Early endocrine, bone, and inflammatory responses to microwave ablation for hyperparathyroidism: preliminary study - Summary - MDSpire

Early endocrine, bone, and inflammatory responses to microwave ablation for hyperparathyroidism: preliminary study

  • By

  • Ying Wei

  • Zhenlong Zhao

  • Jie Wu

  • Shiliang Cao

  • Na Yu

  • Wenjia Cai

  • Yan Li

  • Lili Peng

  • Ming’an Yu

  • July 7, 2026

  • 0 min

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Objective:

To investigate short-term changes in hormonal, bone metabolic, and inflammatory markers after ultrasound-guided microwave ablation (MWA) in patients with hyperparathyroidism (HPT).

Approach:
  • Study Design: A prospective observational study involving 19 patients (14 with primary HPT, 5 with secondary HPT) who underwent MWA.
  • Measurements: Serum levels of intact parathyroid hormone (iPTH), calcium, phosphate, alkaline phosphatase (ALP), bone turnover markers, and inflammatory markers were measured at baseline, day 1, and month 1 post-ablation.
Key Findings:
  • iPTH and calcium decreased by day 1 (P < 0.001); iPTH remained reduced at month 1 (P < 0.001).
  • Calcium slightly increased by month 1 (P = 0.046).
  • Phosphate showed a borderline upward trend (P = 0.050).
  • ALP decreased at month 1 (P = 0.044).
  • PINP increased at month 1 (P = 0.011); BALP trended upward (P = 0.112).
  • FGF-23 declined over time (P = 0.015).
  • CRP peaked at day 1 and decreased by month 1 (P = 0.036).
Interpretation:

Microwave ablation induces rapid biochemical normalization and early skeletal and inflammatory changes in patients with hyperparathyroidism.

Limitations:
  • Small sample size of 19 patients.
  • Short follow-up duration of only one month.
Conclusion:

Microwave ablation shows potential for inducing significant biochemical changes in hyperparathyroidism patients.

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