What we strive for is really to have a very efficient and effective itinerary for patients and know they're going to be operated on by very high-volume, experienced parathyroid surgeons. In many of these cases, we're able to treat hyperparathyroidism and watch these symptoms literally go away. Patients can come into the office feeling a variety of symptoms that are generally nonspecific, but rather debilitating for them. Once that step is complete, then the patient can very confidently move towards the next step, which is treatment. And so with this type of scan, we can find parathyroid glands that are otherwise missed by traditional imaging techniques. It's really only available at a few centers across the country. It requires generation of a choline isotope onsite. So PET choline is one of the newest imaging modalities that's out there. And finally, cutting-edge imaging such as choline PET scan. We use four-dimensional CT scan, which is an advanced CT scan imaging of the neck and parathyroid glands.
And that can include various imaging techniques such as ultrasound, parathyroid sestamibi scan, which is a nuclear medicine imaging. We utilize multimodal imaging, meaning various types of imaging to identify where the abnormal parathyroid is located. And most often, it's just one of them that develops a tumor of it. What they are are four little glands that regulate the calcium. And that ranges from the simplest primary hyperparathyroidism to the most complex cases. Here at the Mayo Clinic in Endocrine and Metabolic Surgery, we treat the full spectrum of parathyroid problems.
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