American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism.

Authors:
Mark Zafereo
Mark Zafereo
The University of Texas M. D. Anderson Cancer Center
United States
Justin Yu
Justin Yu
University of California
United States
Peter Angelos
Peter Angelos
University of Chicago
United States
Kevin Brumund
Kevin Brumund
University of California
United States
Hubert H Chuang
Hubert H Chuang
The University of Texas M. D. Anderson Cancer Center
United States
David Goldenberg
David Goldenberg
Immunomedics
Morris Plains | United States
Miriam Lango
Miriam Lango
Fox Chase Cancer Center
Nancy Perrier
Nancy Perrier
The University of Texas MD Anderson Cancer Center
United States

Head Neck 2019 Apr 19. Epub 2019 Apr 19.

Division of Head and Neck Endocrine Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.

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.

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http://dx.doi.org/10.1002/hed.25781DOI Listing
April 2019
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