Abstract
Objective
No previous prospective study has investigated the detection of normal parathyroid glands (PTGs) and their features using real-time ultrasound (US). This study aimed to assess the preoperative US detection of normal PTGs in patients who underwent hemithyroidectomy.
Methods
Between August and October 2016, 44 patients underwent hemithyroidectomy using a low-collar incision, and 5 were excluded from the study. A single radiologist performed the preoperative US examination in all patients, and the surgical data for the PTGs were obtained by a single surgeon. Based on the surgical findings of PTGs, the preoperative US detection of PTGs was determined.
Results
Of the 39 patients, 3 had no surgical data for PTG (n = 2) and the presence of parathyroid hyperplasia (n = 1). In the 36 remaining patients, in 3 patients, US identification of a normal PTG was corroborated by surgical findings, whereas in 2 patients, US findings differed from surgical findings, and in 31 patients, US did not detect a normal PTG. The successful US detection rate of normal PTG was only 8.3% (3/36).
Conclusions
US cannot be used for identification of normal PTGs.
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References
Hupper BJ, Reading CC (2007) Parathyroid sonography: imaging and intervention. J Clin Ultrasound 35:144–155
Fancy T, Gallagher D, Hornig JD (2010) Surgical anatomy of the thyroid and parathyroid glands. Otolaryngo Clin North Am 43:221–227
Gervasio A, Mujahed I, Biasio A, Alessi S (2010) Ultrasound anatomy of the neck: the infrahyoid region. J Ultrasound 13:85–89
Johnson NA, Carty SE, Tublin ME (2011) Parathyroid imaging. Radiol Clin N Am 49:489–509
Wang CA (1976) The anatomic basis of parathyroid surgery. Ann Surg 183:271–275
Vazquez BJ, Richards ML (2011) Imaging of the thyroid and parathyroid glands. Surg Clin N Am 91:15–32
De Feo ML, Colaqrande S, Biagini C, Tonarelli A, Bisi G, Vaggelli L, Borrelli D, Cicchi P, Tonelli F, Amorosi A, Serio M, Brandi ML (2000) Parathyroid glands: combination of (99 m)Tc MIBI scintigraphy and US for demonstration of parathyroid glands and nodules. Radiology 214:393–402
Johnson NA, Tublin ME, Ogilvie JB (2007) Parathyroid imaging: technique and role in the preoperative evaluation of primary hyperparathyroidism. AJR Am J Roentgenol 188:1706–1715
Kwak JY, Kim EK, Park SY, Kim MJ, Moon WJ, Choi SH, Son EJ, Oh KK, Kim KW, Yang WI, Pyo JY (2007) Findings of extrathyroid lesions encountered with thyroid sonography. J Ultrasound Med 26:1747–1759
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Concept and design: DWK. Acquisition of data: All authors. Literature review: TKH, DWK. Analysis and interpretation of data: All authors. Manuscript writing: TKH, DWK. Refinement of manuscript: All authors. Review of final manuscript: All authors. Final approval: All authors.
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All authors declare that there are no competing interests.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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The need for informed consent was waived owing to the retrospective nature of the study.
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Ha, T.K., Kim, D.W. & Jung, S.J. Ultrasound detection of normal parathyroid glands: a preliminary study. Radiol med 122, 866–870 (2017). https://doi.org/10.1007/s11547-017-0792-0
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DOI: https://doi.org/10.1007/s11547-017-0792-0