Upfront Ultrasound for Preoperative Localization in Primary Hyperparathyroidism
NCT07068867 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 99
Last updated 2026-01-14
Summary
Primary hyperparathyroidism is caused by overactive parathyroid glands, leading to elevated calcium levels in the blood. The standard preoperative imaging includes both a radiation-based imaging modality and conventional ultrasound. However, ultrasound alone is a faster, safer, and more patient-friendly alternative. This study evaluates an upfront ultrasound approach, where patients undergo ultrasound first, and only those with certain findings proceed directly to surgery without additional imaging. Patients with uncertain findings proceed to additional imaging. The study is designed as a prospective cohort with a non-inferiority analysis, aiming to confirm whether upfront ultrasound can achieve an acceptable diagnostic sensitivity. If successful, this approach could reduce patient burden, minimize radiation exposure, and optimize healthcare resources
Conditions
- Primary Hyperparathyroidism
Sponsors & Collaborators
-
Odense University Hospital
lead OTHER
Principal Investigators
-
Sanne H Michaelsen, MD · Odense Universitetshospital
-
Viveque Egsgaard, MD, PhD · Odense Universitetshospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-01
- Primary Completion
- 2025-09-18
- Completion
- 2025-09-18
Countries
- Denmark
Study Locations
More Related Trials
-
The Novel Approach of Minimally Invasive Parathyroid Surgery Requires Precise Identification and Localization of the Lesion Prior to Exploration
NCT01226810 ·Status: UNKNOWN
-
Comparison of Two Methods of Parathyroidectomy for Primary Hyperparathyroidism
NCT00006329 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Does Parathyroid Autofluorescence Reduces Unintensional Parathyroidectomy During Total Thyroidectomy with Central Lymph Node Compartment Dissection
NCT04339478 ·Status: COMPLETED
-
Alterations in Muscle's Functional Characteristics After Parathyroid Surgery for Primary Hyperparathyroidism.
NCT03091140 ·Status: COMPLETED
-
Surgery for Thyroid Cancer With or Without Autofluorescence to Prevent Hypoparathyroidism
NCT06222606 ·Status: RECRUITING ·Phase: NA
-
Near-infrared Imaging Techniques for Identifying and Preserving Viable Parathyroid Glands During Thyroidectomy
NCT05130476 ·Status: COMPLETED ·Phase: NA
-
Study of the Regulation of Parathyroid Hormone Secretion in Pseudohypoparathyroidism
NCT00004661 ·Status: COMPLETED
-
Surgery for Primary Hyperparathyroidism (pHPT) in Patients Older Than 65 Years Compared With Follow-up
NCT01087619 ·Status: COMPLETED ·Phase: NA
-
Effects of Parathyroidectomy on Cardiovascular Risk Factors in Primary Hyperparathyroidism
NCT01057732 ·Status: COMPLETED
-
Primary Hyperparathyroidism: Short-term Calcimimetics Treatment - Relevance for Parathyroid Surgery Decisions?
NCT02227264 ·Status: COMPLETED ·Phase: NA
-
Asymptomatic Primary Hyperparathyroidism: A Prospective, Randomized Trial
NCT00522028 ·Status: COMPLETED
-
Intraoperative Parathyroid Gland (PTG) Identification Using a Hand-Held Imager (HHI)
NCT06939946 ·Status: TERMINATED ·Phase: PHASE1
-
Optimization and Individualization of Diagnostic Scintigraphy Protocol and Minimally Invasive Radio-guided Parathyroid Surgery
NCT04344886 ·Status: COMPLETED ·Phase: NA
-
Clinical Impact of Parathyroid Autofluorescence Visualization During Thyroid Surgery
NCT02889952 ·Status: COMPLETED
-
Is Intraoperative PTH Monitoring Obsolete in Times of Choline PET/CT? a Prospective Multicenter Cohort Study to Determine Whether the Regular Preoperative Use of Choline-PET/CT Scan Obviate the Need for Intraoperative PTH-measurement in Patients with Primary Hyperparathyreoidism
NCT06804681 ·Status: NOT_YET_RECRUITING
-
"Parathyroid Tissues Anatomic Localizations Are Displaced Downward in Parathyroid Hyperplasia Cases"
NCT02636075 ·Status: UNKNOWN
-
IOPTH Usefulness for Predicting Successful Surgery in Secondary Hyperparathyroidism
NCT04484116 ·Status: COMPLETED
-
Relationship of Preoperative Parathyroid Hormone (PTH) and Ex-Vivo Gamma Counts in Minimally Invasive Parathyroidectomy
NCT01539486 ·Status: COMPLETED
-
Surgical Approach for Primary Hyperparathyroidism in the Elderly
NCT01484379 ·Status: WITHDRAWN ·Phase: NA
-
Patient Navigation to Improve Surgical Access in Primary Hyperparathyroidism
NCT06562881 ·Status: RECRUITING ·Phase: NA
-
Corticosteroid Rhythms in Hypoparathyroid Patients
NCT02986607 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Postoperative Dose of Parathyroid Hormone as a Marker for the Occurrence of Hypoparathyroidism After Total Thyroidectomy
NCT02924532 ·Status: COMPLETED
-
Cohort Trial on Perioperative Localization Techniques of Parathyroid Adenomas
NCT04013100 ·Status: TERMINATED
-
Intra-operative Infra-red Fluorescent Imaging in Thyroid and Parathyroid Surgery
NCT02089542 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Parathyroid Allotransplant for Severe Refractory Hypoparathyroidism
NCT06499246 ·Status: RECRUITING ·Phase: NA