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

Mark Zafereo, Justin Yu, Peter Angelos, Kevin Brumund, Hubert H. Chuang, David Goldenberg, Miriam Lango, Nancy Perrier, Gregory Randolph, Maisie L. Shindo, Michael Singer, Russell Smith, Brendan C. Stack, David Steward, David J Terris, Thinh Vu, Mike Yao, Ralph P. Tufano

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2398-2409
Number of pages12
JournalHead and Neck
Volume41
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Primary Hyperparathyroidism
Four-Dimensional Computed Tomography
Neck
Insurance
Consumer Organizations
Parathyroid Glands
Otolaryngology
Mediastinum
Single-Photon Emission-Computed Tomography
PubMed
Head
Delivery of Health Care
Costs and Cost Analysis

Keywords

  • parathyroid imaging
  • parathyroid imaging modalities
  • review
  • value in health care

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Zafereo, M., Yu, J., Angelos, P., Brumund, K., Chuang, H. H., Goldenberg, D., ... Tufano, R. P. (2019). American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism. Head and Neck, 41(7), 2398-2409. https://doi.org/10.1002/hed.25781

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

In: Head and Neck, Vol. 41, No. 7, 01.07.2019, p. 2398-2409.

Research output: Contribution to journalReview article

Zafereo, M, Yu, J, Angelos, P, Brumund, K, Chuang, HH, Goldenberg, D, Lango, M, Perrier, N, Randolph, G, Shindo, ML, Singer, M, Smith, R, Stack, BC, Steward, D, Terris, DJ, Vu, T, Yao, M & Tufano, RP 2019, 'American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism', Head and Neck, vol. 41, no. 7, pp. 2398-2409. https://doi.org/10.1002/hed.25781
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. / American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism. In: Head and Neck. 2019 ; Vol. 41, No. 7. pp. 2398-2409.
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