Accuracy of Four-dimensional CT for the Localization of Abnormal Parathyroid Glands in Patients with Primary Hyperparathyroidism

Abstract

Four-dimensional CT has sufficiently high accuracy in presurgical localization to allow confident performance of unilateral parathyroidectomy in patients with sporadic primary hyperparathyroidism. The superior accuracy compared with that of ultrasonography and technetium 99m sestamibi scanning may be sufficient to allow four-dimensional CT to be used as the sole presurgical localization method.