Image-guided thyroid nodule ablation: technical notes and critical appraisal.
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.
Department of Surgical Sciences and Human Morphology, Radiology Division University of Insubria (Varese-Como), Varese, Italy.
Ejona
E
Duka
Department of Surgical Sciences and Human Morphology, Radiology Division University of Insubria (Varese-Como), Varese, Italy.
Giuseppe
G
De Marchi
Department of Pediatrics, San Paolo Hospital, Milan, Italy.
Roberta
R
Giacchero
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.
Alberto
A
Mangano
Department of Clinical and Experimental Medicine, Endocrine Unit University of Insubria (Varese-Como), Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Eliana
E
Piantanida
Department of Clinical and Experimental Medicine, Endocrine Unit University of Insubria (Varese-Como) Ospedale di Circolo e Fondazione Macchi Varese, Italy.
Maria Laura Piera
ML
Tanda
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.
Liu
L
Xiaoli
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
S
Hui
Department of General Surgery, Division of Endocrine Surgery Ege University Hospital, Izmir, Turkey.
Ozer
O
Makay
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.
Gianlorenzo
G
Dionigi
Chief of Interventional Radiology Unit, Director of Research Center in Interventional Radiology, University of Insubria (Varese-Como) Ospedale di Circolo Fondazione Macchi, Varese, Italy.
Gianpaolo
G
Carrafiello