Centello Roberta, Sesti Franz, Feola Tiziana, Sada Valentina, Pandozzi Carla, Di Serafino Marco, Pacini Patrizia, Cantisani Vito, Giannetta Elisa, Tarsitano Maria Grazia
Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy.
Neuroendocrinology, Neuromed Institute, IRCCS, 86077 Pozzilli, Italy.
J Clin Med. 2023 Mar 24;12(7):2487. doi: 10.3390/jcm12072487.
The diagnosis of parathyroid diseases by imaging still has some intrinsic technical limitations due to the differential diagnosis of different structures of the neck that mimic the parathyroid glands. In this view, ultrasound (US) is an established, low-cost, and non-invasive imaging technique that still represents the first-line approach for evaluating patients with parathyroid disease. The objective of this article is to provide a comprehensive review of the applications of USs in clinical practice, discussing the histopathological and US characteristics of the parathyroid glands in normal and pathological conditions, the advantages of preoperative imaging, and novel updates on the most useful and currently available multiparameter US techniques.
由于颈部不同结构与甲状旁腺相似，导致影像学诊断甲状旁腺疾病仍存在一些固有的技术局限性。从这个角度来看，超声（US）是一种成熟、低成本且无创的成像技术，仍然是评估甲状旁腺疾病患者的一线方法。本文的目的是全面综述超声在临床实践中的应用，讨论正常和病理状态下甲状旁腺的组织病理学和超声特征、术前成像的优势以及最有用且目前可用的多参数超声技术的新进展。
