Near Infra Imaging (NIFI), a safe and non-invasive innovation significantly decreasing the post thyroidectomy hypocalcemia
Main Article Content
Abstract
The number of thyroid surgeries especially due to malignant indications has risen in past few decades in India as well as across the globe. The most common complication after Total Thyroidectomy is hypocalcemia from hypoparathyroidism which occurs majorly due to inadvertent removal of parathyroid glands or injury leading to devascularization of Parathyroid Glands. Post surgery hypocalcaemia is assessed by evaluating the value of post-surgery 24-48 hr Serum Calcium level. Majority of times the Post surgery hypocalcaemia is transient, it recovers in few weeks to months, only if it persists for > 6 months it is labelled as permanent hypocalcemia. According to literature incidence of transient and permanent Post surgery hypocalcaemia is 20–35 % and 1–10%, respectively. Post surgery hypocalcaemia can be symptomatic and morbid. It can only be prevented/decreased by early identification and preservation of Parathyroid Glands. The standard methodology is visual analysis of surgical field by operating surgeon. Parathyroid Glands are small in size, with colour similar to brown fat and their position in thyroid bed is also not consistent. They are difficult to identify and success in this method depends on the experience of operating team. This study evaluates the use of Near Infra- Red Imaging during thyroidectomy to preserve the Parathyroid Glands. Based on its inherent autofluorescence, when viewed through Near Infra-Red Imaging, at wavelength of 785 nm, there is a spontaneous and immediate emission of fluorescent light at 820–830 nm from Parathyroid Glands which is 2- to 11-fold enhanced signal over that of the surrounding tissue. The study consists of 7 patients who underwent Total or Completion Thyroid surgeries with use of Near-infrared imaging along with review of literature. None of the seven patients experienced Post surgery hypocalcaemia and in one patient Intrathyroidal Parathyroid Gland was identified with thyroid gland in-situ. The study advocates the use of Near-infrared imaging to make thyroid surgery safer.
Keywords:
Near Infrared Imaging (NIFI), Thyroidectomy, Hypocalcemia, Parathyroid Glands, Autofluorescence, Post-surgery complications, Parathyroid gland preservation
Article Details
How to Cite
SINGH, Mandeep et al.
Near Infra Imaging (NIFI), a safe and non-invasive innovation significantly decreasing the post thyroidectomy hypocalcemia.
Medical Research Archives, [S.l.], v. 12, n. 7, july 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5337>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i7.5337.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Janeesh SekkathVeedu, Kevin Wang, Feitong Lei, Quan Chen, Bin Huang,and Aju Mathew- Trends in thyroid cancer incidence in India.May 2018 Journal of Clinical Oncology36(15_suppl):e18 095-e18095 DOI:10.1200/JCO.2018.36.15_suppl.e18095).
2. Mathonnet M, Cuerq A, Tresallet C, Thalabard J-C, Fery-Lemonnier E, Russ G, et al. What is the care pathway of patients who undergo thyroid surgery in France and its potential pitfalls? A national cohort. BMJ Open 2017;7:e013589.
3. Christou N, Mathonnet M. Complications after total thyroidectomy. J Visc Surg 2013;150:249–56.
4. Benmiloud F, Godiris-Petit G, Gras R, Gillot JC, Turrin N, Penaranda G, et al. Association of autofluorescence-based detection of the parathyroid glands during total thyroidectomy with postoperative hypocalcemia risk: results of the PARAFLUO multicenter randomized clinical trial. JAMA Surg 2020;155: 106–12.
5. Binder-Foucard F, Bossard N, Delafosse P, Belot A, Woronoff AS, Remontet L. French Network of Cancer Registries (Francim). Cancer incidence and mortality in France over the 1980–2012 period: solid tumors. Rev Epidémiol Santé Publique 2014;62: 95–108
6. Lorente-Poch L, Sancho JJ, Ruiz S, Sitges-Serra A. Importance of in situ preservation of parathyroid glands during total thyroidectomy. BJS (Br J Surg) 2015;102:359–67.
7. Lorente-Poch L, Sancho JJ, Muñoz-Nova JL, Sánchez-Velázquez P, Sitges-Serra A. Defining the syndromes of parathyroid failure after total thyroidectomy. Gland Surg 2015;4:82–90
8. Mittendorf E, McHenry C. Complications and sequelae of thyroidectomy and an analysis of surgeon experience and outcome. Surg Technol Int 2004;12:152–7.
9. André N, Pascual C, Baert M, Biet-Hornstein A, Page C. Impact of incidental parathyroidectomy and mediastinal-recurrent cellular and lymph-node dissection on parathyroid function after total thyroidectomy. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:107–10.
10. Paras C, Keller M, Mahadevan-Jansen A, White L, Phay J. Nearinfrared autofluorescence for the detection of parathyroid glands. J Biomed Opt 2011;16:1–5
11. McWade MA, Paras C, White LM, Phay JE, Mahadevan-Jansen A, Broome JT. A novel optical approach to intraoperative detection of parathyroid glands. Surgery 2013;154:1371–7.
12. National trends in thyroid surgery and the effect of volume on short-term outcomes. Myriam loyo MD,Ralph P. Tufano MD MBA, Christine G. Gourin MD,MPH,https:doi.org/10.1002/lary.23923.
13. Mokrysheva N.G., Eremkina A.K., Kovaleva E.V. Hypoparathyroidism: etiology, clinical manifestation, current diagnostics and treatment. Alʹmanah klinicheskoj mediciny 2016; 44(4): 477–492.
14. Bilezikian J.P., Khan A., Potts J.T. Jr., Brandi M.L., Clarke B.L., Shoback D., Jüppner H., D’Amour P., Fox J., Rejnmark L., Mosekilde L., Rubin M.R., Dempster D., Gafni R., Collins M.T., Sliney J., Sanders J. Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research. J Bone Miner Res 2011; 26(10): 2317–2337, https://doi. org/10.1002/jbmr.483.
15. Chadwick D. The British association of endocrine and thyroid surgeons, fifth national audit report. Oxfordshire: Dendrite Clinical Systems, 2017.
16. Hypocalcemia after Thyroidectomy: The Need for Improved Definitions Jessie WU, Barney Harrison Department of Endocrine Surgery, Sheffield Teaching Hospitals NHS Trust, Sheffield Correspondence: Barney Harrison, Consultant Surgeon, Department of Endocrine Surgery, Royal Hallamshire Hospital Room J38, Glossop Road, Sheffield, S10 2JF, UK, Phone: 0044 (0)114 2261302, e-mail: [email protected].
17. Asari R., Passler C., Kaczirek K., Scheuba C., Niederle B. Hypoparathyroidism after total thyroidectomy: a prospective study. Arch Surg 2008; 143(2): 132–138, https:// doi.org/10.1001/archsurg.2007.55.
18. Stack BC Jr, Bimston DN, Bodenner DL, et al. American association of clinical endocrinologists and American college of endocrinology disease state clinical review: postoperative hypoparathyroidism--definitions and management. Endocr Pract 2015;21:674-85.
19. Mokrysheva N.G., Eremkina A.K., Kovaleva E.V. Hypoparathyroidism: etiology, clinical manifestation, current diagnostics and treatment. Alʹmanah klinicheskoj mediciny 2016; 44(4): 477–492.
20. Agarwal P., Prakash M., Singhal M., Bhadada S.K., Gupta Y., Khandelwal N. To assess vascular calcification in the patients of hypoparathyroidism using multidetector computed tomography scan. Indian J Endocrinol Metab 2015; 19(6): 785–790, https://doi.org/10.4103/2230-8210.167545.
21. Edafe O., Antakia R., Laskar N., Uttley L., Balasubramanian S.P. Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia. Br J Surg 2014; 101(7): 883–884, https://doi.org/10.1002/bjs.9538.
22. Cho N.L., Moalem J., Chen L., Lubitz C.C., Moore F.D. Jr., Ruan D.T. Surgeons and patients disagree on the potential consequences from hypoparathyroidism. Endocr Pract 2014; 20(5): 427–446, https://doi.org/10.4158/ep13321.
23. Almquist M, Ivarsson K, Nordenström E, Bergenfelz A. Mortality in patients with permanent hypoparathyroidism after total thyroidectomy. Br J Surg. 2018;105(10):1313-1318. doi:10.1002/bjs.10843.
24. Powers J., Joy K., Ruscio A., Lagast H. Prevalence and incidence of hypoparathyroidism in the United States using a large claims database. J Bone Miner Res 2013; 28(12): 2570– 2576, https://doi.org/10.1002/jbmr.2004.
25. Pesce C.E., Shiue Z., Tsai H.L., Umbricht C.B., Tufano R.P., Dackiw A.P., Kowalski J., Zeiger M.A. Postoperative hypocalcemia after thyroidectomy for Graves’ disease. Thyroid 2010; 20(11): 1279–1283, https://doi. org/10.1089/thy.2010.0047.
26. McCullough M., Weber C., Leong C., Sharma J. Safety, efficacy, and cost savings of single parathyroid hormone measurement for risk stratification after total thyroidectomy. Am Surg 2013; 79(8): 768–774.
27. Ritter K., Elfenbein D., Schneider D.F., Chen H., Sippel R.S. Hypoparathyroidism after total thyroidectomy: incidence and resolution. J Surg Res 2015; 197(2): 348–353, https://doi.org/10.1016/j.jss.2015.04.059.
28. Duclos A, Peix JL, Colin C, et al; CATHY Study Group. Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. BMJ. 2012;344: d8041. doi:10.1136/bmj.d804.
29. Aamir Hafiz, Tabish Maqbool, Showkat Ahmad Showkat, Kulvinder Singh Mehta. Post-operative hypocalcemia in patients undergoing thyroidsurgeries in tertiary care hospital: an observational study. Department of Otorhinolaryngologyand Head and Neck Surgery, GMC Srinagar, Jammu and Kashmir, India.
30. Paolo Del Rio, Matteo Rossini, Chiara Montana Montana, Lorenzo Viani, Giuseppe Pedrazzi, Tommaso Loderer & Federico Cozzani.Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery. .BMC Surgery volume 18, Article number: 25 (2019)
31. Erbil Y, Barbaros U, Temel B, et al. The impact of age, vitamin D(3) level, and incidental parathyroidectomy on. Am J Surg 2009;197:439-46.
32. Yamashita H, Noguchi S, Murakami T, et al. Calcium and its regulating hormones in patients with graves disease: sex differences and relation to postoperative tetany. Eur J Surg 2000;166:924-8.
33. González-Sánchez C, Franch-Arcas G, Gómez-Alonso A. Morbidity following thyroid surgery: does surgeon volume matter? Langenbecks Arch Surg 2013;398:419-22.
34. Erbil Y., Ozbey N.C., Sari S., Unalp H.R., Agcaoglu O., Ersоz F., Issever H., Ozarmagan S. Determinants of postoperative hypocalcemia in vitamin D-deficient Graves’ patients after total thyroidectomy. Am J Surg 2011; 201(5): 685–691, https://doi.org/10.1016/j.amjsurg.2010.04.030.
35. Sanabria A., Dominguez L.C., Vega V., Osorio C., Duarte D. Routine postoperative administration of vitamin D and calcium after total thyroidectomy: a meta-analysis. Int J Surg 2011; 9(1): 46–51, https://doi.org/10.1016/j. ijsu.2010.08.006.
36. Kirkby-Bott J., Markogiannakis H., Skandarajah A., Cowan M., Fleming B., Palazzo F. Preoperative vitamin D deficiency predicts postoperative hypocalcemia after total thyroidectomy. World J Surg 2011; 35(2): 324–330, https://doi. org/10.1007/s00268-010-0872-y.
37. Bolland M.J., Grey A., Avenell A., Gamble G.D., Reid I.R. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women’s Health Initiative limited access dataset and meta-analysis. BMJ 2011; 342: d2040, https://doi.org/10.1136/bmj.d2040.
38. Binder-Foucard F, Bossard N, Delafosse P, Belot A, Woronoff AS, Remontet L. French Network of Cancer Registries (Francim). Cancer incidence and mortality in France over the 1980–2012 period: solid tumors. Rev Epidémiol Santé Publique 2014;62: 95–108.
39. De Leeuw F, Breuskin I, Abbaci M, Casiraghi O, Mirghani H, Ben Lakhdar A, et al. Intraoperative near-infrared imaging for parathyroid gland identification by auto-fluorescence: a feasibility study. World J Surg 2016;40:2131–8.
40. Mittendorf E, McHenry C. Complications and sequelae of thyroidectomy and an analysis of surgeon experience and outcome. Surg Technol Int 2004;12:152–7.
41. van der Vorst JR, Schaafsma BE, Verbeek FPR, Swijnenburg R-J, Tummers QRJG, Hutteman M, et al. Intraoperative near-infrared fluorescence imaging of parathyroid adenomas with use of lowdose methylene blue. Head Neck 2014;36:853–8.
42. Alander JT, Kaartinen I, Laakso A, Pätilä T, Spillmann T, Tuchin VV, et al. A review of indocyanine green fluorescent imaging in surgery. Int J Biomed Imag 2012;2012:94058.
43. Boer E, Harlaar N, Taruttis A, Nagengast W, Rosenthal E, Ntziachristos V, et al. Optical innovations in surgery. Br J Surg 2015;102:e56–72.
44. McWade MA, Paras C, White LM, Phay JE, Mahadevan-Jansen A, Broome JT. A novel optical approach to intraoperative detection of parathyroid glands. Surgery 2013;154:1371–7.
45. Paras C, Keller M, White L, Phay J,Mahadevan-Jansen A. Near-infrared autofluorescence for the detection of parathyroid glands. J Biomed Opt. 2011;16(6):067012. doi:10. 1117/1.3583571
46. McWade MA, Sanders ME, Broome JT, Solórzano CC, Mahadevan-Jansen A. Establishing the clinical utility of autofluorescence spectroscopy for parathyroid detection. Surgery. 2016;159(1):193-202. doi:10.1016/j.surg.2015.06.047
47. McWade MA, Paras C, White LM, et al. Label-free intraoperative parathyroid localization with near-infrared autofluorescence imaging. J Clin Endocrinol Metab. 2014;99(12):4574-4580. doi:10. 1210/jc.2014-2503.
48. Falco J, Dip F, Quadri P, de la Fuente M, Rosenthal R. Cutting edge in thyroid surgery: autofluorescence of parathyroid glands. J Am Coll Surg. 2016;223(2):374-380. doi:10.1016/j.jamcollsur g. 2016.04.049
49. Ladurner R, Sommerey S, Arabi NA, Hallfeldt KKJ, Stepp H, Gallwas JKS. Intraoperative near-infrared autofluorescence imaging of parathyroid glands. Surg Endosc. 2017;31(8):3140- 3145. doi:10.1007/s00464-016-5338-3.
50. Kim SW, Song SH, Lee HS, et al. Intraoperative real-time localization of normal parathyroid glands with autofluorescence imaging. J Clin Endocrinol Metab. 2016;101(12):4646-4652. doi:10.1210/jc.201 6- 2558.
51. Sommerey S, Arabi N, Ladurner R, Chiapponi C, Stepp H, Hallfeldt K, et al. Intraoperative optical coherence tomography imaging to identify parathyroid glands. Surg Endosc 2014;29. https://doi.org/ 10.1007/s00464-014-3992-x.
52. Abbaci M, De Leeuw F, Breuskin I, Casiraghi O, ben lakhdar A, Ghanem W, et al. Parathyroid gland management using optical technologies during thyroidectomy or parathyroidectomy: a systematic review. Oral Oncol 2018;87:186–96.
53. Barbieri D, Indelicato P, Vinciguerra A, Di Marco F, Formenti AM, Trimarchi M, et al. Autofluorescence and indocyanine green in thyroid surgery: a systematic review and meta‐analysis. Laryngoscope 2021;131:1683–92.
54. Wei Lu,Qiang Chen,Pei Zhang,Anping Su & Jingqiang Zhu- Near-Infrared Autofluorescence Imaging in Thyroid Surgery: A Systematic Review and Meta-Analysis Pages 1723-1732 | Received 26 Apr 2022, Accepted 17 Jun 2022, Published online: 03 Jul 2022.
55. Fares Benmiloud, MD, 1 Gaelle Godiris-Petit, MD2, Régis Gras, MD3, Jean-Charles Gillot, MD3, Nicolas Turrin, MD4, Guillaume Penaranda, MSc5, Séverine Noullet, MD2, Nathalie Chéreau, MD2, Jean Gaudart, MD, PhD6, Laurent Chiche, MD, PhD7, and Stanislas Rebaudet, MD, PhD7 - Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Riskk.Results of the PARAFLUO Multicenter Randomized Clinical Trial
56. Jitpratoom P, Anuwong A. The use of ICG enhanced fluorescence for the evaluation of parathyroid gland preservation. Gland Surg 2017;6:579–86.
57. Alander JT, Kaartinen I, Laakso A, Pätilä T, Spillmann T, Tuchin VV, et al. A review of indocyanine green fluorescent imaging in surgery. Int J Biomed Imag 2012;2012:940585.
58. Yuan B, Chen N, Zhu Q. Emission and absorption properties of indocyanine green in intralipid solution. J Biomed Opt 2004;9: 497–503.
59. Lo C, Lam K. Parathyroid autotransplantation during thyroidectomy: is frozen section necessary? Arch Surg 1999;134:258–60.
60. Vidal Fortuny J, Karenovics W, Triponez F, Sadowski SM. Intraoperative indocyanine green angiography of the parathyroid gland. World J Surg 2016;40:2378–81.
61. Benmiloud F, Godiris-Petit G, Gras R, Gillot JC, Turrin N, Penaranda G, et al. Association of autofluorescence-based detection of the parathyroid glands during total thyroidectomy with postoperative hypocalcemia risk: results of the PARAFLUO multicenter randomized clinical trial. JAMA Surg 2020;155: 106–12.
62. Vidal Fortuny J, Sadowski SM, Belfontali V, Guigard S, Poncet A, Ris F, et al. Randomized clinical trial of intraoperative parathyroid gland angiography with indocyanine green fluorescence predicting parathyroid function after thyroid surgery. Br J Surg 2018;105:350–7.
63. Rudin AV, McKenzie TJ, Thompson GB, Farley DR, Lyden ML. Evaluation of parathyroid glands with indocyanine green fluorescence angiography after thyroidectomy. World J Surg 2019;43:1538–43. Demarchi et al.: Autofluorescence and ICG angiography of PGs 11
64. Triponez F. Re: evaluation of parathyroid glands with indocyanine green fluorescence angiography after thyroidectomy. World J Surg 2019;43:1544–5.
65. Sadowski SM, Vidal Fortuny J, Triponez F. A reappraisal of vascular anatomy of the parathyroid gland based on fluorescence techniques. Gland Surg 2017;6: S30–7.
66. Kuriloff D.B., Sanborn K.V. Rapid intraoperative localization of parathyroid glands utilizing methylene blue infusion. Otolaryngol Head Neck Surg 2004; 131(5): 616–622, https://doi.org/10.1016/j.otohns.2004.04.026.
67. Akasu H., Igarashi T., Tanaka K., Shimizu K. Photodynamic identification of human parathyroid glands with 5-aminolevulinic acid. J Nippon Med Sch 2006; 73(5): 246– 247, https://doi.org/10.1272/jnms.73.246.
68. Sleptsov I.V., Chernikov R.A., Bubnov A.N., Fedotov Yu.N., Semenov A.A., Chinchuk I.K., Makar’in V.A., Uspenskaya A.A., Karelina Yu.V. Photodynamic imaging of the parathyroid glands during thyroid surgery. Uchenye zapiski Sankt-Peterburgskogo gosudarstvennogo medicinskogo universiteta im. akad. I.P. Pavlova 2012; 19(1): 124–125.
69. Kirpa E.A., Reshetov I.V., Filonenko E.V., Golubtsov A.K. Intraoperative identification of the parathyroid glands in the treatment of thyroid cancer. Onkokhirurgiya 2011; 3(2): 39–40.
70. Kirpa E.A., Reshetov I.V., Golubtsov A.K., Slavnova E.N. Methods for visualization of parathyroid gland. Onkohirurgiya 2013; 5(1): 66–72.
71. Han N, Bumpous J, Goldstein R, Fleming M, Flynn M. Intraoperative parathyroid identification using methylene blue in parathyroid surgery. Am Surg 2007;73:820–3.
72. Vutskits L, Briner A, Klauser P, Gascon E, Dayer AG, Kiss JZ, et al. Adverse effects of methylene blue on the central nervous system. Anesthesiology 2008;108:684–92.
73. Patel HP, Chadwick DR, Harrison BJ, Balasubramanian SP. Systematic review of intravenous methylene blue in parathyroid surgery. BJS (Br J Surg) 2012;99:1345–51.
74. Senders JT, Muskens IS, Schnoor R, Karhade AV, Cote DJ, Smith TR, et al. Agents for fluorescence-guided glioma surgery: a systematic review of preclinical and clinical results. Acta Neurochir 2017;159:151–67.
75. Prosst R, Wei J, Hupp L, Willeke F, Post S. Fluorescence-guided minimally invasive parathyroidectomy: clinical experience with a novel intraoperative detection technique for parathyroid glands. World J Surg 2010;34:2217–22.
76. Takeuchi S, Shimizu K, Shimizu K, Akasu H, Okamura R. Identification of pathological and normal parathyroid tissue by fluorescent labeling with 5-aminolevulinic acid during endocrine neck surgery. J Nippon Med Sch 2014;81:84–93
2. Mathonnet M, Cuerq A, Tresallet C, Thalabard J-C, Fery-Lemonnier E, Russ G, et al. What is the care pathway of patients who undergo thyroid surgery in France and its potential pitfalls? A national cohort. BMJ Open 2017;7:e013589.
3. Christou N, Mathonnet M. Complications after total thyroidectomy. J Visc Surg 2013;150:249–56.
4. Benmiloud F, Godiris-Petit G, Gras R, Gillot JC, Turrin N, Penaranda G, et al. Association of autofluorescence-based detection of the parathyroid glands during total thyroidectomy with postoperative hypocalcemia risk: results of the PARAFLUO multicenter randomized clinical trial. JAMA Surg 2020;155: 106–12.
5. Binder-Foucard F, Bossard N, Delafosse P, Belot A, Woronoff AS, Remontet L. French Network of Cancer Registries (Francim). Cancer incidence and mortality in France over the 1980–2012 period: solid tumors. Rev Epidémiol Santé Publique 2014;62: 95–108
6. Lorente-Poch L, Sancho JJ, Ruiz S, Sitges-Serra A. Importance of in situ preservation of parathyroid glands during total thyroidectomy. BJS (Br J Surg) 2015;102:359–67.
7. Lorente-Poch L, Sancho JJ, Muñoz-Nova JL, Sánchez-Velázquez P, Sitges-Serra A. Defining the syndromes of parathyroid failure after total thyroidectomy. Gland Surg 2015;4:82–90
8. Mittendorf E, McHenry C. Complications and sequelae of thyroidectomy and an analysis of surgeon experience and outcome. Surg Technol Int 2004;12:152–7.
9. André N, Pascual C, Baert M, Biet-Hornstein A, Page C. Impact of incidental parathyroidectomy and mediastinal-recurrent cellular and lymph-node dissection on parathyroid function after total thyroidectomy. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 137:107–10.
10. Paras C, Keller M, Mahadevan-Jansen A, White L, Phay J. Nearinfrared autofluorescence for the detection of parathyroid glands. J Biomed Opt 2011;16:1–5
11. McWade MA, Paras C, White LM, Phay JE, Mahadevan-Jansen A, Broome JT. A novel optical approach to intraoperative detection of parathyroid glands. Surgery 2013;154:1371–7.
12. National trends in thyroid surgery and the effect of volume on short-term outcomes. Myriam loyo MD,Ralph P. Tufano MD MBA, Christine G. Gourin MD,MPH,https:doi.org/10.1002/lary.23923.
13. Mokrysheva N.G., Eremkina A.K., Kovaleva E.V. Hypoparathyroidism: etiology, clinical manifestation, current diagnostics and treatment. Alʹmanah klinicheskoj mediciny 2016; 44(4): 477–492.
14. Bilezikian J.P., Khan A., Potts J.T. Jr., Brandi M.L., Clarke B.L., Shoback D., Jüppner H., D’Amour P., Fox J., Rejnmark L., Mosekilde L., Rubin M.R., Dempster D., Gafni R., Collins M.T., Sliney J., Sanders J. Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research. J Bone Miner Res 2011; 26(10): 2317–2337, https://doi. org/10.1002/jbmr.483.
15. Chadwick D. The British association of endocrine and thyroid surgeons, fifth national audit report. Oxfordshire: Dendrite Clinical Systems, 2017.
16. Hypocalcemia after Thyroidectomy: The Need for Improved Definitions Jessie WU, Barney Harrison Department of Endocrine Surgery, Sheffield Teaching Hospitals NHS Trust, Sheffield Correspondence: Barney Harrison, Consultant Surgeon, Department of Endocrine Surgery, Royal Hallamshire Hospital Room J38, Glossop Road, Sheffield, S10 2JF, UK, Phone: 0044 (0)114 2261302, e-mail: [email protected].
17. Asari R., Passler C., Kaczirek K., Scheuba C., Niederle B. Hypoparathyroidism after total thyroidectomy: a prospective study. Arch Surg 2008; 143(2): 132–138, https:// doi.org/10.1001/archsurg.2007.55.
18. Stack BC Jr, Bimston DN, Bodenner DL, et al. American association of clinical endocrinologists and American college of endocrinology disease state clinical review: postoperative hypoparathyroidism--definitions and management. Endocr Pract 2015;21:674-85.
19. Mokrysheva N.G., Eremkina A.K., Kovaleva E.V. Hypoparathyroidism: etiology, clinical manifestation, current diagnostics and treatment. Alʹmanah klinicheskoj mediciny 2016; 44(4): 477–492.
20. Agarwal P., Prakash M., Singhal M., Bhadada S.K., Gupta Y., Khandelwal N. To assess vascular calcification in the patients of hypoparathyroidism using multidetector computed tomography scan. Indian J Endocrinol Metab 2015; 19(6): 785–790, https://doi.org/10.4103/2230-8210.167545.
21. Edafe O., Antakia R., Laskar N., Uttley L., Balasubramanian S.P. Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia. Br J Surg 2014; 101(7): 883–884, https://doi.org/10.1002/bjs.9538.
22. Cho N.L., Moalem J., Chen L., Lubitz C.C., Moore F.D. Jr., Ruan D.T. Surgeons and patients disagree on the potential consequences from hypoparathyroidism. Endocr Pract 2014; 20(5): 427–446, https://doi.org/10.4158/ep13321.
23. Almquist M, Ivarsson K, Nordenström E, Bergenfelz A. Mortality in patients with permanent hypoparathyroidism after total thyroidectomy. Br J Surg. 2018;105(10):1313-1318. doi:10.1002/bjs.10843.
24. Powers J., Joy K., Ruscio A., Lagast H. Prevalence and incidence of hypoparathyroidism in the United States using a large claims database. J Bone Miner Res 2013; 28(12): 2570– 2576, https://doi.org/10.1002/jbmr.2004.
25. Pesce C.E., Shiue Z., Tsai H.L., Umbricht C.B., Tufano R.P., Dackiw A.P., Kowalski J., Zeiger M.A. Postoperative hypocalcemia after thyroidectomy for Graves’ disease. Thyroid 2010; 20(11): 1279–1283, https://doi. org/10.1089/thy.2010.0047.
26. McCullough M., Weber C., Leong C., Sharma J. Safety, efficacy, and cost savings of single parathyroid hormone measurement for risk stratification after total thyroidectomy. Am Surg 2013; 79(8): 768–774.
27. Ritter K., Elfenbein D., Schneider D.F., Chen H., Sippel R.S. Hypoparathyroidism after total thyroidectomy: incidence and resolution. J Surg Res 2015; 197(2): 348–353, https://doi.org/10.1016/j.jss.2015.04.059.
28. Duclos A, Peix JL, Colin C, et al; CATHY Study Group. Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. BMJ. 2012;344: d8041. doi:10.1136/bmj.d804.
29. Aamir Hafiz, Tabish Maqbool, Showkat Ahmad Showkat, Kulvinder Singh Mehta. Post-operative hypocalcemia in patients undergoing thyroidsurgeries in tertiary care hospital: an observational study. Department of Otorhinolaryngologyand Head and Neck Surgery, GMC Srinagar, Jammu and Kashmir, India.
30. Paolo Del Rio, Matteo Rossini, Chiara Montana Montana, Lorenzo Viani, Giuseppe Pedrazzi, Tommaso Loderer & Federico Cozzani.Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery. .BMC Surgery volume 18, Article number: 25 (2019)
31. Erbil Y, Barbaros U, Temel B, et al. The impact of age, vitamin D(3) level, and incidental parathyroidectomy on. Am J Surg 2009;197:439-46.
32. Yamashita H, Noguchi S, Murakami T, et al. Calcium and its regulating hormones in patients with graves disease: sex differences and relation to postoperative tetany. Eur J Surg 2000;166:924-8.
33. González-Sánchez C, Franch-Arcas G, Gómez-Alonso A. Morbidity following thyroid surgery: does surgeon volume matter? Langenbecks Arch Surg 2013;398:419-22.
34. Erbil Y., Ozbey N.C., Sari S., Unalp H.R., Agcaoglu O., Ersоz F., Issever H., Ozarmagan S. Determinants of postoperative hypocalcemia in vitamin D-deficient Graves’ patients after total thyroidectomy. Am J Surg 2011; 201(5): 685–691, https://doi.org/10.1016/j.amjsurg.2010.04.030.
35. Sanabria A., Dominguez L.C., Vega V., Osorio C., Duarte D. Routine postoperative administration of vitamin D and calcium after total thyroidectomy: a meta-analysis. Int J Surg 2011; 9(1): 46–51, https://doi.org/10.1016/j. ijsu.2010.08.006.
36. Kirkby-Bott J., Markogiannakis H., Skandarajah A., Cowan M., Fleming B., Palazzo F. Preoperative vitamin D deficiency predicts postoperative hypocalcemia after total thyroidectomy. World J Surg 2011; 35(2): 324–330, https://doi. org/10.1007/s00268-010-0872-y.
37. Bolland M.J., Grey A., Avenell A., Gamble G.D., Reid I.R. Calcium supplements with or without vitamin D and risk of cardiovascular events: reanalysis of the Women’s Health Initiative limited access dataset and meta-analysis. BMJ 2011; 342: d2040, https://doi.org/10.1136/bmj.d2040.
38. Binder-Foucard F, Bossard N, Delafosse P, Belot A, Woronoff AS, Remontet L. French Network of Cancer Registries (Francim). Cancer incidence and mortality in France over the 1980–2012 period: solid tumors. Rev Epidémiol Santé Publique 2014;62: 95–108.
39. De Leeuw F, Breuskin I, Abbaci M, Casiraghi O, Mirghani H, Ben Lakhdar A, et al. Intraoperative near-infrared imaging for parathyroid gland identification by auto-fluorescence: a feasibility study. World J Surg 2016;40:2131–8.
40. Mittendorf E, McHenry C. Complications and sequelae of thyroidectomy and an analysis of surgeon experience and outcome. Surg Technol Int 2004;12:152–7.
41. van der Vorst JR, Schaafsma BE, Verbeek FPR, Swijnenburg R-J, Tummers QRJG, Hutteman M, et al. Intraoperative near-infrared fluorescence imaging of parathyroid adenomas with use of lowdose methylene blue. Head Neck 2014;36:853–8.
42. Alander JT, Kaartinen I, Laakso A, Pätilä T, Spillmann T, Tuchin VV, et al. A review of indocyanine green fluorescent imaging in surgery. Int J Biomed Imag 2012;2012:94058.
43. Boer E, Harlaar N, Taruttis A, Nagengast W, Rosenthal E, Ntziachristos V, et al. Optical innovations in surgery. Br J Surg 2015;102:e56–72.
44. McWade MA, Paras C, White LM, Phay JE, Mahadevan-Jansen A, Broome JT. A novel optical approach to intraoperative detection of parathyroid glands. Surgery 2013;154:1371–7.
45. Paras C, Keller M, White L, Phay J,Mahadevan-Jansen A. Near-infrared autofluorescence for the detection of parathyroid glands. J Biomed Opt. 2011;16(6):067012. doi:10. 1117/1.3583571
46. McWade MA, Sanders ME, Broome JT, Solórzano CC, Mahadevan-Jansen A. Establishing the clinical utility of autofluorescence spectroscopy for parathyroid detection. Surgery. 2016;159(1):193-202. doi:10.1016/j.surg.2015.06.047
47. McWade MA, Paras C, White LM, et al. Label-free intraoperative parathyroid localization with near-infrared autofluorescence imaging. J Clin Endocrinol Metab. 2014;99(12):4574-4580. doi:10. 1210/jc.2014-2503.
48. Falco J, Dip F, Quadri P, de la Fuente M, Rosenthal R. Cutting edge in thyroid surgery: autofluorescence of parathyroid glands. J Am Coll Surg. 2016;223(2):374-380. doi:10.1016/j.jamcollsur g. 2016.04.049
49. Ladurner R, Sommerey S, Arabi NA, Hallfeldt KKJ, Stepp H, Gallwas JKS. Intraoperative near-infrared autofluorescence imaging of parathyroid glands. Surg Endosc. 2017;31(8):3140- 3145. doi:10.1007/s00464-016-5338-3.
50. Kim SW, Song SH, Lee HS, et al. Intraoperative real-time localization of normal parathyroid glands with autofluorescence imaging. J Clin Endocrinol Metab. 2016;101(12):4646-4652. doi:10.1210/jc.201 6- 2558.
51. Sommerey S, Arabi N, Ladurner R, Chiapponi C, Stepp H, Hallfeldt K, et al. Intraoperative optical coherence tomography imaging to identify parathyroid glands. Surg Endosc 2014;29. https://doi.org/ 10.1007/s00464-014-3992-x.
52. Abbaci M, De Leeuw F, Breuskin I, Casiraghi O, ben lakhdar A, Ghanem W, et al. Parathyroid gland management using optical technologies during thyroidectomy or parathyroidectomy: a systematic review. Oral Oncol 2018;87:186–96.
53. Barbieri D, Indelicato P, Vinciguerra A, Di Marco F, Formenti AM, Trimarchi M, et al. Autofluorescence and indocyanine green in thyroid surgery: a systematic review and meta‐analysis. Laryngoscope 2021;131:1683–92.
54. Wei Lu,Qiang Chen,Pei Zhang,Anping Su & Jingqiang Zhu- Near-Infrared Autofluorescence Imaging in Thyroid Surgery: A Systematic Review and Meta-Analysis Pages 1723-1732 | Received 26 Apr 2022, Accepted 17 Jun 2022, Published online: 03 Jul 2022.
55. Fares Benmiloud, MD, 1 Gaelle Godiris-Petit, MD2, Régis Gras, MD3, Jean-Charles Gillot, MD3, Nicolas Turrin, MD4, Guillaume Penaranda, MSc5, Séverine Noullet, MD2, Nathalie Chéreau, MD2, Jean Gaudart, MD, PhD6, Laurent Chiche, MD, PhD7, and Stanislas Rebaudet, MD, PhD7 - Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Riskk.Results of the PARAFLUO Multicenter Randomized Clinical Trial
56. Jitpratoom P, Anuwong A. The use of ICG enhanced fluorescence for the evaluation of parathyroid gland preservation. Gland Surg 2017;6:579–86.
57. Alander JT, Kaartinen I, Laakso A, Pätilä T, Spillmann T, Tuchin VV, et al. A review of indocyanine green fluorescent imaging in surgery. Int J Biomed Imag 2012;2012:940585.
58. Yuan B, Chen N, Zhu Q. Emission and absorption properties of indocyanine green in intralipid solution. J Biomed Opt 2004;9: 497–503.
59. Lo C, Lam K. Parathyroid autotransplantation during thyroidectomy: is frozen section necessary? Arch Surg 1999;134:258–60.
60. Vidal Fortuny J, Karenovics W, Triponez F, Sadowski SM. Intraoperative indocyanine green angiography of the parathyroid gland. World J Surg 2016;40:2378–81.
61. Benmiloud F, Godiris-Petit G, Gras R, Gillot JC, Turrin N, Penaranda G, et al. Association of autofluorescence-based detection of the parathyroid glands during total thyroidectomy with postoperative hypocalcemia risk: results of the PARAFLUO multicenter randomized clinical trial. JAMA Surg 2020;155: 106–12.
62. Vidal Fortuny J, Sadowski SM, Belfontali V, Guigard S, Poncet A, Ris F, et al. Randomized clinical trial of intraoperative parathyroid gland angiography with indocyanine green fluorescence predicting parathyroid function after thyroid surgery. Br J Surg 2018;105:350–7.
63. Rudin AV, McKenzie TJ, Thompson GB, Farley DR, Lyden ML. Evaluation of parathyroid glands with indocyanine green fluorescence angiography after thyroidectomy. World J Surg 2019;43:1538–43. Demarchi et al.: Autofluorescence and ICG angiography of PGs 11
64. Triponez F. Re: evaluation of parathyroid glands with indocyanine green fluorescence angiography after thyroidectomy. World J Surg 2019;43:1544–5.
65. Sadowski SM, Vidal Fortuny J, Triponez F. A reappraisal of vascular anatomy of the parathyroid gland based on fluorescence techniques. Gland Surg 2017;6: S30–7.
66. Kuriloff D.B., Sanborn K.V. Rapid intraoperative localization of parathyroid glands utilizing methylene blue infusion. Otolaryngol Head Neck Surg 2004; 131(5): 616–622, https://doi.org/10.1016/j.otohns.2004.04.026.
67. Akasu H., Igarashi T., Tanaka K., Shimizu K. Photodynamic identification of human parathyroid glands with 5-aminolevulinic acid. J Nippon Med Sch 2006; 73(5): 246– 247, https://doi.org/10.1272/jnms.73.246.
68. Sleptsov I.V., Chernikov R.A., Bubnov A.N., Fedotov Yu.N., Semenov A.A., Chinchuk I.K., Makar’in V.A., Uspenskaya A.A., Karelina Yu.V. Photodynamic imaging of the parathyroid glands during thyroid surgery. Uchenye zapiski Sankt-Peterburgskogo gosudarstvennogo medicinskogo universiteta im. akad. I.P. Pavlova 2012; 19(1): 124–125.
69. Kirpa E.A., Reshetov I.V., Filonenko E.V., Golubtsov A.K. Intraoperative identification of the parathyroid glands in the treatment of thyroid cancer. Onkokhirurgiya 2011; 3(2): 39–40.
70. Kirpa E.A., Reshetov I.V., Golubtsov A.K., Slavnova E.N. Methods for visualization of parathyroid gland. Onkohirurgiya 2013; 5(1): 66–72.
71. Han N, Bumpous J, Goldstein R, Fleming M, Flynn M. Intraoperative parathyroid identification using methylene blue in parathyroid surgery. Am Surg 2007;73:820–3.
72. Vutskits L, Briner A, Klauser P, Gascon E, Dayer AG, Kiss JZ, et al. Adverse effects of methylene blue on the central nervous system. Anesthesiology 2008;108:684–92.
73. Patel HP, Chadwick DR, Harrison BJ, Balasubramanian SP. Systematic review of intravenous methylene blue in parathyroid surgery. BJS (Br J Surg) 2012;99:1345–51.
74. Senders JT, Muskens IS, Schnoor R, Karhade AV, Cote DJ, Smith TR, et al. Agents for fluorescence-guided glioma surgery: a systematic review of preclinical and clinical results. Acta Neurochir 2017;159:151–67.
75. Prosst R, Wei J, Hupp L, Willeke F, Post S. Fluorescence-guided minimally invasive parathyroidectomy: clinical experience with a novel intraoperative detection technique for parathyroid glands. World J Surg 2010;34:2217–22.
76. Takeuchi S, Shimizu K, Shimizu K, Akasu H, Okamura R. Identification of pathological and normal parathyroid tissue by fluorescent labeling with 5-aminolevulinic acid during endocrine neck surgery. J Nippon Med Sch 2014;81:84–93