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J Parathyr Dis. 2023;11: e11199.
doi: 10.34172/jpd.2023.11199
  Abstract View: 253
  PDF Download: 96

Review

Current status and perspectives of ultrasound-guided ablation techniques in patients with primary hyperparathyroidism

Mohsen Jafari 1,2 ORCID logo, Ali Rastegar-Kashkouli 1,2 ORCID logo, Pourya Yousefi 1,2* ORCID logo, Ashkan Khavaran 3 ORCID logo, Mohammad Sharifi 4 ORCID logo, Azar Baradaran 1,2* ORCID logo, Pedram Yousefi 5 ORCID logo, Dordaneh Rastegar 2 ORCID logo

1 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
2 Nickan Research Institute, Isfahan, Iran.
3 Faculty of Medicine, University of Freiburg, Freiburg, Germany.
4 School of Medicine, Tehran University of Medical Sciences, Teran, Iran.
5 Department of Electrical Engineering, Sharif University of Technology, Tehran, Iran.
*Corresponding Authors: Corresponding author: Pourya Yousefi; Email: , Email: pourya.yousefi.1996@gmail.com; Corresponding author: Prof. Azar Baradaran, Email: azarbaradaran@yahoo.com, , Email: azarbaradaran@med.mui.ac.ir

Abstract

Primary hyperparathyroidism (PHPT) is an endocrine disorder characterized by elevated or inappropriately parathormone levels. The most common cause of PHPT is solitary parathyroid adenoma (80-85%). Parathyroid surgery generally encompasses symptomatic PHPT and asymptomatic patients who meet the surgical guideline criteria. If surgery is contraindicated, several non-surgical ablative techniques can be conducted to eliminate the pathological parathyroid tissue, which causes tissue necrosis in the affected gland. This review aims to look into the most recent studies on the efficacy of percutaneous ethanol injection therapy (PEIT), laser ablation (LA), radiofrequency ablation (RFA), microwave ablation (MWA), and high-intensity focused ultrasound (HIFU) in treatment of PHPT and analyze their application prospects. PEIT is a classic method that is less commonly used nowadays. The analysis of thermal ablation methods revealed that LA is inefficient and requires considerable repetition. Meanwhile, the MWA and RFA have a cure rate of over 85% and fewer complications; it seems that they have the potential to replace surgical methods in the future.

Please cite this paper as: Jafari M, Rastegar-Kashkouli A, Yousefi P, Khavaran A, Sharifi M, Baradaran A, Yousefi P, Rastegar D. Current status and perspectives of ultrasound-guided ablation techniques in patients with primary hyperparathyroidism. J Parathyr Dis. 2023;11:e11199. doi:10.34172/jpd.2023.11199.
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Submitted: 02 Jan 2023
Accepted: 04 Mar 2023
ePublished: 01 Apr 2023
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