Wireless parathyroid detection device using autofluorescence and smart glasses: A preliminary study.
Technol Health Care
; 29(5): 979-987, 2021.
Article
in En
| MEDLINE
| ID: mdl-33682738
ABSTRACT
BACKGROUND:
Autofluorescence imaging technology has been utilized for preserving or identifying parathyroid glands (PTGs) during thyroid surgery. We developed a wireless PTGs detection device linked with smart glasses that allows for real-time video recording and screen switching according to the light source.OBJECTIVE:
This study aimed to confirm the feasibility of the device and whether it would help preserve the PTG during the surgery.METHODS:
This prospective study was conducted in 30 patients with 66 PTGs. The device's agreement with the physician's judgment was evaluated, and we determined how many PTGs were preserved from thyroidectomy.RESULTS:
The positive agreement rate for PTGs detection between the surgeon and device was 70.9%. Inadvertent parathyroidectomy was identified in surgical specimens of 6 patients (20%). No PTG was removed when it was confirmed by the device (0/39). Of the 27 glands not detected by the device, there was inadvertent removal of 6 PTGs.CONCLUSIONS:
PTGs can be preserved successfully when the detection of them by the device is consistent with the surgeon's discretion. A large-scale controlled study is necessary to demonstrate the practical effect of this device on hypoparathyroidism after thyroidectomy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Smart Glasses
/
Hypoparathyroidism
Type of study:
Diagnostic_studies
/
Observational_studies
Limits:
Humans
Language:
En
Journal:
Technol Health Care
Journal subject:
ENGENHARIA BIOMEDICA
/
SERVICOS DE SAUDE
Year:
2021
Document type:
Article