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City Boston / Buley / Groton / Chicago / / Company SPSS Inc / Fleming / Farley D / Larsen LP / / Country United States / / / Facility Women’s Hospital / / IndustryTerm positive-imaging cases / preoperative imaging modalities / Negative imaging studies / hyperparathyroidism surgical management / study protocol / negative preoperative nuclear imaging / negative preoperative localization imaging / research / sestamibi imaging / negative imaging / adoptedthetechniqueofobtainingbothpreoperative imaging modalities / 99m sestamibi imaging / positive imaging / / MedicalCondition solitary adenoma / obscure adenoma / multiglandular disease / double adenomas / hypocalcemia / clinical primary hyperparathyroidism / clinically evident adenoma / Hyperparathyroidism / single adenoma / primary hyperparathyroidism / lower adenomas / mediastinal adenoma / single adenomas / sporadic primary hyperparathyroidism / negative hyperparathyroidism / solitary adenomas / paresis / recurrent disease / adenoma / disease / rapidly discovered parathyroid adenoma / occult parathyroid adenomas / vocal cord paralysis / smaller adenomas / gland primary hyperparathyroidism / affected adenoma / double adenoma / renal failure / right lower adenomas / small adenomas / / MedicalTreatment surgery / / Organization Harvard Medical School / Women’s Hospital / New England Surgical Society / Department of Surgery / Brigham and Women / American Medical Association / / Person Daniel T. Ruan / Ann Surg / Arch Surg / Francis D. Moore / Atul A. Gawande / / / Position Author / / Product technetium / / ProvinceOrState Illinois / Connecticut / Massachusetts / / Technology study protocol / ultrasound / / URL http / SocialTag 
ORIGINAL ARTICLE Surgery for Hyperparathyroidism in Image-Negative Patients Rodney K. Chan, MD; Daniel T. Ruan, MD; Atul A. Gawande, MD, MPH; Francis D. Moore Jr, MD