2005, Number 3
<< Back Next >>
Anales de Radiología México 2005; 4 (3)
Ultrasound importance in hyperparathyroidism evaluation
Sosa LLA, Vázquez LJ, Bezaury RP, López CAA, Kimura HET
Language: Spanish
References: 11
Page: 227-231
PDF size: 127.20 Kb.
ABSTRACT
Introduction: The main role of the radiological study of parathyroid glands is the evaluation of primary hyperparathyroidism. Up to 85%, the cause is due to solitary adenoma. Less frequent causes are hyperplasia, carcinoma and parathyroid cyst. The ultrasound is the starting diagnosis method for evaluating the hyperparathyroidism causes. However, there are conditions in which it is not possible to have an adequate evaluation since the great anatomical variability that may present parathyroidism. There are other diagnosis methods that are able to detect parathyroid tissue in ectopic places.
Materials and methods: According to that described by world-level literature, we reviewed the ultrasound characteristics of the different causes for primary hyperparathyroidism, and the ultrasound role in surgery, which is minimally invasive of parathyroid adenoma.
Conclusion: The ultrasound is a very useful imaging method which is very useful for the starting evaluation of primary hyperparathyroidism. With the minimally invasive surgery for the treatment of parathyroid adenoma treatment, the ultrasound has been an extraordinary useful tool for planning surgery.
REFERENCES
Ahuja AT, Wong KT, Ching ASC. Imaging for primary hyperparathyroidism what beginners should know. Clin Radiol 2004; 59(11): 967-76.
Dalen AV, Smit CP, Vroonhoven TJMV. Minimally invasive surgery for solitary parathyroid adenomas in patients with primary hyperparathyroidism: Role of US with supplemental CT. Radiology 2001; 220: 631-9.
Silverberg SJ, Shane E, Jacobs TP, et al. A 10-Year Prospective Study of Primary Hyperparathyroidism with or without Parathyroid Surgery. N Eng J Med 1999; 341(17): 1249-55.
Bilezikian JP, Silverberg SJ. Asymptomatic primary hyperparathyroidism. N Eng J Med 2004; 350: 1746-51.
Senchenkov A, Staren ED. Ultrasound in Head and neck surgery: Thyroid, parathyroid, and cervical lymph nodes. Surg Clin N Am 2004; 84(4): 973-1000.
McDonald DK, Parman L, Speights VO. Primary hyperparathyroidism due to parathyroid adenoma. RadioGraphics 2005; 25: 829-34.
Gotway MB, Leung JW, Gooding GA, et al. Hyperfunctionating parathyroid tissue: Spectrum of appearances on noninvasive imaging. AJR 2002; 179.
Smith JR, Oates ME. Radionuclide imaging of the parathyroid glands: Patterns, pearls, and pitfalls. RadioGraphics 2004; 24: 1101-15.
Gritzmann N, Koischwitz D, Rettenbacher T. Sonography of the thyroid and parathyroid glands. Radiol Clin N Am 2000; 38(5): 1131-44.
Clark PB, Perrier ND, Morton KA. Detection of an Intrathymic parathyroid adenoma using single-photon emission CT 99m Tc sestamibi scintigraphy and CT. AJR 2005; 184: S16-S18.
Weber AL, Randolph G, Aksoy FG. The thyroid and parathyroid glands. Radiol Clin N Am 2000; 38(5): 1105-26.