Benmiloud F, Godiris-Petit G, Gras R, et al. - Researchers examined how parathyroid preservation and postoperative hypocalcemia are influenced by intraoperative imaging systems using near-infrared autofluorescence light to identify parathyroid glands. They conducted a randomized clinical trial including 241 adults who had undergone total thyroidectomy. The temporary postoperative hypocalcemia rate lowered from 22% to 9% and the parathyroid autotransplantation and parathyroid inadvertent resection rates lowered from 16% to 4% and 14% to 3%, respectively, when near-infrared autofluorescence was used during total thyroidectomy. These findings support the utility of near-infrared autofluorescence–based identification of parathyroid glands during thyroid surgery in limiting parathyroid risk.