Radiofrequency Ablation of Thyroid Nodules: A Long-Term Prospective Study of 24 Patients

被引:24
作者
Aldea Martinez, Jesus [1 ]
Aldea Viana, Laura [1 ]
Lopez Martinez, Jose Luis [1 ]
Ruiz Perez, Enrique [1 ]
机构
[1] Hosp Univ Burgos HUBU, C Islas Baleares 3, Burgos 09006, Burgos, Spain
关键词
CONSENSUS STATEMENT; FOLLOW-UP; EFFICACY; SAFETY;
D O I
10.1016/j.jvir.2019.04.022
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
Purpose: To evaluate the volume reduction rate (VRR) of thyroid nodules over a long period of time after radiofrequency (RF) ablation treatment in both solid and mixed nodules; to determine ablation parameters; and to evaluate complications and success rates and safety of RF ablation. Material and Methods: In this prospective study, 24 patients (83% females and 17% males; age 50.17 +/- 13.6 years) underwent ultrasound-guided percutaneous RF ablation of benign thyroid nodules with radiologic follow-up at 1, 3, 6, 12, 24, and 36 months after treatment. All patients presented with compressive or cosmetic complaints and with Thyroid Imaging Reporting and Data System 1 or 2 nodules under ultrasound and were confirmed to be Bethesda Category II after 2 fine-needle aspirations. Results: A total of 24 nodules (54.2% solid, 37.5% solid predominance, and 8.3% cystic predominance) were included in this study. Significant results in VRR (%) were found at 24 months and 36 months of 69.92 +/- 19.23 and 76.84 +/- 15.92, respectively. Furthermore, a logarithmic relationship was found when VRR was plotted over time, in both solid and mixed nodules. No correlations were found with any of the ablation parameters. The success rate reached 72.22% at 12 months, and the total complication rate was 16.67% (12.5% minor complications and 4.2% major complications-1 laryngeal nerve palsy), reaching an 83.3% safety. Conclusions: RF ablation can be an alternative treatment modality in the management of benign symptomatic thyroid nodules. The results show that it is a safe and effective treatment if trans-isthmic approach and moving-shot techniques are correctly followed.
引用
收藏
页码:1567 / 1573
页数:7
相关论文
共 50 条
[41]   US-Guided Percutaneous Radiofrequency versus Microwave Ablation for Benign Thyroid Nodules: A Prospective Multicenter Study [J].
Cheng, Zhigang ;
Che, Ying ;
Yu, Songyuan ;
Wang, Shurong ;
Teng, Dengke ;
Xu, Huixiong ;
Li, Jianwei ;
Sun, Desheng ;
Han, Zhiyu ;
Liang, Ping .
SCIENTIFIC REPORTS, 2017, 7
[42]   Treatment of benign thyroid nodules by radiofrequency thermal ablation [J].
Doros Attila ;
Reismann Peter ;
Huszty Gergely ;
Somogyi Dora ;
Mohos Gabor ;
Szabo Tamas ;
Tozser Gellert ;
Deak Pal Akos .
ORVOSI HETILAP, 2020, 161 (27) :1131-1136
[43]   Laser, radiofrequency, and ethanol ablation for the management of thyroid nodules [J].
Papini, Enrico ;
Gugliemi, Rinaldo ;
Pacella, Claudio Maurizio .
CURRENT OPINION IN ENDOCRINOLOGY DIABETES AND OBESITY, 2016, 23 (05) :400-406
[44]   Risk Assessment and Hydrodissection Technique for Radiofrequency Ablation of Thyroid Benign Nodules [J].
Tang Xiaoyin ;
Li Ping ;
Cui Dan ;
Ding Min ;
Chi Jiachang ;
Wang Tao ;
Shi Yaoping ;
Wang Zhi ;
Zhai Bo .
JOURNAL OF CANCER, 2018, 9 (17) :3058-3066
[45]   Evaluation of the safety and efficacy of radiofrequency ablation for treating benign thyroid nodules [J].
Tang, Xiaoyin ;
Cui, Dan ;
Chi, Jiachang ;
Wang, Zhi ;
Wang, Tao ;
Zhai, Bo ;
Li, Ping .
JOURNAL OF CANCER, 2017, 8 (05) :754-760
[46]   Management strategy for nerve damage during radiofrequency ablation of thyroid nodules [J].
Chung, Sae Rom ;
Baek, Jung Hwan ;
Choi, Young Jun ;
Lee, Jeong Hyun .
INTERNATIONAL JOURNAL OF HYPERTHERMIA, 2019, 36 (01) :204-210
[47]   Current guidelines for the application of radiofrequency ablation for thyroid nodules: a narrative review [J].
Lui, Michael S. ;
Patel, Kepal N. .
GLAND SURGERY, 2024, 13 (01) :59-69
[48]   Radiofrequency Ablation Is a Thyroid Function-Preserving Treatment for Patients with Bilateral Benign Thyroid Nodules [J].
Hong, Min Ji ;
Baek, Jung Hwan ;
Choi, Young Jun ;
Lee, Jeong Hyun ;
Lim, Hyun Kyung ;
Shong, Young Kee ;
Hong, Suck Joon .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2015, 26 (01) :55-61
[49]   Radiofrequency Ablation of Benign Thyroid Nodules Does Not Affect Thyroid Function in Patients with Previous Lobectomy [J].
Ha, Eun Ju ;
Baek, Jung Hwan ;
Lee, Jeong Hyun ;
Sung, Jin Yong ;
Lee, Ducky ;
Kim, Jae Kyun ;
Shong, Young Kee .
THYROID, 2013, 23 (03) :289-293
[50]   Thyroid Nodule Rupture Following Radiofrequency Ablation for Benign Thyroid Nodules [J].
Austerlitz, Joaquin ;
Mann, Daljit Singh ;
Noel, Julia E. ;
Orloff, Lisa A. .
JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2024, 150 (08) :651-657