McWade MA, Paras C, White LM, Phay JE, Mahadevan-Jansen A, Broome JT.
Surgery. 2013 Dec;154(6):1371-1377. doi:10.1016/j.surg.2013.06.046 • PMID:24238054 • PMCID:PMC3898879
Foundational study
Open access
Early demonstration of label-free optical detection of parathyroid tissue intraoperatively, establishing autofluorescence as a viable identification technique.
McWade MA, Paras C, White LM, Phay JE, Solórzano CC, Broome JT, Mahadevan-Jansen A.
J Clin Endocrinol Metab. 2014 Dec;99(12):4574-4580. doi:10.1210/jc.2014-2503 • PMID:25148235 • PMCID:PMC4255111
Label-free validation
Open access
Validation in a clinical setting that near-infrared autofluorescence reliably localizes parathyroid glands without exogenous labels.
Kose E, Kahramangil B, Aydin H, Donmez M, Berber E.
Surgery. 2019 Feb;165(2):431-437. doi:10.1016/j.surg.2018.08.006 • PMID:30274733
Observational study
Characterizes variable autofluorescence intensity patterns and links low/heterogeneous signals to hyperfunctioning parathyroid tissue — important for intraoperative interpretation.
Dip F, Falco J, Verna S, Prunello M, Loccisano M, Quadri P, White K, Rosenthal R.
J Am Coll Surg. 2019 May;228(5):744-751. doi:10.1016/j.jamcollsurg.2018.12.044 • PMID:30710614
Randomized controlled trial
High evidence
Controlled comparison showing performance of NIR autofluorescence versus white light for intraoperative parathyroid identification during thyroidectomy.
Benmiloud F, Godiris-Petit G, Gras R, Gillot JC, Turrin N, Penaranda G, Noullet S, Chéreau N, Gaudart J, Chiche L, Rebaudet S.
JAMA Surg. 2020 Feb;155(2):106-112. doi:10.1001/jamasurg.2019.4613 • PMID:31693081 • PMCID:PMC6865247
Multicenter RCT
Open access
PARAFLUO multicenter randomized data assessing whether autofluorescence detection affects postoperative hypocalcemia risk — a key clinical-impact study.
Solórzano CC, Thomas G, Berber E, Wang TS, Randolph GW, Duh QY, Triponez F.
Surgery. 2021 Apr;169(4):868-878. doi:10.1016/j.surg.2020.09.014 • PMID:33139065 • PMCID:PMC7987670
Review / state-of-field
Open access
Comprehensive review summarizing intraoperative NIR fluorescence techniques, evidence, and practical considerations for parathyroid preservation.
Bellier A, Wazne Y, Chollier T, Sturm N, Chaffanjon P.
World J Surg. 2021 Sep;45(9):2785-2790. doi:10.1007/s00268-021-06102-7 • PMID:33835219
Diagnostic study
Diagnostic evaluation of perioperative autofluorescence imaging to help preserve parathyroid glands during thyroid surgery.
Duh QY, Graves CE.
World J Surg. 2021 Sep;45(9):2791-2792. doi:10.1007/s00268-021-06200-6 • PMID:34212210 • PMCID:PMC8322006
Editorial / Technique
Open access
Editorial emphasizing how focused inspection guided by NIR autofluorescence improves visual identification and reduces the risk of inadvertent resection.
Thomas G, Solórzano CC, Baregamian N, Mannoh EA, Gautam R, Irlmeier RT, Ye F, Nelson JA, Long SE, Gauger PG, Magner A, Metcalf T, Shirley LA, Phay JE, Mahadevan-Jansen A.
Am J Surg. 2021 Nov;222(5):944-951. doi:10.1016/j.amjsurg.2021.05.001 • PMID:34024629 • PMCID:PMC8589928
Multicenter blinded study
Open access
Surgeon-blinded multicenter comparison showing how NIR autofluorescence detection compares to surgeon experience for intraoperative parathyroid identification.