What is the role of ultrasonography in the workup of primary hyperparathyroidism?

Updated: Dec 24, 2020
  • Author: Lawrence T Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
  • Print


Ultrasonography of the neck is a safe and widely used technique for localization of abnormal parathyroid glands. It is capable of a high degree of accuracy, but it is operator dependent and its reported accuracy has varied widely in the literature. One advantage of neck ultrasonography is that it can be performed rapidly by the clinician at the time of the initial evaluation. Studies of clinician-performed ultrasound show accuracy rates that compare favorably with the accuracy of traditional radiology departments, in the vicinity of 75-80%. [9, 10, 11, 12] Ultrasound, like nuclear medicine scanning, has not been reliable in detecting multigland disease.

The panels show a transverse and longitudinal (sag The panels show a transverse and longitudinal (sagittal) view of a left superior parathyroid adenoma on ultrasonography. The caliper marks designate the adenoma. Adenomas are typically homogeneous and hypoechoic.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!