The Diagnostic Value of Contrast Enhanced Ultrasound for Localization of Parathyroid Lesions in Primary Hyperparathyroidism: Comparison With Color Doppler Ultrasound: Comparison With Color Doppler Ultrasound.
contrast-enhanced ultrasound
diagnostic imaging
hyperparathyroidism
parathyroid adenoma
parathyroidectomy
ultrasound
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
revised:
18
01
2022
received:
26
10
2021
accepted:
21
03
2022
pubmed:
1
4
2022
medline:
22
12
2022
entrez:
31
3
2022
Statut:
ppublish
Résumé
Preoperative localization of pathological parathyroid glands with imaging is essential for focused unilateral neck exploration and minimally invasive techniques. Recently published studies suggested that contrast-enhanced ultrasonography (CEUS) had high accuracy in the localization of hyperfunctioning parathyroid glands, with a general increase in the sensitivity as compared to conventional sonography. The purpose of this study was to determine the usefulness of CEUS in the localization of parathyroid lesions relating to surgical and histopathological data, in comparison to color Doppler ultrasound (CDUS), in the same series of patients. Records of 142 patients who underwent parathyroidectomy were retrospectively examined comparing imaging and intraoperative/histopathologic findings. The overall sensitivity of CEUS was 77.6% compared with 74.6% for CDUS, although no significative differences were found (P = .516). Conversely, CDUS has shown higher sensitivity than CEUS in the group of patients with associated thyroid pathology but there was no statistical difference (P = .529). The sensitivity for detection of multiple adenomas was the same for both procedures. We found no significative superior sensitivity of CEUS also in case of concomitant thyroid pathology and multiple glands disease.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
91-98Informations de copyright
© 2022 American Institute of Ultrasound in Medicine.
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