{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:05:23Z","timestamp":1777435523116,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiologica Open"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Selective venous sampling (SVS) is an invasive localization study for persistent or recurrent hyperparathyroidism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the role of SVS in addition to non-invasive imaging for primary hyperparathyroidism (pHPT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      This study was approved by the institutional review board and included 14 patients who underwent SVS and subsequent parathyroidectomy between January 2014 and April 2017 following a clinical diagnosis of pHPT. All patients underwent pre-SVS non-invasive imaging, including ultrasound, computed tomography (CT), and\n                      <jats:sup>99m<\/jats:sup>\n                      Tc-MIBI scintigraphy, and sensitivity was assessed using the operative and pathological findings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all but one case, a single parathyroid adenoma was responsible for the pHPT; the remaining case exhibited a chemical response following surgical removal of parathyroid tissue. The sensitivity (%) for ultrasound, CT,\n                      <jats:sup>99m<\/jats:sup>\n                      Tc-MIBI scintigraphy, and SVS was 76.9, 84.6, 69.2, and 76.9, respectively. SVS yielded positive results in four patients with discordant results and one patient with non-detectable results on imaging. In seven patients, a significant increase in the intact parathyroid hormone level was recognized only in the thyroid veins. The procedure time was in the range of 52\u2013183\u2009min (median\u2009=\u200989.5\u2009min).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The addition of SVS to a non-invasive imaging study would be helpful to locate the responsible lesion of pHPT with discordant or non-detectable results on imaging for initial surgical treatment as well.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2058460118760361","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T04:26:58Z","timestamp":1519792018000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Selective venous sampling supports localization of adenoma in primary hyperparathyroidism"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8574-8557","authenticated-orcid":false,"given":"Masaya","family":"Ikuno","sequence":"first","affiliation":[{"name":"Department of Radiology, Sagamihara Kyodo Hospital, Kanagawa, Japan"},{"name":"Department of Radiology, St. Marianna University School of Medicine, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasumoto","family":"Shinjo","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiko","family":"Kumano","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3223-0842","authenticated-orcid":false,"given":"Kunihiro","family":"Yagihashi","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, 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