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Ultrasound-Guided Laser Ablation

  • Claudio Maurizio PacellaEmail author
  • Enrico Papini
Chapter

Abstract

Surgery is the long-established therapeutic option for benign thyroid nodules which steadily grow and become symptomatic. However, the cost of thyroid surgery and the risk of temporary or permanent complications with not negligible consequences on the quality of life, remain relevant concerns. Therefore, various minimally invasive therapies (MIT), directed toward office-based management of symptomatic nodules, without requiring general anesthesia, and with negligible damage to the skin and cervical critical structures (i.e., epiaortic vessels and the trachea), have been proposed during the last two decades.

Today, among the different image-guided ablative technologies, US-guided laser thermal ablation (LA) has been thoroughly evaluated and is an accessible procedure in specialized centers. In solid nonfunctioning thyroid nodules that grow or become symptomatic, this technique results in a volume decrease of up to 85 % and improvement in local symptoms. LA may be also effective in treating small hyperfunctioning nodules, but multiple LA sessions are required to normalize TSH levels in large nodules.

Keywords

Minimally invasive procedures Percutaneous image-guided therapy Thermal therapy Laser ablation Thyroid nodules 

Supplementary material

Video 37.1

Ultrasound-guided laser ablation technique (MP4 48126 kb)

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Authors and Affiliations

  1. 1.Department of Diagnostic Imaging and Interventional RadiologyRegina Apostolorum HospitalRomeItaly
  2. 2.Department of Endocrinology and MetabolismRegina Apostolorum HospitalRomeItaly

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