abstract

Parathyroid four-dimensional (4D) CT is an increasingly used and powerful tool for preoperative localization of abnormal parathyroid tissue in the setting of primary hyperparathyroidism. Accurate and precise localization of a single adenoma facilitates minimally invasive parathyroidectomy, and localization of multiglandular disease aids bilateral neck exploration. However, many radiologists find the interpretation of these examinations to be an intimidating challenge. The authors review parathyroid 4D CT findings of typical and atypical parathyroid lesions and provide illustrative examples. Relevant anatomy, embryology, and operative considerations with which the radiologist should be familiar to provide clinically useful image interpretations are also discussed. The most important 4D CT information to the surgeon includes the number, size, and specific location of candidate parathyroid lesions with respect to relevant surgical landmarks; the radiologist's opinion and confidence level regarding what each candidate lesion represents; and the presence or absence of ectopic or supernumerary parathyroid tissue, concurrent thyroid pathologic conditions, and arterial anomalies associated with a nonrecurrent laryngeal nerve. The autho...Continue Reading

References

Nov 1, 1990·World Journal of Surgery·G HedbäckA Oden
Jun 6, 1998·European Journal of Clinical Investigation·G Hedbäck, A Odén
Jun 4, 2004·World Journal of Surgery·Antonio ToniatoMaria Rosa Pelizzo
Mar 5, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·James M RudaBrendan C Stack
Feb 24, 2006·American Journal of Surgery·Roy Phitayakorn, Christopher R McHenry
May 13, 2008·Journal of the American College of Surgeons·Melinda M MortensonNancy D Perrier
Jul 15, 2009·Lancet·William D Fraser
Dec 3, 2011·AJNR. American Journal of Neuroradiology·J L ChazenC D Phillips
Feb 19, 2013·The Journal of Clinical Endocrinology and Metabolism·Michael W YehAnnette L Adams
Aug 16, 2013·AJNR. American Journal of Neuroradiology·M BahlJ K Hoang
Dec 21, 2013·Radiology·Jenny K HoangC Douglas Phillips
Jun 7, 2014·AJNR. American Journal of Neuroradiology·P RaghavanP W Smith
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Michael GinsburgEdwin L Kaplan
Dec 19, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yong Joon SuhYeo-Kyu Youn
Sep 6, 2015·European Journal of Endocrinology·Salvatore MinisolaDavid Scott-Coombes
Nov 2, 2015·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Michael RoskiesReza Forghani
May 26, 2016·Journal of Computer Assisted Tomography·Reza ForghaniMark Levental
Sep 20, 2017·Lancet·John P BilezikianNatalie E Cusano
Oct 25, 2017·Annals of Surgical Oncology·Yuan TianJulie A Miller
Nov 13, 2017·Magnetic Resonance Imaging Clinics of North America·Samuel J KuzminskiJenny K Hoang
Sep 8, 2018·JAMA Otolaryngology-- Head & Neck Surgery·Paul M Bunch, Hillary R Kelly

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