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World J Radiol. Mar 28, 2023; 15(3): 69-82
Published online Mar 28, 2023. doi: 10.4329/wjr.v15.i3.69
Multi-modality parathyroid imaging: A shifting paradigm
Shrea Gulati, Sunil Chumber, Gopal Puri, Stanzin Spalkit, N A Damle, CJ Das
Shrea Gulati, Stanzin Spalkit, CJ Das, Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India
Sunil Chumber, Gopal Puri, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India
N A Damle, Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India
Author contributions: Gulati S, Das JC, Spalkit S wrote the paper; Chumber S and Puri G provided the surgical expertise; Damle N provided the nuclear medicine expertise. All authors were involved in careful editing of the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: CJ Das, FRCP, MBBS, MD, Professor, Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, Aurobindo Marg Ansari Nagar, New Delhi 110029, Delhi, India. docchandan17@gmail.com
Received: December 24, 2022
Peer-review started: December 24, 2022
First decision: January 3, 2023
Revised: January 20, 2023
Accepted: March 1, 2023
Article in press: March 1, 2023
Published online: March 28, 2023
Processing time: 92 Days and 15 Hours
Core Tip

Core Tip: Parathyroid adenoma is the commonest cause of primary hyperparathyroidism, the management of which lies in definitive surgery. Accurate preoperative imaging is of prime importance to facilitate surgery. Imaging modalities include radiological investigations like ultrasound, four-dimensional computed tomography and magnetic resonance imaging which provide anatomical localization and nuclear scans like MIBI, single photon emission computed tomography and Fluoro-choline positron emission tomography which provide functional imaging details. Contrast-enhanced ultrasound is a novel modality which is being explored in the evaluation of parathyroid adenomas.