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Some points from my #ASNR20 parathyroid 4D CT talk broadcast now and soon available on-demand:

• primary hyperparathyroidism (PHPT) - intrinsic parathyroid gland abnormality resulting in excessive PTH secretion

• PHPT diagnosed with blood tests (specifically Ca and PTH)
• Most often (85-90%) caused by single adenoma (1 gland problem); less often by abnormality of more than 1 gland

• Cure - surgical removal of abnormal parathyroid tissue (whether 1 gland or more than 1 gland)

• Image to LOCALIZE; inform surgeon's choice of operation

#ASNR20
Two accepted operative strategies:

1) bilateral neck exploration (BNE) - original operation, involves surgeon's inspection of all parathyroid glands → removal of glands judged abnormal

#ASNR20
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