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American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism
Author(s) -
Zafereo Mark,
Yu Justin,
Angelos Peter,
Brumund Kevin,
Chuang Hubert H.,
Goldenberg David,
Lango Miriam,
Perrier Nancy,
Randolph Gregory,
Shindo Maisie L.,
Singer Michael,
Smith Russell,
Stack Brendan C.,
Steward David,
Terris David J.,
Vu Thinh,
Yao Mike,
Tufano Ralph P.
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25781
Subject(s) - medicine , primary hyperparathyroidism , radiology , reimbursement , hyperparathyroidism , otorhinolaryngology , neuroradiology , endocrine surgery , health care , surgery , neurology , thyroid , psychiatry , economics , economic growth
Health care consumer organizations and insurance companies increasingly are scrutinizing value when considering reimbursement policies for medical interventions. Recently, members of several American Academy of Otolaryngology-Head & Neck Surgery (AAO-HNS) committees worked closely with one insurance company to refine reimbursement policies for preoperative localization imaging in patients undergoing surgery for primary hyperparathyroidism. This endeavor led to an AAO-HNS parathyroid imaging consensus statement (https://www.entnet.org/content/parathyroid-imaging). The American Head and Neck Society Endocrine Surgery Section gathered an expert panel of authors to delineate imaging options for preoperative evaluation of surgical candidates with primary hyperparathyroidism. We review herein the current literature for preoperative parathyroid localization imaging, with discussion of efficacy, cost, and overall value. We recommend that planar sestamibi imaging, single photon emission computed tomography (SPECT), SPECT/CT, CT neck/mediastinum with contrast, MRI, and four dimensional CT (4D-CT) may be used in conjunction with high-resolution neck ultrasound to preoperatively localize pathologic parathyroid glands. PubMed literature on parathyroid imaging was reviewed through February 1, 2019.