Background: Many patients with sporadic primary hyperparathyroidism (SPHPT) have discordant preoperative Tc-99m-sestamibi (MIBI) and ultrasonography studies prior to focused parathyroidectomy (PTX). This study examines the usefulness of intraoperative parathormone monitoring (IPM) during PTX in patients with discordant preoperative localization studies.
Methods: A retrospective series of 225 consecutive SPHPT patients with MIBI scans and surgeon performed ultrasonography (SUS) prior to focused parathyroidectomy were studied. All patient operations were reviewed, and how IPM changed operative management was determined. Correct gland localization, presence of multigland disease (MGD), and operative outcome were also examined.
Results: In 225 patients, overall operative success was 97%, and IPM changed operative management in 29% of patients. In 85 patients (38%) with discordant studies, operative success was 93%; IPM changed operative management in 74% of these patients. IPM allowed for 66% (56/85) of these operations to be performed as unilateral neck exploration and confirmed removal of abnormal glands in 7 patients with MGD. In 140 patients (62%) with concordant localization, in which operative success was 99%, IPM changed operative management in only 2% (3/140) of these patients with MGD.
Conclusion: Although of marginal benefit in patients with concordant imaging studies, IPM remains essential for performing successful PTX with discordant or incorrect concordant localization.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.surg.2008.03.039 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Neuroenhancement by repetitive transcranial magnetic stimulation (rTMS) on DLPFC in healthy adults.
Cogn Neurodyn
December 2025
CIPCE, School of Electrical and Computer Engineering, College of Engineering, University of Tehran, North Kargar Ave., Tehran, Iran.
The term "neuroenhancement" describes the enhancement of cognitive function associated with deficiencies resulting from a specific condition. Nevertheless, there is currently no agreed-upon definition for the term "neuroenhancement", and its meaning can change based on the specific research being discussed. As humans, our continual pursuit of expanding our capabilities, encompassing both cognitive and motor skills, has led us to explore various tools.
View Article and Find Full Text PDFTemperature and Host Fruit During Immature Development Shape Adult Life History Traits of Different Populations.
Insects
January 2025
Laboratory of Entomology and Agricultural Zoology, Department of Agriculture, Crop Production and Rural Environment, School of Agricultural Sciences, University of Thessaly, Fytokou St., 38446 Volos, Greece.
Temperature and host fruit availability are key factors influencing the life history traits of the Mediterranean fruit fly (medfly) (). This study examines how developmental temperature and host fruit type affect adult longevity and fecundity in medflies from six populations spanning Southern to Central Europe. Larvae were reared on apples and bitter oranges at three constant temperatures (15, 20, and 25 °C), with pupae maintained under the same thermal conditions until adult emergence.
View Article and Find Full Text PDFMicrosaccade selectivity as discriminative feature for object decoding.
iScience
January 2025
School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran 14399-57131, Iran.
Microsaccades, a form of fixational eye movements, help maintain visual stability during stationary observations. This study examines the modulation of microsaccadic rates by various stimulus categories in monkeys and humans during a passive viewing task. Stimulus sets were grouped into four primary categories: human, animal, natural, and man-made.
View Article and Find Full Text PDFAcceptability of a dapivirine levonorgestrel vaginal ring in two Phase 1 trials (MTN-030/IPM 041 and MTN-044/IPM 053/CCN019): Implications for multipurpose prevention technology development.
PLoS One
January 2025
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
End-user feedback early in product development is important for optimizing multipurpose prevention technologies for HIV and pregnancy prevention. We evaluated the acceptability of the 90-day dapivirine levonorgestrel ring (DPV-LNG ring) used for 14 days compared to a dapivirine-only ring (DVR-200mg) in MTN-030/IPM 041 (n = 23), and when used for 90 days cyclically or continuously in MTN-044/IPM 053/CCN019 (n = 25). We enrolled healthy, non-pregnant, HIV-negative women aged 18-45 in Pittsburgh, PA and Birmingham, AL (MTN-030 only).
View Article and Find Full Text PDFFlexibility in choosing decision policies in gathering discrete evidence over time.
PLoS One
January 2025
Center for Cognitive Science, Institute for Convergence Science and Technology (ICST), Sharif University of Technology, Tehran, Iran.
The brain can remarkably adapt its decision-making process to suit the dynamic environment and diverse aims and demands. The brain's flexibility can be classified into three categories: flexibility in choosing solutions, decision policies, and actions. We employ two experiments to explore flexibility in decision policy: a visual object categorization task and an auditory object categorization task.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!