{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:56:09Z","timestamp":1791586569110,"version":"4.3.4"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Arteria lusoria (AL), a rare vascular variant (prevalence of 0.5\u20133.2%), is linked to a right non-recurrent laryngeal nerve (RNRLN), thereby increasing nerve injury risk during thyroid and parathyroid surgery. This study evaluates ultrasonography (US) for preoperative AL detection.<\/jats:p>\n                  <jats:p>Retrospective analysis of 1406 hyperparathyroidism patients undergoing 18F-fluorocholine PET\/CT with subgroup analysis in 270 patients with \u201cexpert US\u201d performed on-site. An experienced senior radiologist assessed the US Y-image (brachiocephalic artery division), with low-dose CT as the standard of truth for AL confirmation.<\/jats:p>\n                  <jats:p>18F-fluorocholine PET\/CT analysis found 22 cases of AL (prevalence: 1.57%). US identified 259 Y-images, excluding AL, confirmed by CT. Five absent Y-images indicated AL, all were confirmed by CT. Six non-assessable Y-images were AL-negative on CT. US performance: sensitivity 100% (95% CI: 0.463\u20131), specificity 98% (95% CI: 0.95\u20130.99), negative predictive value (NPV) 100%, accuracy 98%.<\/jats:p>\n                  <jats:p>US Y-image assessment reliably excludes AL with an NPV of 100%, offering a non-invasive tool to reduce RNRLN injury risk in thyroid and parathyroid surgery.<\/jats:p>","DOI":"10.1055\/a-2731-9908","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T23:09:17Z","timestamp":1761347357000},"page":"505-511","source":"Crossref","is-referenced-by-count":2,"title":["Preoperative ultrasound detection of arteria lusoria and non-recurrent laryngeal nerve anatomical variation: a retrospective study"],"prefix":"10.1055","volume":"47","author":[{"given":"Jean-Baptiste","family":"Safa","sequence":"additional","affiliation":[{"name":"Hopital Tenon, \u00cele-de-France, France","place":["Paris"],"department":["Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Tassart","sequence":"additional","affiliation":[{"name":"Hopital Tenon, \u00cele-de-France, France","place":["Paris"],"department":["Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Noel","family":"Talbot","sequence":"additional","affiliation":[{"name":"Hopital Tenon, \u00cele-de-France, France","place":["Paris"],"department":["Nuclear Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Yves","family":"Marcy","sequence":"additional","affiliation":[{"name":"PolyClinics ELSAN Medipole, France","place":["Ollioules"],"department":["Interventional Radiology and Radiodiagnostic Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"P\u00e9ri\u00e9","sequence":"additional","affiliation":[{"name":"Groupe Hospitalier Priv\u00e9 Ambroise Par\u00e9-Hartmann, 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