Four-Dimensional Computed Tomography Scan Utility in Parathyroidectomy for Primary Hyperparathyroidism With Low Baseline Intact Parathyroid Hormone

摘要

Objectives/Hypothesis: The prevalence of multiglandular disease (MGD) of the parathyroid has been reported to be higher in patients with primary hyperparathyroidism and low baseline intact parathyroid hormone (PTH) levels (<100 pg/mL). Low baseline PTH is associated with lower localization rate and positive predictive value with both preoperative sestamibi and ultrasound. This study sought to evaluate our experience with four-dimensional computed tomography (4D-CT) for the localization of abnormal parathyroid glands, including MGD, in patients with low baseline intact PTH (LBiPTH). Study