alexa A Combined Approach of CEUS and DEMR in the Diagnosis of Parathyroid Hyperparathyroidism | OMICS International| Abstract
ISSN:2167-7964

OMICS Journal of Radiology
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • OMICS J Radiol 2018, Vol 7(3): 297
  • DOI: 10.4172/2167-7964.1000297

A Combined Approach of CEUS and DEMR in the Diagnosis of Parathyroid Hyperparathyroidism

Ameen MD*, Kumaran S and Mani K
Velammal Medical College and Hospital, , Madurai, Tamil Nadu, India
*Corresponding Author : Ameen MD, Velammal Medical College and Hospital, Madurai, Tamil Nadu, India, Tel: 919444153809, Email: [email protected]

Received Date: May 04, 2018 / Accepted Date: May 24, 2018 / Published Date: May 30, 2018

Abstract

Background: Ultrasound detection of parathyroid hyperparathyroidism solely depends upon radiologist experience in all modalities. Large nodule more than 5 mm can be detected confidently in ultrasound alone with proper history. However nodule<2 mm, negative ultrasound, not traced nuclear medicine study, further patients have persistent primary hyperparathyroidism symptoms and biochemical parameters increased is challenging task. This small nodule establishing diagnosis with appropriate surgery treatment planning in symptomatic patients from minimal invasive surgery to total neck exploration alarms endocrine surgeons. Our study emphasis on value of advanced MR and CEUS imaging protocol in detecting even small nodules as compared to conventional CT and MR wherein sensitivity and specificity is low and moreover CT is radiation modality.
Objectives: This study directly compared diagnostic value of dynamic enhanced DEMR and 4D CT application for preoperative detection of solitary parathyroid nodule.
Patients and methods: 31 patients selected as sample volume. 18 positive patients detected incidental parathyroid nodule by USG with biochemical parameters were grouped for further evaluation. 3 patients showed negative ultrasound, but with increased lab value subjected to SPECT and lesion localized and grouped along with positive cases. 10 patients were initial suspected clinically but normal lab value and negative ultrasound set as control group in our study. Each patient provided written informed consent to participate in this study. All positive patients subjected to CEUS and 4D MR and within 2 weeks surgery planning done accordingly and specimen cytology results compared for positive cases as gold standard. Results: Surgery specimen revealed 16 solitary parathyroid adenomas, 3 parathyroid carcinoma, and 2 patients with atypical parathyroid lesion like cyst with no complication. These results are correlated with CEUS and 4D MR results. No evidence of multiple lesions/diffuse involvement noted in our study and these results are correlated with HPE. The diagnostic sensitivities for detection of parathyroid adenomas of 66% sensitivity and 94% specificity, PPV 66%, NPV 94% and accuracy 80% (n=21) by CEUS and DEMR.
Conclusion: This study demonstrates that CEUS/DEMR is more sensitive in preoperative localization of parathyroid adenomas versus parathyroid carcinoma and reduces morbidity by selective minimal invasive planning.

Keywords: Primary hyperparathyroidism; CEUS; DEMR; Histopathology; Parathyroid incidentaloma

Citation: Ameen MD, Kumaran S, Mani K (2018) A Combined Approach of CEUS and DEMR in the Diagnosis of Parathyroid Hyperparathyroidism. OMICS J Radiol 7: 297. Doi: 10.4172/2167-7964.1000297

Copyright: © 2018 Ameen MD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Select your language of interest to view the total content in your interested language

Post Your Comment Citation
Share This Article
Recommended Conferences

2nd Global Meeting on Oncology and Radiology

Dubai, UAE
Article Usage
  • Total views: 2371
  • [From(publication date): 0-2018 - Oct 02, 2020]
  • Breakdown by view type
  • HTML page views: 2282
  • PDF downloads: 89
Top