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Emerging Imaging Technologies for Parathyroid Gland Identification and Vascular Assessment in Thyroid Surgery : A Review from the American Head and Neck Society Endocrine Surgery Section

Silver Karcioglu, Amanda L. (author)
Harvard Medical School,NorthShore University HealthSystem
Triponez, Frédéric (author)
Geneva University Hospital
Solórzano, Carmen C. (author)
Vanderbilt University Medical Center
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Iwata, Ayaka J. (author)
Kaiser Permanente
Abdelhamid Ahmed, Amr H. (author)
Harvard Medical School
Almquist, Martin (author)
Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Endocrine and Sarcoma Surgery,Lund University Research Groups,Skåne University Hospital
Angelos, Peter (author)
Benmiloud, Fares (author)
Berber, Eren (author)
Cleveland Clinic Foundation
Bergenfelz, Anders (author)
Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Endocrine and Sarcoma Surgery,Lund University Research Groups
Cha, Jaepyeong (author)
George Washington University,Children’s National Health System, Washington
Colaianni, C. Alessandra (author)
Oregon Health & Science University
Davies, Louise (author)
Dartmouth College
Duh, Quan Yang (author)
University of California, San Francisco,San Francisco Veterans Administration Medical Center
Hartl, Dana (author)
Kandil, Emad (author)
Tulane University School of Medicine
Kim, Wan Wook (author)
Kyungpook National University
Kopp, Peter A. (author)
University of Lausanne,Northwestern University Feinberg School of Medicine
Liddy, Whitney (author)
Mahadevan-Jansen, Anita (author)
Vanderbilt University Medical Center
Lee, Kang Dae (author)
Mannstadt, Michael (author)
Harvard Medical School
McMullen, Caitlin P. (author)
H. Lee Moffitt Cancer Center & Research Institute
Shonka, David C. (author)
University of Virginia
Shin, Jennifer J. (author)
Harvard Medical School,Brigham and Women's Hospital / Harvard Medical School
Singer, Michael C. (author)
Henry Ford Health System
Slough, Cristian M. (author)
Stack, Brendan C. (author)
Tearney, Guillermo (author)
Harvard Medical School,Massachusetts General Hospital
Thomas, Giju (author)
Vanderbilt University
Tolley, Neil (author)
Imperial College Healthcare NHS Trust
Vidal-Fortuny, Jordi (author)
Geneva University Hospital
Randolph, Gregory W. (author)
Harvard Medical School
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 (creator_code:org_t)
American Medical Association (AMA), 2023
2023
English 8 s.
In: JAMA Otolaryngology - Head and Neck Surgery. - : American Medical Association (AMA). - 2168-6181. ; 149:3, s. 253-260
Related links:
http://dx.doi.org/10...
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  • Research review (peer-reviewed)
Abstract Subject headings
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  • Importance: Identification and preservation of parathyroid glands (PGs) remain challenging despite advances in surgical techniques. Considerable morbidity and even mortality result from hypoparathyroidism caused by devascularization or inadvertent removal of PGs. Emerging imaging technologies hold promise to improve identification and preservation of PGs during thyroid surgery. Observation: This narrative review (1) comprehensively reviews PG identification and vascular assessment using near-infrared autofluorescence (NIRAF) - both label free and in combination with indocyanine green - based on a comprehensive literature review and (2) offers a manual for possible implementation these emerging technologies in thyroid surgery. Conclusions and Relevance: Emerging technologies hold promise to improve PG identification and preservation during thyroidectomy. Future research should address variables affecting the degree of fluorescence in NIRAF, standardization of signal quantification, definitions and standardization of parameters of indocyanine green injection that correlate with postoperative PG function, the financial effect of these emerging technologies on near-term and longer-term costs, the adoption learning curve and effect on surgical training, and long-term outcomes of key quality metrics in adequately powered randomized clinical trials evaluating PG preservation.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

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