Intraoperative radio-guided identification of parathyroid adenomas with the gamma probe: Initial experiences in a community hospital

Previous radiological imaging studies for identification of parathyroid ade nomas have generally been unreliable. Currently, preoperative administratio n of Tc-99m sestamibi improves detection of parathyroid adenomas. Combining preoperative administration of sestamibi radionuclide with the gamma probe intraoperatively can successfully identify the exact location of parathyro id adenomas in a community hospital setting and facilitate a safe and effic ient operation. A team approach, including surgeon, radiologist, and techno logist, is recommended to facilitate mastery of the learning curve.