Journal article

Four-Dimensional Computed Tomography: Clinical Impact for Patients with Primary Hyperparathyroidism

Yuan Tian, Sharman Tan Tanny, Paul Einsiedel, Meir Lichtenstein, Damien L Stella, Pramit M Phal, Julie A Miller

ANNALS OF SURGICAL ONCOLOGY | SPRINGER | Published : 2018

Abstract

BACKGROUND: In recent years, four-dimensional computed tomography (4DCT) has emerged as a new localization study for primary hyperparathyroidism (pHPT). OBJECTIVE: We aimed to assess the added value of 4DCT in our institution in the first 4 years of use. METHODS: A retrospective cohort study was conducted from February 2004 to June 2015. Since 2011, patients over 50 years of age without concordant sestamibi-SPECT (SeS) and ultrasound (US) findings underwent 4DCT. Imaging results, surgical findings, histopathology, and postoperative biochemistry were collected. RESULTS: A total of 536 parathyroid operations in 510 patients were performed during the study period. The overall cure rate was 99.2..

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