Balancing Efficacy and Safety: Intentional Imaging Strategies in Primary Hyperparathyroidism

Highlight

• Preoperative localization imaging significantly improves surgical success rates in primary hyperparathyroidism (pHPT).
• Diverse imaging modalities vary widely in radiation exposure and diagnostic performance.
• Intentional imaging—performed only after biochemical confirmation—is crucial to mitigate unnecessary radiation risks.
• Clinical decisions should balance radiation dose, sensitivity/specificity, local expertise, and cost to optimize patient care.

Study Background