{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:49:14Z","timestamp":1777484954882,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1997,11,1]],"date-time":"1997-11-01T00:00:00Z","timestamp":878342400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[1997,11]]},"abstract":"\n Background<\/jats:title>\n Despite the fact that primary hyperparathyroidism (HPTH) is the result of a single adenoma in 85% to 92% of cases and is cured following the removal of this one gland, many surgeons continue to perform a complete bilateral neck exploration for patients with primary HPTH. The advent of the sestamibi scan now enables the identification of patients with a single adenoma.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The use of preoperative sestamibi scanning followed immediately by minimally invasive parathyroidectomy using intraoperative nuclear mapping allows cure for primary HPTH in properly selected patients.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Reports have shown that preoperative sestamibi scanning has a sensitivity of approximately 90% and a specificity of almost 100% in identifying patients with a single adenoma. Intraoperative mapping allows a limited dissection to be performed under local anesthesia in an outpatient setting in approximately 80% of all patients with primary hyperparathyroidism. The details of this new technique \u2014 patient selection, timing, use of the intraoperative nuclear probe, and surgical exploration \u2014 are described.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n When selected appropriately, most patients with primary HPTH can be successfully treated through a minimally invasive technique.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/107327489700400603","type":"journal-article","created":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T07:16:05Z","timestamp":1504077365000},"page":"500-504","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["The Technique of Intraoperative Nuclear Mapping to Facilitate Minimally Invasive Parathyroidectomy"],"prefix":"10.1177","volume":"4","author":[{"given":"James","family":"Norman","sequence":"first","affiliation":[{"name":"Department of Surgery at the University of South Florida, Tampa, Fla."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,30]]},"reference":[{"key":"bibr1-107327489700400603","first-page":"511","volume":"157","author":"Tibblin S.","year":"1991","journal-title":"Eur J Surg."},{"key":"bibr2-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199204000-00002"},{"key":"bibr3-107327489700400603","first-page":"1118","volume":"112","author":"Proye C.A.","year":"1992","journal-title":"Surgery."},{"key":"bibr4-107327489700400603","first-page":"103","volume":"157","author":"Tibblin S.","year":"1991","journal-title":"Eur J Surg."},{"key":"bibr5-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80536-7"},{"key":"bibr6-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80900-6"},{"key":"bibr7-107327489700400603","first-page":"115","volume":"59","author":"Nottingham J.M.","year":"1993","journal-title":"Am Surg."},{"key":"bibr8-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830734"},{"key":"bibr9-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00289-9"},{"key":"bibr10-107327489700400603","first-page":"641","volume":"61","author":"Rantis P.C.","year":"1995","journal-title":"Am Surg."},{"key":"bibr11-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00030-X"},{"key":"bibr12-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658540"},{"key":"bibr13-107327489700400603","first-page":"985","volume":"125","author":"Wang C.A.","year":"1990","journal-title":"Arch Surg."},{"key":"bibr14-107327489700400603","author":"Norman J.","year":"1997","journal-title":"Am Surg."},{"key":"bibr15-107327489700400603","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(97)90201-4"},{"key":"bibr16-107327489700400603","author":"Denham D.","year":"1997","journal-title":"J Am Coll Surg."}],"container-title":["Cancer Control"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107327489700400603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107327489700400603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:24:50Z","timestamp":1777386290000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/107327489700400603"}},"subtitle":["The use of intraoperative nuclear mapping to localize parathyroid adenomas is reviewed."],"short-title":[],"issued":{"date-parts":[[1997,11]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1997,11]]}},"alternative-id":["10.1177\/107327489700400603"],"URL":"https:\/\/doi.org\/10.1177\/107327489700400603","relation":{},"ISSN":["1073-2748","1073-2748"],"issn-type":[{"value":"1073-2748","type":"print"},{"value":"1073-2748","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,11]]}}}