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; A. M. Spiegel; G. D. Aurbach

doi:10.1148/radiology.162.1.3538146

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, A. M. Spiegel, G. D. Aurbach

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49 Scopus citations

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 language	English (US)
Pages (from-to)	138-141
Number of pages	4
Journal	RADIOLOGY
Volume	162
Issue number	1
DOIs	https://doi.org/10.1148/radiology.162.1.3538146
State	Published - 1987
Externally published	Yes

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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@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, {A. M.} and Aurbach, {G. D.}",

year = "1987",

doi = "10.1148/radiology.162.1.3538146",

language = "English (US)",

volume = "162",

pages = "138--141",

journal = "RADIOLOGY",

issn = "0033-8419",

publisher = "Radiological Society of North America Inc.",

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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, A. 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.

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

Abstract

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