Preoperative Localization of Parathyroid Adenomas Using 4-Dimensional Computed Tomography: A Pictorial Essay. Issue 3 (August 2013)

• Record Type: Journal Article
• Authors: Ellika, Shehanaz; Patel, Suresh; Aho, Todd; Marin, Horia
• Is Part Of: Canadian Association of Radiologists journal. Volume 64:Issue 3(2013)
• Page Start: 258
• Page End: 268
• Publication Date: 2013-08
• Subjects: Radiology, Medical -- Periodicals; Radiology, Medical -- Canada -- Periodicals; 616.0757
• DOI: 10.1016/j.carj.2012.03.002
• Languages: English
• ISSNs: 0846-5371

Abstract

Accurate preoperative localization is the key to successful parathyroid surgery in the era of minimally invasive parathyroid surgery. This article presents and discusses the embryologic basis of parathyroid gland and ectopic location and different imaging modalities helpful in diagnosing and localizing parathyroid adenomas and/or hyperplasia. We also aim to review the current surgical concepts in treatment of parathyroid adenomas and/or hyperplasia, the utility of 4-dimensional computed tomography for accurate preoperative localization of hyperfunctioning parathyroid glands, imaging classification of adenomas and/or hyperplasia, and, finally, present some of the limitations of 4-dimensional computed tomography.