Usefulness of Near-Infrared Imaging for Intraoperative Parathyroid Detection

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  • Yamashita Toshihiko
    Department of Otolaryngology-Head and Neck Surgery, Steel Memorial Hirohata Hospital
  • Hashimoto Dai
    Department of Otolaryngology-Head and Neck Surgery, Steel Memorial Hirohata Hospital
  • Fujiwara Hajime
    Department of Otolaryngology-Head and Neck Surgery, Steel Memorial Hirohata Hospital
  • Mogi Chisato
    Department of Otolaryngology-Head and Neck Surgery, Steel Memorial Hirohata Hospital

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  • 赤外観察カメラシステムを用いた術中副甲状腺同定の有用性についての検討
  • セキガイ カンサツ カメラ システム オ モチイタ ジュッチュウ フクコウジョウセン ドウテイ ノ ユウヨウセイ ニ ツイテ ノ ケントウ

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<p>　In thyroid and parathyroid surgery, detection of the parathyroids is sometimes important to reserve post-operative parathyroid function. Visual parathyroid identification often presents difficulty because normal parathyroid glands resemble lymph nodes or fat tissues apparently. Recently parathyroid detection by near-infrared imaging has been reported. The technique is based on autofluorescence of the parathyroid glands. In this study, we used pde-neo® as the near infra-red sensing system. The technique allowed identification of 39 parathyroid glands in 19 patients at a sensitivity of 72% and specificity of 79%. Near-infrared imaging is useful for intraoperative detection of parathyroid glands during thyroid/parathyroid surgery.</p>

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