Minimally invasive ultrasound (US)-guided thyroid treatment modalities are becoming effective and safe alternatives to classic surgeries in patients with benign thyroid cysts, solid nonfunctioning benign thyroid nodules that grow or become symptomatic, and in solid hyper-functioning nodules. In addition, they have an effective role in the management of primary micropapillary tumors or recurrent thyroid cancers in patients not suitable for surgery or patients who decline it.
The aim of this international guide on thyroid ablative procedures is to enhance knowledge on thyroid ultrasound-guided, thermal ablative techniques as well as to thoroughly inform readers on the diagnosis, indications, technologies and techniques used for thyroid ablation, side effects, international guidelines and future directions. In this guide, first-class experts from diverse countries share their knowledge on the state of the art of available ultrasound-guided thyroid minimally invasive procedures. The most popular system for the thyroid gland is radiofrequency ablation (RFA), hence a special focus is on RFA, though other technologies have been proposed for thyroid ablation and are presented in the book. Advantages and disadvantages of each technology and techniques are discussed. This guide is particularly rich in illustrations and videos, as thyroid ablative therapies are image-guided.
Neck Surgical Anatomy.- Neck Ultrasound and Radiologic Anatomy.- TIRADS
and Artificial Intelligence.- Thyroid Nodular Pathology.- Fine Needle
Aspiration Biology and Core Needle Biopsy.- Molecular Testing of Thyroid
Nodules.- Selection of Minimally Invasive Treatment Modality by Indication
for Thyroid Disease.- Nodule Selection for Thyroid Ablation.- Vital
Structures Protection.- Learning Curve of Thyroid Ablative Procedures.-
Percutaneous Ethanol Injection (PEI) and Radiofrequency Ablation of Thyroid
Cysts and Cystic Thyroid Nodules.- Radiofrequency Ablation (RA) of Benign
Thyroid Nodules.- Radiofrequency Ablation for Autonomously Functioning
Thyroid Nodules.- Microwave Ablation for Benign Thyroid Nodules.- Active
Surveillance in Micropapillary Cancer.- Radiofrequency Ablation for Papillary
Thyroid Microcarcinoma.- Microwave Ablation for Micropapillary Thyroid
Cancer.- Laser Ablation of Thyroid Nodules.- HIFU Ablation of Thyroid
Nodules.- Microwave Ablation of Malignant Thyroid Tumors.- Side Effects and
Complications in Thyroid Radiofrequency Ablation.- Contrast Enhanced
Ultrasound in Thyroid Interventional Procedures.- Metastatic Thyroid Tumor
thermal Ablation.- Intrathoracic Goiter Radiofrequency Ablation.- Patient
Follow-up after Thermal Ablation.- Global Guidelines for Radiofrequency
Ablation.- Future Directions of Thyroid Ultrasound-Guided Ablation.
Roberto Valcavi, MD, The Endocrine and Thyroid Clinic of Reggio, Reggio Emilia, Italy
Erivelto Volpi, MD, PhD, Department of Oncology, Hospital Alemao Oswaldo Cruz, Sao Paulo, Brazil
Gregory Randolph, MD, Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA
Juan Pablo Duenas, MD, Department of Surgery, Comprehensive Endocrine surgery Clinic, Medellin, Colombia
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