Efficacy of surgeon performed ultrasound scan in localization of parathyroid adenomas in patients with primary hyperparathyroidism

Abstract Introduction The success of minimally invasive parathyroid surgery is largely based on accurate preoperative localization adenomas. In the U.K, NICE guidance recommends either ultrasound scanning alone or combined with sestamibi scintigraphy to help guide surgery. recent past, surgeon performed (SUS) has been adopted in North America and Australia for a sensitivity 63–91%. This was equivalent superior radiology (RUS). comparison, data from U.K imaging sparse. this study, we investigate efficacy disease discuss its cost benefits. Methods prospective study collected November 2019 June 2021. All patients had primary hyperparathyroidism underwent MIBI, both. A single experienced all under general anaesthesia. intraoperative findings were used determine accuracy techniques. Results total 46 found have gland disease. categories were: Double (n=17), MIBI (n=34), RUS (n=22), SUS(n=46), no (n=9). sensitivities 58%, 55% 81% respectively. 8 ectopic glands not included analysis scans. Conclusion Surgeon by an provider effective localizing adenomas guides It could significantly reduce costs associated outpatient