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HIFU and RFA Ablation for Thyroid and Parathyroid Disease

  • Petros Tsamatropoulos
  • Roberto ValcaviEmail author
Chapter

Abstract

Interventional thyroidology encompasses minimally invasive ultrasound-guided techniques to treat diseases of the endocrine neck (i.e., diseases of thyroid and parathyroid glands). Radiofrequency ablation (RFA) and high-intensity focused ultrasound (HIFU) ablation are two of these techniques, used to destroy thyroid nodules and tumors using hyperthermia without surgical removal. For thyroid RFA straight, internally cooled, short (7- or 10-cm), thin (18- or 19-gauge) electrode needles are currently used according to the moving shot technique and via a transisthmic approach. Indications for thyroid RFA are: (a) nonfunctioning, benign, solid or predominantly solid, thyroid nodules in patients presenting with local symptoms or cosmetic complaints when surgery is contraindicated or declined; (b) autonomously functioning thyroid nodules (AFTNs) causing problems related to thyrotoxicosis when surgery and radioidine are contraindicated or declined; (c) Recurrent thyroid cancers located in the thyroid bed as well as metastatic lymph nodes when surgery is contraindicated and radioiodine is ineffective. HIFU is a newly developed promising technology in the field of interventional thyroidology which has been used for the treatment of AFTNs, cold benign thyroid nodules and parathyroid lesions causing hyperparathyroidism. RFA and HIFU are performed by endocrinologists, interventional radiologists, and surgeons.

Keywords

Interventional thyroidology Radiofrequency ablation HIFU ablation Thyroid nodule Thyroid ultrasound Autonomously functioning thyroid nodule Parathyroid adenoma Recurrent thyroid cancer Endocrine neck diseases Minimally invasive ultrasound-guided techniques 

Supplementary material

Video 36.1

RFA of cold benign thyroid nodules (MP4 121,675 kb)

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© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Endocrine UnitCentro PalmerReggio EmiliaItaly

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