Advertisement

Advanced Techniques for Thyroid Nodule Radiofrequency Ablation

  • So Lyung Jung
    Correspondence
    Address reprint requests to So Lyung Jung, MD, PhD Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 10, 63-ro, Yeongdeungpo-gu, Seoul, 07345, Republic of Korea
    Affiliations
    Department of Radiology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
    Search for articles by this author
Published:March 10, 2022DOI:https://doi.org/10.1016/j.tvir.2022.100820
      In addition to the basic techniques used in radiofrequency ablation of thyroid nodules, a variety of more advanced techniques have been developed. To address hyper-vascular nodules, vascular ablative techniques have been described. Protective hydro-dissection can be used around the carotid artery and the trachea to improve safety. Rescue hydro dissection can be used to reverse nerve injury. Additionally, several new ablation devices show promise at increasing efficacy and safety. These techniques and devices will be reviewed to provide an understanding of these advanced techniques and novel devices.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Techniques in Vascular & Interventional Radiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Park HS
        • Baek JH
        • Park AW
        • et al.
        Thyroid radiofrequency ablation: Updates on innovative devices and techniques.
        Korean J Radiol. 2017; 18: 615-623
        • Baek JH
        • Moon WJ
        • Kim YS
        • et al.
        Radiofrequency ablation for the treatment of autonomously functioning thyroid nodules.
        World J Surg. 2009; 33: 1971-1977
        • Park HS
        • Baek JH
        • Choi YJ
        • et al.
        Innovative techniques for image-guided ablation of benign thyroid nodules: combined ethanol and radiofrequency ablation.
        Korean J Radiol. 2017; 18: 461-469
        • Valcavi R
        • Riganti F
        • Bertani A
        • et al.
        Percutaneous laser ablation of cold benign thyroid nodules: a 3-year follow-up study in 122 patients.
        Thyroid. 2010; 20 (1253- 1261)
        • Døssing H
        • Bennedbæk FN
        • Hegedüs L.
        Long-term outcome following interstitial laser photocoagulation of benign cold thyroid nodules.
        Eur J Endocrinol. 2011; 165: 123-128
        • Lim HK
        • Lee JH
        • Ha EJ
        • et al.
        Radiofrequency ablation of benign non-functioning thyroid nodules: 4-year follow-up results for 111 patients.
        Eur Radiol. 2013; 23: 1044-1049
        • Zhao CK
        • Xu HX
        • Lu F
        • et al.
        Factors associated with initial incomplete ablation for benign thyroid nodules after radiofrequency ablation: first results of CEUS evaluation.
        Clin Hemorheol Microcirc. 2016; 65: 393-405
        • Wang B
        • Han ZY
        • Yu J
        • et al.
        Factors related to recurrence of the benign non-functioning thyroid nodules after percutaneous microwave ablation.
        Int J Hyperthermia. 2017; 33: 459-464
        • Chung SR
        • Baek JH
        • Choi YJ
        • et al.
        Management strategy for nerve damage during radiofrequency ablation of thyroid nodules.
        Int J Hyperthermia. 2019; 36: 203-209
        • Laeseke PF
        • Sampson LA
        • Brace CL.
        • et al.
        Unintended thermal injuries from radiofrequency ablation: protection with 5% dextrose in water.
        AJR. 2006; 186: S249-S254
        • Haveman J
        • Van Der Jee J
        • Wondergem J
        • et al.
        Effects of hyperthermia on the peripheral nervous system: a review.
        Int J Hyperthermia. 2004; 220: 371-391
        • Lee J
        • Shin JH
        • Hahn SY
        • et al.
        Feasibility of Adjustable Electrodes for Radiofrequency Ablation of benign thyroid nodules.
        Korean J Radiol. 2020; 21: 377-383
        • Osaki Y
        • Ikeda K
        • Izumi N
        • et al.
        Clinical effectiveness of bipolar radiofrequency ablation for small liver cancers.
        J Gastroenterol. 2013; 48: 874-883
        • Laeseke PF
        • Sampson LA
        • Brace CL
        • et al.
        Unintended thermal injuries from radiofrequency ablation: Protection with 5% dextrose in water.
        AJR Am J Roentgenol. 2006; 186: S249-S254