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Medical and Surgical Treatment of Parathyroid Diseases pp 161–168Cite as

Advanced Imaging of the Parathyroids

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Abstract

Many surgeons advocate for two concurrent imaging studies for the purpose of localizing a parathyroid adenoma. There is level II evidence for utilizing ultrasound as first-line preoperative imaging and Tc-99 m-sestamibi (MIBI) as a confirmatory technique. When there is concordance of the findings of these two imaging modalities, minimally invasive surgery has a cure rate similar to extensive bilateral neck exploration [1, 2]. This chapter addresses the advanced imaging modalities of magnetic resonance imaging (MRI) and positron emission tomography (PET) which are not considered first-line but may prove useful in select patients. 4D computed tomography (4DCT) is a newer imaging technique which is also considered an advanced imaging modality for parathyroid adenoma localization. This is covered in a separate chapter of this book.

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Author information

Authors and Affiliations

  1. Global Advanced Imaging, PLLC, Little Rock, AR, 72223, USA

    Twyla B. Bartel

  2. Department of Otolaryngology-Head an Neck Surgery, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR, 72205, USA

    Brendan C. Stack Jr.

  3. Department of Pharmacology and Physiology, George Washington University School of Medicine and Health Sciences, 2300 Eye St. NW, Ross Hall Room 640, Washington, DC, 20037, USA

    Tracy L. Yarbrough

Authors
  1. Twyla B. Bartel
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  2. Brendan C. Stack Jr.
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  3. Tracy L. Yarbrough
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Corresponding author

Correspondence to Twyla B. Bartel .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    Brendan C. Stack, Jr.

  2. Department of Geniatrics and Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    Donald L. Bodenner

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© 2017 Springer International Publishing Switzerland

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Bartel, T.B., Stack, B.C., Yarbrough, T.L. (2017). Advanced Imaging of the Parathyroids. In: Stack, Jr., B., Bodenner, D. (eds) Medical and Surgical Treatment of Parathyroid Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-26794-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-26794-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26792-0

  • Online ISBN: 978-3-319-26794-4

  • eBook Packages: MedicineMedicine (R0)

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