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

4 Scopus citations

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 2019

Keywords

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

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'American Head and Neck Society Endocrine Surgery Section update on parathyroid imaging for surgical candidates with primary hyperparathyroidism'. Together they form a unique fingerprint.

  • Cite this

    Zafereo, M., Yu, J., Angelos, P., Brumund, K., Chuang, H. H., Goldenberg, D., Lango, M., Perrier, N., Randolph, G., Shindo, M. L., Singer, M., Smith, R., Stack, B. C., Steward, D., Terris, D. J., Vu, T., Yao, M., & 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