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George H. Petti, Jr, MD
Loma Linda, Calif

Arch Otolaryngol Head Neck Surg. 1995;121(7):814.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It was with interest that I read the article titled "Diagnostic Localization Studies for Primary Hyperparathyroidism" by Weinberger and Robbins¹ in the November issue of the ARCHIVES.

I disagree with the authors' conclusion that ultrasound should be used as the primary modality for preoperative imaging in primary hyperparathyroidism. They present a skewed analysis in their chart "accuracy of preoperative imaging studies" on page 1188. I would like to level the playing field by comparing those six cases (Table) that had thallium-technetium subtraction scintigraphic scans (patients 11 through 14, 22, and 26) and the results found at the time of surgery with the preoperative tests that were used.

In the thallium-technetium subtraction scintigraphic group there were four of six patients who correlated correctly with the surgical findings yielding a 66% correct rate. When ultrasound was used in these same

Results of Preoperative Localization Tests Preoperative Localization Test* Patient Positive Negative/Equivocal . . . [Full Text PDF of this Article]

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