Abstract:

Image-guided thyroid nodule ablation is a relatively new technique for the management of thyroid disease. Notably, if there has been the correct patient selection and if they are performed in high volume centers and via a standardized technique, image-guided thyroid nodule ablation seems to be safe and effective and it can be used to treat thyroid goiters. However, there is still paucity of level 1 evidences and recommendation comparing ablation to surgical or to other non-surgical treatment modalities. Herein, some technical notes for the thyroid nodule ablation to achieve the critical view of safety are presented. Moreover, an additional remark and appraisal from a surgical point of view is described.

Authors:

Ejona Duka, MD, Resident in Radiology, Department of Surgical Sciences and Human Morphology, Radiology Division University of Insubria (Varese-Como), Varese, Italy, Giuseppe De Marchi, MD, Resident in Radiology, Department of Surgical Sciences and Human Morphology, Radiology Division University of Insubria (Varese-Como), Varese, Italy, Roberta Giacchero, MD, Pediatric Endocrinologist, Department of Pediatrics, San Paolo Hospital, Milan, Italy, Alberto Mangano, MD, Resident in General Surgery, 1st Division of General Surgery, Ospedale di Circolo e Fondazione Macchi-Varese, Research Center for Endocrine Surgery Department of Surgical Sciences and Human Morphology, University of Insubria (Varese-Como), Varese, Italy, Eliana Piantanida, MD, Assistant Professor of Endocrinology, Department of Clinical and Experimental Medicine, Endocrine Unit, University of Insubria (Varese-Como), Ospedale di Circolo e Fondazione Macchi, Varese, Italy, Maria Laura Piera Tanda, MD, Assistant Professor of Endocrinology, Department of Clinical and Experimental Medicine, Endocrine Unit, University of Insubria (Varese-Como), Ospedale di Circolo e Fondazione Macchi, Varese, Italy, Liu Xiaoli, MD, General Surgeon, Department of Thyroid and Parathyroid Surgery, China-Japan Union Hospital, Jilin University e Jilin Provincial , Key Laboratory of Surgical Translational Medicine, Changchun, Jilin Province, China, Sun Hui, MD, General Surgeon, Department of Thyroid and Parathyroid Surgery, China-Japan Union Hospital, Jilin University e Jilin Provincial, Key Laboratory of Surgical Translational Medicine, Changchun, Jilin Province, China, Ozer Makay, MD, General Surgeon, Department of General Surgery, Division of Endocrine Surgery, Ege University Hospital, Izmir, Turkey, Gianlorenzo Dionigi, MD, FACS, Fellow of the American College of Surgeons, Head 1st Division of General Surgery Ospedale di Circolo e Fondazione Macchi, Varese Head Research Center for Endocrine Surgery, University of Insubria (Varese-Como), Ospedale di Circolo Fondazione Macchi, Varese, Italy, Gianpaolo Carrafiello, MD, Associate Professor of Radiology, Fellow of CIRSE, Chief of Interventional Radiology Unit, Director of Research Center in Interventional Radiology, University of Insubria (Varese-Como) Ospedale di Circolo Fondazione Macchi, Varese, Italy

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