ECHOPARAT: Comparison of Cervical Ultrasound and Echoscintigraphy for Preoperative Localization Diagnosis in Primary Hyperparathyroidism
Study Details
Study Description
Brief Summary
The biological diagnosis of the primary hyperparathyroidism is now facilitated by the reliability of the balance of phosphate and calcium and the dosage of parathyroid hormone (PTH).
This diagnosis of preoperative localization is important as surgery are now targeted to the responsible lesion.
The "gold standard" for this localization is the cervical ultrasound exploring the usual sites of adenomas and a MIBI scintigraphy (the parathyroid adenoma significantly concentrating this cell marker).
However, the diagnosis of preoperative localization remains a subject of discussion as to the most appropriate tests. Indeed, the morphological diagnosis is performed at the ultrasound stage in more than half the cases. It is the new performance of this morphological examination that makes it possible to obtain these results.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Patients
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Other: cervical ultrasound
cervical ultrasound will be realized by a endocinologist trained in the cervical ultrasound
|
Outcome Measures
Primary Outcome Measures
- Adenoma parathyroid diagnosed using cervical ultrasound [Day 0]
Adenoma parathyroid diagnosed using cervical ultrasound. Cervical ultrasound will be realized by a endocrinologist trained in the cervical ultrasound and not informed of the results of the echoscintigraphy
- Adenoma parathyroid diagnosed using echoscintigraphy [Day 0]
Adenoma parathyroid diagnosed using echoscintigraphy. Echoscintigraphy will be realized by a nuclear physician not informed of the results of the cervical ultrasound
- Adenoma parathyroid diagnosed using anatomopathology [Day 0]
Adenoma parathyroid diagnosed by anatomopathologist, after surgery.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with primary hyperparathyroidism with surgery indication
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Age > 18yo
Exclusion Criteria:
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surgical contraindication
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medical treatment by cinacalcet
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non sporadic hyperparathyroidism
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Age <18yo
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Protected by the law
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Damien JOLLY | Reims | France |
Sponsors and Collaborators
- CHU de Reims
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PA17094