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

Updated: Oct 02, 2018
  • Author: Lawrence Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Answer

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.


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