{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T05:28:28Z","timestamp":1790314108595,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,7,22]],"date-time":"2016-07-22T00:00:00Z","timestamp":1469145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>\n                    Four\u2010dimensional computed tomography (4D\u2010CT) is a new modality for preoperative localization of parathyroid adenomas. We performed a survey study to describe the role and trends in the utilization of 4D\u2010CT. Of 361\u00a0radiologists, 200 (55%) reported that 4D\u2010CT was used in their practices. Nineteen (10%) used 4D\u2010CT as the first\u2010line imaging study; 155 (76%) reported that 4D\u2010CT played a secondary role; and 26 (13%) reported that it is performed routinely in combination with ultrasound and scintigraphy. Early adopters of 4D\u2010CT (use for &gt;3 years) were 3 times more likely to use 4D\u2010CT in a first\u2010line role (18%) when compared with radiologists who used 4D\u2010CT for \u22643 years (6%;\n                    <jats:italic>P<\/jats:italic>\n                    &lt;. 05). In conclusion, more than half of radiologists perform 4D\u2010CT, and a majority reported that 4D\u2010CT plays a secondary role. However, this role may change, as utilization is increasing and radiologists may follow early adopters, who are more likely to use it as a first\u2010line study.\n                  <\/jats:p>","DOI":"10.1177\/0194599816655311","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T00:01:24Z","timestamp":1466640084000},"page":"956-960","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Parathyroid 4D\u2010CT"],"prefix":"10.1002","volume":"155","author":[{"given":"Jenny K.","family":"Hoang","sequence":"first","affiliation":[{"name":"Department of Radiology Duke University Medical Center Durham North Carolina USA"},{"name":"Department of Radiation Oncology Duke University Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Radiology Duke University Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Gaillard","sequence":"additional","affiliation":[{"name":"Department of Radiology Royal Melbourne Hospital Parkville Australia"},{"name":"Department of Medicine Dentistry and Health Sciences University of Melbourne Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Radiology Alfred Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Sosa","sequence":"additional","affiliation":[{"name":"Section of Endocrine Surgery Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.07.028"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.13122661"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4213"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3940-y"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816630711"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2885"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3978"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.01.005"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.14.13278"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2015142393"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599816655311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599816655311","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599816655311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:22:50Z","timestamp":1760955770000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599816655311"}},"subtitle":["Multi\u2010institutional International Survey of Use and Trends"],"short-title":[],"issued":{"date-parts":[[2016,7,22]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1177\/0194599816655311"],"URL":"https:\/\/doi.org\/10.1177\/0194599816655311","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,22]]},"assertion":[{"value":"2016-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}