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Updated: Oct 5, 2025
07:12
Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
Published on: August 17, 2022
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Changes in Imaging Utilization for Primary Hyperparathyroidism.
Mackenzie N Abraham1, Peter J Abraham1, Brenessa Lindeman1
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
The American Surgeon
|January 22, 2022
Summary
Preoperative imaging use for primary hyperparathyroidism surgery decreased over 20 years, with shorter hospital stays but consistent cure rates. Ultrasound and CT scans increased, while other methods declined.
Area of Science:
- Endocrinology
- Surgical Oncology
- Radiology
Background:
- Minimally invasive surgery is standard for primary hyperparathyroidism.
- Preoperative imaging use surged in the 1990s, but its evolving role is unclear.
- This study examines trends in imaging for parathyroidectomy over two decades.
Purpose of the Study:
- To analyze trends in preoperative imaging utilization for primary hyperparathyroidism surgery.
- To assess changes in imaging modalities over time.
- To correlate imaging trends with surgical outcomes.
Main Methods:
- Retrospective analysis of 1734 parathyroidectomy cases (2000-2018).
- Data from two endocrine surgeons across two institutions.
- Temporal analysis of imaging utilization across four 5-year periods.
Main Results:
- Overall preoperative imaging use significantly decreased over time (P < .05).
- Ultrasound and CT utilization increased; sestamibi and thallium-technetium scans decreased.
- Length of stay shortened, cure rates remained stable, and recurrence decreased.
Conclusions:
- Preoperative imaging rates and hospital length of stay declined for primary hyperparathyroidism surgery.
- Despite reduced imaging, surgical cure rates for primary hyperparathyroidism remained consistent.
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