{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:07:43Z","timestamp":1768439263096,"version":"3.49.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":264,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>VISIONSENSE\u00ae is a new near-infrared (NIR) fluorescence laparoscope and has an NIR overlay threshold function that allows us to set a floor for the NIR signal to be included in the overlay. We report the case of a patient who underwent indocyanine green (ICG) fluorescence-guided parathyroidectomy for primary hyperparathyroidism due to parathyroid adenoma using the threshold-adjustment function of VISIONSENSE\u00ae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 40-year-old man was referred to our department for examination and treatment of hypercalcemia. ICG fluorescence-guided parathyroidectomy using VISIONSENSE\u00ae was planned on diagnosis of primary hyperparathyroidism due to parathyroid tumor. In the operation, we were unable to readily recognize the parathyroid gland (PG). After intravenous injection of ICG, fluorescence from ICG appeared from the left thyroid lobe to the PG, but PG contours remained unclear. We therefore used the threshold-adjustment function of VISIONSENSE\u00ae to discard NIR signal values &lt;50%. Clear contours of the PG were subsequently obtained, allowing recognition of the gland and successful ICG-guided parathyroidectomy. No postoperative complications were encountered and the pathological diagnosis was parathyroid adenoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In our case, both PG and thyroid showed ICG fluorescence, but the intensity of thyroid fluorescence was slightly little lower than that of PG fluorescence. To differentiate between fluorescence from PG and thyroid, the threshold-adjustment function of VISIONSENSE\u00ae may prove useful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case suggests that the threshold-adjustment function of VISIONSENSE\u00ae may be useful to readily identify the PG in parathyroid surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.139","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T12:32:57Z","timestamp":1600864377000},"page":"418-421","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Introduction of VISIONSENSE\u00ae for indocyanine green fluorescence-guided parathyroidectomy"],"prefix":"10.1097","volume":"75","author":[{"given":"Teppei","family":"Kamada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junji","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Marukuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Narihiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironori","family":"Ohdaira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-94-20260114","doi-asserted-by":"crossref","first-page":"516","DOI":"10.21037\/gs.2017.05.08","article-title":"Intraoperative real-time localization of parathyroid gland with near infrared fluorescence imaging","volume":"6","author":"Kim","year":"2017","journal-title":"Gland Surg"},{"key":"R2-94-20260114","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/bjs.10101","article-title":"Parathyroid gland angiography with indocyanine green fluorescence to predict parathyroid function after thyroid surgery","volume":"103","author":"Fortuny","year":"2016","journal-title":"BJS"},{"key":"R3-94-20260114","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1097\/00005537-199908000-00010","article-title":"Unintentional parathyroidectomy during thyroidectomy","volume":"109","author":"Lee","year":"1999","journal-title":"Laryngoscope"},{"key":"R4-94-20260114","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/00005537-200204000-00003","article-title":"Incidence of inadvertent parathyroid removal during thyroidectomy","volume":"112","author":"Lin","year":"2002","journal-title":"Laryngoscope"},{"key":"R5-94-20260114","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1001\/archotol.127.3.304","article-title":"Incidental parathyroidectomy during thyroid surgery does not cause transient symptomatic hypocalcemia","volume":"127","author":"Sasson","year":"2001","journal-title":"Arch. Otolaryngol. Head Neck Surg"},{"key":"R7-94-20260114","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1002\/jso.24240","article-title":"The utility of indocyanine green near infrared fluorescent imaging in the identification of parathyroid glands during surgery for primary hyperparathyroidism","volume":"113","author":"Zaidi","year":"2016","journal-title":"J. Surg. Oncol"},{"key":"R8-94-20260114","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.surg.2017.08.018","article-title":"Indocyanine green fluorescence-guided parathyroidectomy for primary hyperparathyroidism","volume":"163","author":"DeLong","year":"2018","journal-title":"Surgery"},{"key":"R10-94-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating Consensus Surgical CAse Report (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220308129?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220308129?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:49:14Z","timestamp":1768398554000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.139"}},"subtitle":["Report of a case"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.09.139","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}