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Imaging recommendation · Neuro · Head & Neck

Biochemical primary hyperparathyroidism (parathyroid adenoma localization)

Recommended: Parathyroid Sestamibi + Neck Ultrasound (4D-CT if discordant) is the preferred imaging study for biochemical primary hyperparathyroidism (parathyroid adenoma localization). Concordant Sestamibi + US allows minimally invasive parathyroidectomy.

Recommended study

Parathyroid Sestamibi + Neck Ultrasound (4D-CT if discordant)

NM IV contrast Preferred Neuro · Head & Neck Outpatient Reviewed

Concordant Sestamibi + US allows minimally invasive parathyroidectomy. 4D-CT for ectopic / re-operative cases.

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