Urgent need to apply a common language in image-guided thermal ablations

Mauri, Giovanni; Mainini, Anna Pisani; Monaco, Cristian Giuseppe; Pescatori, Lorenzo; Angelis, Chiara De; Sconfienza, Luca Maria

doi:10.1007/s40477-017-0278-x

Cited by 6 publications

(6 citation statements)

References 14 publications

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“…This paper includes the most recent and authoritative indications and guidelines on the topic of IGTA in thyroid disease, which can also be applied to other modalities than RFA. Notably, as several other IGTA techniques have been applied in the treatment of thyroid diseases [11], and different specialists (radiologists, surgeons, endocrinologists) are currently performing IGTA, a more homogeneous standardization of indications, techniques, and even reporting criteria would be useful [21].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous laser ablation for benign and malignant thyroid diseases

et al. 2019

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Minimally invasive image-guided thermal ablation is becoming increasingly common as an alternative to surgery for the treatment of benign thyroid nodules. Among the various techniques for thermal ablation, laser ablation (LA) is the least invasive, using the smallest applicators available on the market and enabling extremely precise energy deposition. However, in some cases, multiple laser fibers must be used simultaneously for the treatment of large nodules. In this review, the LA technique is described, and its main clinical applications and results are discussed and illustrated.

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Section: Introductionmentioning

confidence: 99%

Percutaneous laser ablation for benign and malignant thyroid diseases

et al. 2019

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“…However, comparison among different studies can be sometimes be difficult because of lack of standardisation in the reporting criteria. Thus, a general agreement on the urgent need for a more homogeneous way of reporting in papers about thyroid thermal ablation raised [21].…”

Section: Discussionmentioning

confidence: 99%

Proceedings of the first Italian conference on thyroid minimally invasive treatments and foundation of the Italian research group for thyroid minimally invasive procedures

Mauri

Pacella

Papini

et al. 2018

International Journal of Hyperthermia

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“…Surgeons often perform hydrodissection [23,24], in which a certain amount of liquid is injected in the area where the RLN traverses, to avoid injury and thermal damage to the RLN during RFA [25,26]. The nerve stimulation needle used as a probe for nerve detection can also be used for injecting normal saline.…”

Section: Detection Of Rln and Hydrodissection Technologymentioning

confidence: 99%

“…Ultrasound-guided RFA. A real-time, ultrasound-guided transisthmic or lateral approach was selected for the movingshot technique [23,24]. The radiofrequency electrodes were placed into the deepest and farthest part of the nodule, and ablation was performed with 30-50 W of radiofrequency power.…”

Section: Detection Of Rln and Hydrodissection Technologymentioning

confidence: 99%

Neural monitoring during ultrasound-guided radiofrequency ablation of thyroid nodules

Lin

et al. 2020

International Journal of Hyperthermia

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Background: Intraoperative neurological monitoring is important in locating and assessing nerves during surgery. This study aimed to investigate the feasibility of neural monitoring during ultrasoundguided radiofrequency ablation (RFA) of thyroid nodules. Methods: From February 2019 to August 2019, 16 patients (age, 42.8 ± 15.9 years; range, 17-74 years) with benign thyroid nodules who underwent ultrasound-guided RFA with neural monitoring in Zhongshan Hospital, Xiamen University, were included. A neuromonitoring system stimulated the vagus nerve to obtain electromyographic (EMG) signals and predict the function of recurrent laryngeal nerves (RLNs) during RFA. The hydrodissection technique was used to protect the RLN area. Thyroid nodules were treated with the moving-shot technique. The EMG signal value results were recorded and analyzed. All patients underwent laryngoscopic investigation 1 day after the procedure. Results: Twenty vagus nerves were stimulated preprocedure and postprocedure, and the EMG signals were successfully recorded (100%). The mean initial (before ablation) and final (final ablation) vagus nerve amplitudes were 612.7 ± 130.4 lV (range, 455-882 lV) and 592.7 ± 127.3 lV (range, 410-817 lV), respectively. Based on the EMG signals, all 20 RLNs were judged to be in good condition, consistent with the postprocedure laryngoscopic results. The maximum lesion size and volume at 6 months after RFA were significantly lesser than those at baseline (p < 0.05). The volume reduction rate was 68.5% ± 21.5% (range, 13.0-97.3%). Cosmetic and symptom scores were significantly lower than those at baseline. No complications from neural monitoring occurred. Conclusions: Neural monitoring during ultrasound-guided RFA of thyroid nodules is feasible to predict RLN function.

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Urgent need to apply a common language in image-guided thermal ablations

Cited by 6 publications

References 14 publications

Percutaneous laser ablation for benign and malignant thyroid diseases

Percutaneous laser ablation for benign and malignant thyroid diseases

Proceedings of the first Italian conference on thyroid minimally invasive treatments and foundation of the Italian research group for thyroid minimally invasive procedures

Neural monitoring during ultrasound-guided radiofrequency ablation of thyroid nodules

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