2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer

被引：3

作者：

Zhao, Zhen-long ^{[1
]}

Wang, Shu-rong ^{[2
]}

Kuo, Jennifer ^{[3
]}

Cekic, Bulent

Liang, Lei ^{[4
]}

Ghazi, Hossam Arafa ^{[5
]}

Xu, Shu-hang ^{[6
]}

Amabile, Gerardo ^{[7
]}

Wu, Song-song ^{[8
]}

Yadav, Ajit ^{[9
]}

Dong, Gang ^{[10
]}

Janssen, Ingo ^{[11
]}

Fan, Bo-qiang ^{[12
]}

Fukunari, Nobuhiro ^{[13
,14
]}

He, Jun-feng ^{[15
]}

Dung, Le Thanh ^{[16
]}

Yu, Song-yuan ^{[17
]}

Leong, Sum ^{[18
]}

Yu, Jian-jun ^{[19
]}

Chou, Yi-Hong ^{[20
]}

De Cicco, Rafael ^{[21
]}

Che, Ying ^{[22
]}

Cheng, Kai-Lun ^{[23
]}

Kandil, Emad ^{[24
]}

Lin, Wei-Che ^{[25
]}

Xu, Dong ^{[26
]}

Russell, Jonathon ^{[27
]}

Lu, Man ^{[28
]}

Tufano, Ralph ^{[29
]}

Qian, Lin-xue ^{[30
]}

Randolph, Gregory W. ^{[31
]}

Zhou, Jian-qiao ^{[32
]}

Mauri, Giovanni ^{[33
]}

Su, Hong-hui ^{[34
]}

Russell, Marika ^{[31
]}

Ahmed, Amr ^{[31
]}

Patel, Kaustubh ^{[35
]}

Baek, Jung Hwan ^{[36
,37
]}

Kim, Ji-hoon ^{[38
]}

Wei, Ying ^{[1
]}

Yu, Ming-An ^{[1
]}

机构：

[1] China Japan Friendship Hosp, Dept Intervent Med, 2 Yinghuayuan E St, Beijing 100029, Peoples R China

[2] Yantai Hosp Shandong Wendeng Orthopaed & Traumatol, Dept Ultrasound, Yantai, Peoples R China

[3] Columbia Univ, Dept Surg, New York, NY USA

[4] Aerosp Ctr Hosp, Dept Ultrasound, Beijing, Peoples R China

[5] Mansoura Univ, Fac Med, Dept Internal Med, Mansoura, Egypt

[6] Jiangsu Prov Hosp Integrat Chinese & Western Med, Dept Endocrinol, Nanjing, Peoples R China

[7] Univ Campania Luigi Vanvitelli, Dept Adv Med & Surg Sci, Naples, Italy

[8] Fujian Prov Hosp, Dept Ultrasound, Fuzhou, Peoples R China

[9] Sir Ganga Ram Hosp, Dept Intervent Radiol, New Delhi, India

[10] Zhengzhou Univ, Affiliated Hosp 1, Dept Ultrasound, Zhengzhou, Peoples R China

[11] MVZ BeRaNuk Med Ctr, Dept Radiol & Nucl Med, Berlin, Germany

[12] Nanjing Med Univ, Affiliated Hosp 1, Dept Oncol, Nanjing, Peoples R China

[13] Showa Univ, Dept Endocrine Surg, Northern Yokohama Hosp, Kanagawa, Japan

[14] Showa Univ, Thyroid Ctr, Northern Yokohama Hosp, Kanagawa, Japan

[15] Inner Mongolia Univ Sci & Technol, Affiliated Hosp 1, Baotou Med Coll, Dept Ultrasound, Baotou, Inner Mongolia, Peoples R China

[16] Viet Duc Univ Hosp, Dept Radiol, Hanoi, Vietnam

[17] Shanghai Tenth Peoples Hosp, Dept Med Ultrasound, Shanghai, Peoples R China

[18] Singapore Gen Hosp, Dept Intervent Radiol, Singapore, Singapore

[19] Peoples Hosp Ningxia Hui Autonomous Reg, Dept Surg, Ningxia, Peoples R China

[20] Taipei Vet Gen Hosp, Dept Radiol, Taipei, Taiwan

[21] Inst Canc Dr Arnaldo, Dept Head & Neck Surg, Sao Paulo, Brazil

[22] Dalian Med Univ, Affiliated Hosp 1, Dept Ultrasound, Liaoning, Peoples R China

[23] Chung Shan Med Univ Hosp, Dept Med Imaging, Taichung, Taiwan

[24] Tulane Univ, Sch Med, Dept Surg, New Orleans, LA USA

[25] Kaohsiung Chang Gung Mem Hosp, Dept Diagnost Radiol, Kaohsiung, Taiwan

[26] Zhejiang Canc Hosp, Dept Ultrasound, Hangzhou, Peoples R China

[27] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA

[28] Sichuan Canc Hosp, Dept Ultrasound, Chengdu, Peoples R China

[29] Sarasota Mem Hlth Care Syst, Div Head & Neck Endocrine Surg, Sarasota, FL USA

[30] Capital Med Univ, Beijing Friendship Hosp, Dept Ultrasound, Beijing, Peoples R China

[31] Harvard Med Sch, Dept Otolaryngol Head & Neck Surg, Boston, MA USA

[32] Ruijin Hosp, Dept Ultrasound, Shanghai, Peoples R China

[33] Sci Inst Res Hospitalizat & Healthcare IRCCS, European Inst Oncol, Dept Intervent Radiol, Milan, Italy

[34] Shantou Univ, Affiliated Hosp 2, Med Coll, Dept Intervent Ultrasound, Shantou, Peoples R China

[35] HCG Canc Ctr, Dept Head & Neck Oncol, Ahmadabad, India

[36] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, Seoul, South Korea

[37] Univ Ulsan, Res Inst Radiol, Asan Med Ctr, Coll Med, Seoul, South Korea

[38] Seoul Natl Univ, Seoul Natl Univ Hosp, Coll Med, Dept Radiol, Seoul, South Korea

来源：

RADIOLOGY | 2025年 / 315卷 / 01期

基金：

中国国家自然科学基金;

关键词：

ACTIVE SURVEILLANCE; MICROWAVE ABLATION; RADIOFREQUENCY ABLATION; MANAGEMENT GUIDELINES; LASER-ABLATION; VOCAL CORD; CARCINOMA; MICROCARCINOMA; EFFICACY; NODULES;

D O I：

10.1148/radiol.240347

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Thermal ablation has started to gain acceptance as a therapeutic approach for the management of papillary thyroid cancer (PTC), mainly in the T1 stage (tumor size <= 2 cm in greatest dimension and limited to the thyroid). Despite its increasing popularity, a lack of uniformity in the technical details persists, and existing guidelines do not fully align with recent research advancements. To standardize the use of US-guided thermal ablation for T1N0M0 PTC, a panel of experts jointly issued this expert consensus on thermal ablation for PTC. This consensus was developed by experts with specific competence and expertise in this field through rounds of the modified Delphi method. An evidence-based approach incorporating the practical experience of the panelists was adopted. The consensus was developed through extensive discussions, systematic literature review with meta-analysis, and expert evaluations. In this consensus, a total of 27 recommendations are made, addressing the indications and contraindications for thermal ablation for PTC, physician training, preoperative preparation, technical procedures, complications, efficacy assessment, and followup strategies. This expert consensus provides up-to-date, high-quality, standardized guidance to harmonize treatment practices, enhance patient outcomes, and potentially shape future research and policy developments in the management of T1N0M0 PTC using US-guided thermal ablation. (c) RSNA, 2025

引用

页数：12

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