Parathyroid Gland Identification: More Than Meets the Eye

PROGRAM DESCRIPTION: The identification of parathyroid glands in thyroid and parathyroid surgery can be challenging, possibly resulting in poor patient outcomes and increased morbidity and even mortality. Recently, the utilization of fluorescence imaging to aid in the recognition of these glands has been described. There are now a number of technologies available to surgeons that can be employed to assess for parathyroid autofluorescence. However, these tools are early in their evolution and the optimal techniques for their use are under active investigation. This panel will focus on these fluorescence technologies and discuss their application in thyroid and parathyroid surgery. Panelists will describe and demonstrate through videos how they currently use fluorescence imaging in their practices. The advantages and disadvantages of the different fluorescence instruments will be reviewed.

OUTCOME OBJECTIVE 1: Recognize the potential value of adjuvant technologies to visualize parathyroid glands

OUTCOME OBJECTIVE 2: Distinguish between parathyroid autofluorescence and parathyroid angiography

OUTCOME OBJECTIVE 3: Describe the application of these technologies in thyroid and parathyroid surgery and their integration into the surgical workflow

BACKGROUND STATEMENT: The recognition of parathyroid glands is critical for successful thyroid and parathyroid surgery. Recently, fluorescence technologies have been introduced to facilitate parathyroid gland visualization and improve patient outcomes. This panel will focus on these new technologies.