Intraoperative PTH Monitoring

Ahmad M. Eltelety, David J. Terris

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The use of intraoperative parathyroid hormone (ioPTH) monitoring during parathyroidectomy is a useful adjunct that aids in the decision-making process during surgery to determine whether patients are cured and if surgery should be terminated. This chapter addresses the evolution of the PTH assay to gain a better understanding of this important tool and to improve the proper interpretation of the intraoperative results in order to increase the success of surgery and reduce the recurrence rates. The principal innovations that have occurred in recent years have been the reintroduction of a truly rapid point-of-care assay, a more measured approach to declaring a cure based on intraoperative PTH degradation, and novel uses of the assay to better localize hyperfunctional parathyroid tissue.

Original languageEnglish (US)
Title of host publicationInnovations in Modern Endocrine Surgery
PublisherSpringer International Publishing
Pages219-231
Number of pages13
ISBN (Electronic)9783030739515
ISBN (Print)9783030739508
DOIs
StatePublished - Jan 1 2021

Keywords

  • Future Diagnostics
  • Intraoperative
  • Monitoring
  • Parathyroid hormone
  • Parathyroid surgery

ASJC Scopus subject areas

  • General Medicine

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