Cohort study demonstrates surgeon-performed ultrasound matches scintigraphy in primary hyperparathyroidism, suggesting it serves as a reliable first-line imaging tool.
In this cohort study, conventional ultrasonography by an experienced parathyroid surgeon-sonographer was noninferior to scintigraphy and may constitute a valid first-line imaging modality in patients with primary hyperparathyroidism, even without the addition of CEUS. Further imaging should be reserved for cases that are equivocal or nonlocalizing on ultrasonography.
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Michaelsen et al. (2023) studied this question.
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