Minimally Invasive Radiogiuded Parathyroidectomy (MIRP)

At the New York Center for Advanced Parathyroid Surgery we have the benefit of placing our operative suites next to our imaging facility enabling the ready use of the Minimally Invasive Radioguided Parathyroid (MIRP) Surgery technique. This permits the convenience and use of the intraoperative gamma counter, if indicated, shortly after sestamibi injection while the parathyroid adenoma nuclear activity is still elevated. The minimally invasive radioguided parathyroidectomy technique was popularized in the late 1990s and still plays a role for certain cases. MIRP plays a useful role in assisting the surgeon with localizing the parathyroid adenoma intraoperatively.