Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures

D. L. Miller, J. L. Doppman, A. G. Krudy, T. H. Shawker, J. A. Norton, J. J. Vucich, K. A. Morrish, S. J. Marx, Allen M. Spiegel, G. D. Aurbach

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

The authors studied intraarterial digital subtraction angiography (DSA), conventional selective angiography, parathyroid venous sampling (PVS), and intraoperative ultrasound (US) as localization procedures for parathyroid adenomas in 53 patients with proved parathyroid adenomas and previous unsuccessful parathyroid surgery. PVS had the highest overall sensitivity as a single study (80%), followed by intraoperative US (78%), angiography (60%), and DSA (49%). Invasive procedures permitted successful localization of adenomas in 41 of 43 patients studied (95%). False-positive studies were uncommon. The optimum sequence of invasive localization procedures is determined by clinical factors and not by the sensitivity of individual tests. The authors recommend DSA be performed first, followed by angiography, PVS, and intraoperative US, in that order.

Original languageEnglish (US)
Pages (from-to)138-141
Number of pages4
JournalRadiology
Volume162
Issue number1
StatePublished - 1987
Externally publishedYes

Fingerprint

Parathyroid Neoplasms
Digital Subtraction Angiography
Angiography
Adenoma

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Miller, D. L., Doppman, J. L., Krudy, A. G., Shawker, T. H., Norton, J. A., Vucich, J. J., ... Aurbach, G. D. (1987). Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures. Radiology, 162(1), 138-141.

Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures. / Miller, D. L.; Doppman, J. L.; Krudy, A. G.; Shawker, T. H.; Norton, J. A.; Vucich, J. J.; Morrish, K. A.; Marx, S. J.; Spiegel, Allen M.; Aurbach, G. D.

In: Radiology, Vol. 162, No. 1, 1987, p. 138-141.

Research output: Contribution to journalArticle

Miller, DL, Doppman, JL, Krudy, AG, Shawker, TH, Norton, JA, Vucich, JJ, Morrish, KA, Marx, SJ, Spiegel, AM & Aurbach, GD 1987, 'Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures', Radiology, vol. 162, no. 1, pp. 138-141.
Miller DL, Doppman JL, Krudy AG, Shawker TH, Norton JA, Vucich JJ et al. Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures. Radiology. 1987;162(1):138-141.
Miller, D. L. ; Doppman, J. L. ; Krudy, A. G. ; Shawker, T. H. ; Norton, J. A. ; Vucich, J. J. ; Morrish, K. A. ; Marx, S. J. ; Spiegel, Allen M. ; Aurbach, G. D. / Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures. In: Radiology. 1987 ; Vol. 162, No. 1. pp. 138-141.
@article{929050d5606048cab9eb1a62bf606423,
title = "Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures",
abstract = "The authors studied intraarterial digital subtraction angiography (DSA), conventional selective angiography, parathyroid venous sampling (PVS), and intraoperative ultrasound (US) as localization procedures for parathyroid adenomas in 53 patients with proved parathyroid adenomas and previous unsuccessful parathyroid surgery. PVS had the highest overall sensitivity as a single study (80{\%}), followed by intraoperative US (78{\%}), angiography (60{\%}), and DSA (49{\%}). Invasive procedures permitted successful localization of adenomas in 41 of 43 patients studied (95{\%}). False-positive studies were uncommon. The optimum sequence of invasive localization procedures is determined by clinical factors and not by the sensitivity of individual tests. The authors recommend DSA be performed first, followed by angiography, PVS, and intraoperative US, in that order.",
author = "Miller, {D. L.} and Doppman, {J. L.} and Krudy, {A. G.} and Shawker, {T. H.} and Norton, {J. A.} and Vucich, {J. J.} and Morrish, {K. A.} and Marx, {S. J.} and Spiegel, {Allen M.} and Aurbach, {G. D.}",
year = "1987",
language = "English (US)",
volume = "162",
pages = "138--141",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Localization of parathyroid adenomas in patients who have undergone surgery. Part II. Invasive procedures

AU - Miller, D. L.

AU - Doppman, J. L.

AU - Krudy, A. G.

AU - Shawker, T. H.

AU - Norton, J. A.

AU - Vucich, J. J.

AU - Morrish, K. A.

AU - Marx, S. J.

AU - Spiegel, Allen M.

AU - Aurbach, G. D.

PY - 1987

Y1 - 1987

N2 - The authors studied intraarterial digital subtraction angiography (DSA), conventional selective angiography, parathyroid venous sampling (PVS), and intraoperative ultrasound (US) as localization procedures for parathyroid adenomas in 53 patients with proved parathyroid adenomas and previous unsuccessful parathyroid surgery. PVS had the highest overall sensitivity as a single study (80%), followed by intraoperative US (78%), angiography (60%), and DSA (49%). Invasive procedures permitted successful localization of adenomas in 41 of 43 patients studied (95%). False-positive studies were uncommon. The optimum sequence of invasive localization procedures is determined by clinical factors and not by the sensitivity of individual tests. The authors recommend DSA be performed first, followed by angiography, PVS, and intraoperative US, in that order.

AB - The authors studied intraarterial digital subtraction angiography (DSA), conventional selective angiography, parathyroid venous sampling (PVS), and intraoperative ultrasound (US) as localization procedures for parathyroid adenomas in 53 patients with proved parathyroid adenomas and previous unsuccessful parathyroid surgery. PVS had the highest overall sensitivity as a single study (80%), followed by intraoperative US (78%), angiography (60%), and DSA (49%). Invasive procedures permitted successful localization of adenomas in 41 of 43 patients studied (95%). False-positive studies were uncommon. The optimum sequence of invasive localization procedures is determined by clinical factors and not by the sensitivity of individual tests. The authors recommend DSA be performed first, followed by angiography, PVS, and intraoperative US, in that order.

UR - http://www.scopus.com/inward/record.url?scp=0023138529&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023138529&partnerID=8YFLogxK

M3 - Article

C2 - 3538146

AN - SCOPUS:0023138529

VL - 162

SP - 138

EP - 141

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 1

ER -