{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T14:26:42Z","timestamp":1769264802164,"version":"3.49.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2023,5]]},"DOI":"10.1016\/j.acra.2022.05.014","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T21:15:55Z","timestamp":1656105355000},"page":"881-890","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Opportunistic Parathyroid Gland Assessment on Routine CT Could Decrease Morbidity from Undiagnosed Primary Hyperparathyroidism"],"prefix":"10.1016","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6129-7299","authenticated-orcid":false,"given":"Paul M.","family":"Bunch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik D.","family":"Johansson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reese W.","family":"Randle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.acra.2022.05.014_bib0001","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1097\/SLA.0000000000002370","article-title":"Failure to diagnose hyperparathyroidism in 10,432 patients with hypercalcemia: opportunities for system-level intervention to increase surgical referrals and cure","volume":"266","author":"Balentine","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.acra.2022.05.014_bib0002","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1001\/jamainternmed.2019.1747","article-title":"Diagnosis and management of primary hyperparathyroidism across the veterans affairs health care system","volume":"179","author":"Alore","year":"2019","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.acra.2022.05.014_bib0003","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.surg.2019.06.044","article-title":"Derivation of a cost-saving screening strategy for asymptomatic primary hyperparathyroidism","volume":"167","author":"Nguyen-Lee","year":"2020","journal-title":"Surgery"},{"key":"10.1016\/j.acra.2022.05.014_bib0004","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1001\/jamasurg.2016.2310","article-title":"The American Association of endocrine surgeons guidelines for definitive management of primary hyperparathyroidism","volume":"151","author":"Wilhelm","year":"2016","journal-title":"JAMA Surg"},{"key":"10.1016\/j.acra.2022.05.014_bib0005","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1111\/j.1365-2265.2009.03766.x","article-title":"Increased mortality and morbidity in mild primary hyperparathyroid patients. The Parathyroid Epidemiology and Audit Research Study (PEARS)","volume":"73","author":"Yu","year":"2010","journal-title":"Clin Endocrinol (Oxf)"},{"key":"10.1016\/j.acra.2022.05.014_bib0006","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.surg.2018.04.088","article-title":"End-organ effects of primary hyperparathyroidism: A population-based study","volume":"165","author":"Assadipour","year":"2019","journal-title":"Surgery"},{"key":"10.1016\/j.acra.2022.05.014_bib0007","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1148\/rg.2020190190","article-title":"Parathyroid 4D CT: What the surgeon wants to know","volume":"40","author":"Bunch","year":"2020","journal-title":"Radiographics"},{"key":"10.1016\/j.acra.2022.05.014_bib0008","first-page":"1690","article-title":"A simple formula to estimate parathyroid weight on 4D-CT, predict pathologic weight, and diagnose parathyroid adenoma in patients with primary hyperparathyroidism","volume":"41","author":"Yeh","year":"2020","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.acra.2022.05.014_bib0009","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1097\/RCT.0000000000001214","article-title":"Enlarged parathyroid glands on trauma computed tomography: Frequency and assessment for possible primary hyperparathyroidism","volume":"45","author":"Bunch","year":"2021","journal-title":"J Comput Assist Tomogr"},{"key":"10.1016\/j.acra.2022.05.014_bib0010","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.3174\/ajnr.A7265","article-title":"Dual-energy parathyroid 4D-CT: Improved discrimination of parathyroid lesions from thyroid tissue using noncontrast 40-keV virtual monoenergetic images","volume":"42","author":"Bunch","year":"2021","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.acra.2022.05.014_bib0011","doi-asserted-by":"crossref","first-page":"888","DOI":"10.2214\/AJR.21.26935","article-title":"Parathyroid 4D CT in primary hyperparathyroidism: Exploration of size measurements for identifying multigland disease and guiding biochemically successful parathyroidectomy","volume":"218","author":"Bunch","year":"2022","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.acra.2022.05.014_bib0012","doi-asserted-by":"crossref","first-page":"3208","DOI":"10.1210\/jc.2003-031184","article-title":"Weight of normal parathyroid glands in patients with parathyroid adenomas","volume":"89","author":"Yao","year":"2004","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.acra.2022.05.014_bib0013","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1210\/jc.2012-3168","article-title":"Clinical review: Parathyroid localization and implications for clinical management","volume":"98","author":"Kunstman","year":"2013","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.acra.2022.05.014_bib0014","doi-asserted-by":"crossref","first-page":"S406","DOI":"10.1016\/j.jacr.2021.08.013","article-title":"ACR Appropriateness Criteria\u00ae Parathyroid Adenoma","volume":"18","author":"Zander","year":"2021","journal-title":"J Am Coll Radiol"},{"key":"10.1016\/j.acra.2022.05.014_bib0015","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1148\/radiol.12110852","article-title":"Accuracy of four-dimensional CT for the localization of abnormal parathyroid glands in patients with primary hyperparathyroidism","volume":"264","author":"Hunter","year":"2012","journal-title":"Radiology"},{"key":"10.1016\/j.acra.2022.05.014_bib0016","doi-asserted-by":"crossref","first-page":"578","DOI":"10.3174\/ajnr.A3715","article-title":"Prevalence of the polar vessel sign in parathyroid adenomas on the arterial phase of 4D CT","volume":"35","author":"Bahl","year":"2014","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.acra.2022.05.014_bib0017","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1148\/radiol.13122661","article-title":"How to perform parathyroid 4D CT: Tips and traps for technique and interpretation","volume":"270","author":"Hoang","year":"2014","journal-title":"Radiology"},{"key":"10.1016\/j.acra.2022.05.014_bib0018","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1148\/radiol.2015142393","article-title":"Parathyroid adenomas and hyperplasia on four-dimensional CT scans: Three patterns of enhancement relative to the thyroid gland justify a three-phase protocol","volume":"277","author":"Bahl","year":"2015","journal-title":"Radiology"},{"key":"10.1016\/j.acra.2022.05.014_bib0019","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1148\/radiol.13122851","article-title":"Discriminating parathyroid adenoma from local mimics by using inherent tissue attenuation and vascular information obtained with four-dimensional CT: Formulation of a multinomial logistic regression model","volume":"270","author":"Hunter","year":"2014","journal-title":"Radiology"},{"key":"10.1016\/j.acra.2022.05.014_bib0020","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.nic.2022.01.006","article-title":"Parathyroid computed tomography: pearls, pitfalls, and our approach","volume":"32","author":"Kelly","year":"2022","journal-title":"Neuroimaging Clin N Am"},{"key":"10.1016\/j.acra.2022.05.014_bib0021","unstructured":"Werenski H, Nguyen C, Johansson E, et al. Can old imaging alter the preoperative and operative course of patients undergoing parathyroidectomy for primary hyperparathyroidism? Scientific abstract presented at Academic Surgical Conference 17th Annual Meeting; February 2022; Orlando, Florida."},{"key":"10.1016\/j.acra.2022.05.014_bib0022","doi-asserted-by":"crossref","first-page":"3561","DOI":"10.1210\/jc.2014-1413","article-title":"Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the Fourth International Workshop","volume":"99","author":"Bilezikian","year":"2014","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.acra.2022.05.014_bib0023","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.surg.2019.06.043","article-title":"Normocalcemic hyperparathyroidism: A collaborative endocrine surgery quality improvement program analysis","volume":"167","author":"Pandian","year":"2020","journal-title":"Surgery"},{"key":"10.1016\/j.acra.2022.05.014_bib0024","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.2214\/ajr.163.5.7976905","article-title":"Diagnosis of parathyroid adenomas: efficacy of measuring parathormone levels in needle aspirates of cervical masses","volume":"163","author":"Sacks","year":"1994","journal-title":"AJR Am J Roentgenol"},{"issue":"1143\u201350","key":"10.1016\/j.acra.2022.05.014_bib0025","article-title":"Use of surgeon-performed office ultrasound and parathyroid fine needle aspiration for complex parathyroid localization","volume":"138","author":"Stephen","year":"2005","journal-title":"Surgery"},{"key":"10.1016\/j.acra.2022.05.014_bib0026","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.amjsurg.2006.09.038","article-title":"Use of preoperative parathyroid fine-needle aspiration and parathormone assay in the primary hyperparathyroidism with concomitant thyroid nodules","volume":"193","author":"Erbil","year":"2007","journal-title":"Am J Surg"},{"key":"10.1016\/j.acra.2022.05.014_bib0027","doi-asserted-by":"crossref","first-page":"333","DOI":"10.4158\/EP.13.4.333","article-title":"Utility of ultrasound-guided fine-needle aspiration of parathyroid adenomas for localization before minimally invasive parathyroidectomy","volume":"13","author":"Abraham","year":"2007","journal-title":"Endocr Pract"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633222003178?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633222003178?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T08:58:09Z","timestamp":1761037089000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633222003178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["S1076633222003178"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2022.05.014","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Opportunistic Parathyroid Gland Assessment on Routine CT Could Decrease Morbidity from Undiagnosed Primary Hyperparathyroidism","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2022.05.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}