Clin Osteol 2008; 13(4): 154-157
Ultrasonography of the parathyroid glands in chronic kidney diseaseReview articles
Ultrasound examination is effective for imaging enlarged parathyroid glands, in particular prior to elective surgery for hyperparathy roidism. It is also beneficial for assessing the effect of conservative treatment. However, its reliability is largely dependent on both the equipment quality and the sonographer's experience with the neck region examination. In common sites, the latest technology is usu ally capable of resolving formations of the largest sizes over 5 mm. Sometimes, ultrasound examination is combined with fine-needle aspiration biopsy. In chronic kidney disease, chronic stimulation leads to parathyroid hyperplasia - first diffuse and later nodular. Ultrasonography helps to characterize the changes and may contribute to making therapeutic decisions. The correct description should comprise the number and location of visible parathyroid glands, their size, structure and type of vascularization.
Keywords: ultrasonography, parathyroid glands, chronic kidney disease
Published: December 11, 2008 Show citation
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