Intentional Imaging for Primary Hyperparathyroidism.

ReviewJAMA otolaryngology-- head & neck surgery· Aug 2026

Intentional Imaging for Primary Hyperparathyroidism.

Twyla B Bartel, Tracy L Yarbrough, Brendan C Stack

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Nuclear & Molecular ImagingReviewQ1IF 3.4

Ultrasonography localizes parathyroid disease with zero ionizing radiation exposure.

Intentional Imaging for Primary Hyperparathyroidism.

Twyla B Bartel … Brendan C Stack

JAMA otolaryngology-- head & neck surgery · Aug 2026 · Q1 in General Medicine

Background

IMPORTANCE: Preoperative parathyroid localization has been a great advance in the success of surgery for patients with primary hyperparathyroidism (pHPT) over the past 40 years.

Purpose

To highlight the amount of radiation exposure from contemporary parathyroid imaging options and to suggest intentional imaging use in planning for parathyroidectomy.

Results

0

mSv

no ionizing radiation exposure with ultrasonography, unlike other imaging options

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Conclusion

Imaging should be conducted only when the diagnosis is confirmed. When making decisions about imaging, consider radiation exposure, sensitivity/specificity for adenoma detection, local expertise in the imaging modality, and cost.

Intentional Imaging for Primary Hyperparathyroidism.

Intentional Imaging for Primary Hyperparathyroidism.

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