Radiologist- and Surgeon-Performed Ultrasound (RSUS) Facilitates Minimally İnvasive Parathyroidectomy (MIP): Optimal Biochemical Parameters and Patient Outcomes

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dc.contributor.authorMutlu, V
dc.contributor.authorYüksek, MA
dc.contributor.authorPekkolay, Z
dc.contributor.authorYeğin, Z
dc.contributor.authorYıldırım, İH
dc.contributor.authorUslukaya, O
dc.date.accessioned2026-03-31T13:21:19Z
dc.date.available2026-03-31T13:21:19Z
dc.date.issued2025
dc.description.abstractBackground/Objectives: The high success rate of minimally invasive parathyroidectomy (MIP) is dependent upon the correct preoperative localization of the solitary parathyroid adenoma (SPA). Various studies have focused on comparisons of radiologist-performed ultrasound (RUS) and surgeon-performed ultrasound (SUS) to increase the sensitivity rate of US. However, the efficiency of radiologist- and surgeon-performed ultrasound (RSUS) before MIP has not frequently been reported. We aimed to evaluate the efficiency of RSUS in clinical practice. Methods: In total, 122 patients (107 females, 15 males, mean age: 47.62 +/- 15.75 years) with SPA were enrolled in our study design. The patients underwent preoperative ultrasonography (US) and technetium-99-sestamibi scintigraphy. Patient data including demographic characteristics, levels of biochemical parameters (parathyroid hormone (PTH), total serum calcium and phosphorus levels), operation time, and length of hospital stay were recorded. Results: MIP was performed with success under local anesthesia following the accurate localization of the adenomas by RSUS. The mean operation time was 20.00 +/- 3.87 min. The mean preoperative serum PTH, calcium, and phosphorus levels were 525.69 +/- 1050.92 pg/mL, 11.38 +/- 1.22 mg/dL, and 2.53 +/- 0.60 mg/dL, respectively. The decline in the perioperative PTH and calcium levels reflecting a cure was observed on the first postoperative day. Postoperative sixth month evaluations of the PTH and calcium levels confirmed the significant decrease, reflecting the therapeutic cure. Since no complications occurred, the hospital discharge process was carried out on the same day. Conclusions: RSUS is a beneficial adjunctive tool to facilitate MIP, and it achieved satisfactory therapeutic success in all the patients.
dc.identifier.doi10.3390/jcm14072279
dc.identifier.issn2077-0383
dc.identifier.issue7
dc.identifier.pmid40217729
dc.identifier.urihttp://dx.doi.org/10.3390/jcm14072279
dc.identifier.urihttps://hdl.handle.net/11491/9673
dc.identifier.volume14
dc.identifier.wosWOS:001463586500001
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofJ CLIN MED
dc.subjectparathyroid adenoma
dc.subjectultrasound
dc.subjectminimally invasive parathyroidectomy
dc.subjecthypercalcemia
dc.subjectparathormone
dc.titleRadiologist- and Surgeon-Performed Ultrasound (RSUS) Facilitates Minimally İnvasive Parathyroidectomy (MIP): Optimal Biochemical Parameters and Patient Outcomes
dc.typeArticle

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