US-CT fusion-guided percutaneous radiofrequency ablation of large substernal benign thyroid nodules

Orlandi, Davide; Viglino, Umberto; Dedone, Giorgia; Leale, Giacomo; Caruso, Pietro; Mauri, Giovanni; Turtulici, Giovanni

doi:10.1080/02656736.2022.2091167

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…US-CT fusion imaging enables the visualization of lesions that are otherwise obscured by bone tissue. Orlandi et al [ 66 ] first validated the feasibility of RFA in the treatment of large benign thyroid nodules situated behind the sternum, employing US-CT fusion imaging in conjunction with a real-time virtual needle tracking system. This represents a potential alternative approach for the RFA treatment of recurrent and metastatic PTCs located behind the sternum.…”

Section: Future Directionsmentioning

confidence: 99%

Ultrasound-guided radiofrequency ablation for the treatment of papillary thyroid carcinoma: a review of the current state and future perspectives

Zhao,

Zhang

2024

Ultrasonography

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Papillary thyroid carcinoma (PTC) is a highly prevalent cancer that typically exhibits indolent behavior and is associated with a favorable prognosis. The treatment of choice is surgical intervention; however, this approach carries the risk of complications, including scarring and loss of thyroid function. Although active surveillance can mitigate the risk of PTC overtreatment, the possibility of tumor growth and metastasis can elicit anxiety among patients. Ultrasoundguided thermal ablation has emerged as a safe and effective alternative for individuals who are ineligible for or decline surgery. This article provides a review of the clinical research on radiofrequency ablation as a treatment for PTC, offering a thorough examination of its efficacy, safety, and future perspectives.

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Section: Future Directionsmentioning

confidence: 99%

Ultrasound-guided radiofrequency ablation for the treatment of papillary thyroid carcinoma: a review of the current state and future perspectives

Zhao,

Zhang

2024

Ultrasonography

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“…Solutions based on EMT aim to alleviate these issues as they are not restricted by the line-of-sight requirement, and electromagnetic sensors attached to the US probe and needle typically have a small footprint. Several guidance solutions based on EMT have been proposed including the pioneering work of Krücker et al 12 , and among others first approaches to guide ablation of thyroid nodules 13 , 14 . As EMT relies on measuring electrical currents induced in a sensor by an EMT source for localization 15 , it is susceptible to EMT field distortions, for example, those introduced by ferromagnetic objects in the tracking space.…”

Section: Introductionmentioning

confidence: 99%

Miniaturized electromagnetic tracking enables efficient ultrasound-navigated needle insertions

Seitel,

Groener,

Eisenmann

et al. 2024

Sci Rep

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Ultrasound (US) has gained popularity as a guidance modality for percutaneous needle insertions because it is widely available and non-ionizing. However, coordinating scanning and needle insertion still requires significant experience. Current assistance solutions utilize optical or electromagnetic tracking (EMT) technology directly integrated into the US device or probe. This results in specialized devices or introduces additional hardware, limiting the ergonomics of both the scanning and insertion process. We developed the first ultrasound (US) navigation solution designed to be used as a non-permanent accessory for existing US devices while maintaining the ergonomics during the scanning process. A miniaturized EMT source is reversibly attached to the US probe, temporarily creating a combined modality that provides real-time anatomical imaging and instrument tracking at the same time. Studies performed with 11 clinical operators show that the proposed navigation solution can guide needle insertions with a targeting accuracy of about 5 mm, which is comparable to existing approaches and unaffected by repeated attachment and detachment of the miniaturized tracking solution. The assistance proved particularly helpful for non-expert users and needle insertions performed outside of the US plane. The small size and reversible attachability of the proposed navigation solution promises streamlined integration into the clinical workflow and widespread access to US navigated punctures.

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A Review of Virtual Reality in Radiology

Means,

Kleiman,

Ogdon

et al. 2024

Current Problems in Diagnostic Radiology

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US-CT fusion-guided percutaneous radiofrequency ablation of large substernal benign thyroid nodules

Cited by 4 publications

References 32 publications

Ultrasound-guided radiofrequency ablation for the treatment of papillary thyroid carcinoma: a review of the current state and future perspectives

Ultrasound-guided radiofrequency ablation for the treatment of papillary thyroid carcinoma: a review of the current state and future perspectives

Miniaturized electromagnetic tracking enables efficient ultrasound-navigated needle insertions

A Review of Virtual Reality in Radiology

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