G.R. VAGAPOVA^1,2, F.T. KHAMZINA^1,3, N.B. DRUZHKOVA¹

¹Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

²Interregional Clinical-Diagnostic Center, 12a Karbyshev Str., Kazan, Russian Federation, 420101

³Medical Unit of Kazan (Volga) Federal University, 1a Chekhov Str., Kazan, Russian Federation, 420043

 Vagapova G.R. — D. Med. Sc., Professor, Corresponding Member of the Academy of Sciences of the Republic of Tatarstan, Head of the Endocrinology Department, tеl. +7-917-269-59-28, e-mail: g.r.vagapova@gmail.com

Khamzina F.T. — Cand. Med. Sc., Associate Professor of the Ultrasound Diagnostics Department, Head of the Department of Ultrasound Diagnostics of University Medical Unit, tel. +7-917-299-29-66, e-mail: fhamzina@inbox.ru

Druzhkova N.B. — postgraduate student of the Endocrinology Department, tel. +7-960-032-99-24, e-mail: n.b.druzhkova@mail.ru

Appropriate preoperative localization of parathyroid glands and exclusion of multiglandular form of the disease are important for determination of the surgical approach in patients with hyperparathyroidism. In accordance with the generally accepted diagnostic algorithms of hyperparathyroidism, ultrasound investigation is recommended as the first line method of the parathyroid lesions detection, which helps to visualize any focal lesions in the neck. However, the diagnostic value of gray scale ultrasound is significantly reduced in cases of ectopic parathyroid glands. This requires a differential diagnosis with thyroid or lymph nodes or other focal formations of the neck and mediastinum areas. It is stated that shear wave elastography may improve the possibilities of hyperparathyroidism topical diagnostics. The additional studies are required.

Key words: parathyroid glands, ultrasound imaging, ultrasound elastography, strain elastography, shear wave elastography, parathyroid adenoma, parathyroid hyperplasia, hyperparathyroidism.

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