Evidence map›Paper›PMID 39731664›Full record

ArticleJournal of medical ultrasonics (2001)2025

Impact of adipocytes on ultrasound evaluation of parathyroid adenomas.

Tomoko Fujimoto, Mitsuyoshi Hirokawa, Ayana Suzuki, Maki Oshita, Hiroyuki Yamaoka, Makoto Fujishima, Naoyoshi Onoda, Akira Miyauchi, Takashi Akamizu

Abstract read
In one paragraph

Article in Journal of medical ultrasonics (2001), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tomoko FujimotoDepartment of Clinical Laboratory, Kuma Hospital, 8-2-35 Shimoyamate-Dori, Chuo-Ku, Kobe, Hyogo, 650-0011, Japan. fujimoto01@kuma-h.or.jp.ORCID http://orcid.org/0009-0005-3658-724X
Mitsuyoshi HirokawaDepartment of Diagnostic Pathology and Cytology, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0000-0001-5558-7142
Ayana SuzukiDepartment of Diagnostic Pathology and Cytology, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0000-0002-0827-1580
Maki OshitaDepartment of Clinical Laboratory, Kuma Hospital, 8-2-35 Shimoyamate-Dori, Chuo-Ku, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0009-0003-8597-2916
Hiroyuki YamaokaDepartment of Internal Medicine, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0009-0004-0044-2009
Makoto FujishimaDepartment of Surgery, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0009-0006-4537-9423
Naoyoshi OnodaDepartment of Surgery, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0000-0002-4361-1827
Akira MiyauchiDepartment of Surgery, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0000-0003-0041-197X
Takashi AkamizuDepartment of Internal Medicine, Kuma Hospital, Kobe, Hyogo, 650-0011, Japan.ORCID http://orcid.org/0000-0003-4960-8271

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeParathyroid lipoadenomas are difficult to recognize preoperatively; hence, they may remain undetected. Difficulty in recognition is thought to be due to the adipocytes present in the tumor. This study aimed to clarify the impact of adipocytes as a component of parathyroid adenomas on ultrasound evaluation.

methodsEighteen parathyroid adenoma cases, in which the adipose tissue accounted for more than 10% of the tumors, were included in this study. Of these, five were consistent with lipoadenomas. Twenty-five consecutive patients with parathyroid adenoma without adipocytes were used as controls.

resultsUltrasonography revealed a lipoadenoma detection rate of 20.0%. This increased to 80.0% at re-examinations performed after obtaining information from other imaging modalities. Compared with parathyroid adenoma cases with no adipocytes or few adipocytes, the frequencies of ill-defined margins, iso- and/or hyperechogenicity, heterogeneous consistency with a two-tone pattern, poor vascular flow, no polar artery, and no hyperechoic line were significantly higher in parathyroid lipoadenoma cases. The hyperechoic and isoechoic areas in tumors with a two-tone pattern correspond to adipocyte- and parathyroid cell-rich areas, respectively. The lipoadenoma tumor sizes measured using ultrasound tended to be smaller than the actual sizes.

conclusionsThe characteristic ultrasound findings of lipoadenomas were clearly different from those of parathyroid adenomas with or without adipocytes. We believe that our findings may contribute to an increased detection rate of lipoadenomas and allow us to consider them in the differential diagnosis.

Indexed as

AdenomaAdipocytesParathyroid NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedParathyroid GlandsUltrasonographyLipoadenomaParathyroid adenomaTwo-tone patternUltrasound

Identifiers

PMID39731664
PMCPMC12018633

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.