Can we skip technetium-99 m sestamibi scintigraphy in pediatric primary hyperparathyroidism patients with positive neck ultrasound results?

In pediatric PHPT patients, US achieved high sensitivity for preoperative localization. Tc-MIBI scintigraphy for pediatric patients with positive US results would not increase the sensitivity. Implementation of Tc-MIBI scintigraphy could increase the specificity in pediatric patients with multigland disease suspected by US.