Abstract
Reoperation for primary hyperparathyroidism (pHPT) carries higher morbidity and lower cure rates especially in the context of negative sestaMIBI and ultrasound exams. Dynamic four-dimensional CT (4DCT) and parathyroid hormone venous sampling (PVS) help localize parathyroid adenomas. We hypothesize that PVS improves 4DCT presurgical localization of parathyroid adenomas in this patient population.
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