Abstract
Original language | English |
---|---|
Pages (from-to) | 376-382 |
Number of pages | 7 |
Journal | Int. J. Hyperthermia |
Volume | 36 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2019 |
Keywords
- minimally invasive treatments
- percutaneous thermal ablation
- Statement
- thyroid gland
- thyroid nodule
- ultrasonography
- alcohol
- ablation therapy
- Article
- aspiration
- clinical practice
- clinical research
- consensus
- Delphi study
- follow up
- goiter
- human
- interventional ultrasonography
- Italy
- minimally invasive procedure
- relapse
- thyroid gland tissue
- female
- male
- pathology
- Consensus
- Female
- Humans
- Male
- Thyroid Nodule
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Minimally-invasive treatments for benign thyroid nodules: a Delphi-based consensus statement from the Italian minimally-invasive treatments of the thyroid (MITT) group : International Journal of Hyperthermia. / Papini, E.; Pacella, C.M.; Solbiati, L.A. et al.
In: Int. J. Hyperthermia, Vol. 36, No. 1, 2019, p. 376-382.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - Minimally-invasive treatments for benign thyroid nodules: a Delphi-based consensus statement from the Italian minimally-invasive treatments of the thyroid (MITT) group
T2 - International Journal of Hyperthermia
AU - Papini, E.
AU - Pacella, C.M.
AU - Solbiati, L.A.
AU - Achille, G.
AU - Barbaro, D.
AU - Bernardi, S.
AU - Cantisani, V.
AU - Cesareo, R.
AU - Chiti, A.
AU - Cozzaglio, L.
AU - Crescenzi, A.
AU - De Cobelli, F.
AU - Deandrea, M.
AU - Fugazzola, L.
AU - Gambelunghe, G.
AU - Garberoglio, R.
AU - Giugliano, G.
AU - Luzi, L.
AU - Negro, R.
AU - Persani, L.
AU - Raggiunti, B.
AU - Sardanelli, F.
AU - Seregni, E.
AU - Sollini, M.
AU - Spiezia, S.
AU - Stacul, F.
AU - Van Doorne, D.
AU - Sconfienza, L.M.
AU - Mauri, G.
N1 - Cited By :16 Export Date: 28 February 2020 CODEN: IJHYE Correspondence Address: Sconfienza, L.M.; IRCCS Istituto Ortopedico Galeazzi and Università degli Studi di Milano, Via Riccardo Galeazzi 4, Italy; email: io@lucasconfienza.it Chemicals/CAS: alcohol, 64-17-5 References: Gharib, H., Papini, E., Thyroid nodules: clinical importance, assessment, and treatment (2007) Endocrinol Metab Clin North Am, 36, pp. 707-735; Hegedüs, L., Bonnema, S.J., Bennedbaek, F.N., Management of simple nodular goiter: current status and future perspectives (2003) Endocr Rev, 24, pp. 102-132; Mauri, G., Pacella, C.M., Papini, E., Image-guided thyroid ablation: proposal for standardization of terminology and reporting criteria (2019) Thyroid. Forthcoming; Papini, E., Gugliemi, R., Pacella, C.M., Laser, radiofrequency, and ethanol ablation for the management of thyroid nodules (2016) Curr Opin Endocrinol Diabetes Obes, 23, pp. 400-406; Garberoglio, R., Aliberti, C., Appetecchia, M., Radiofrequency ablation for thyroid nodules: which indications? The first Italian opinion statement (2015) J Ultrasound, 18, pp. 423-430; Pacella, C.M., Image-guided thermal ablation of benign thyroid nodules (2017) J Ultrasound, 20, pp. 347-349; Jung, S.L., Baek, J.H., Lee, J.H., Efficacy and safety of radiofrequency ablation for benign thyroid nodules: a prospective multicenter study (2018) Korean J Radiol, 19, p. 167; Døssing, H., Bennedbaek, F.N., Hegedüs, L., Effect of ultrasound-guided interstitial laser photocoagulation on benign solitary solid cold thyroid nodules - a randomised study (2005) Eur J Endocrinol, 152, pp. 341-345; Pacella, C.M., Mauri, G., Achille, G., Outcomes and risk factors for complications of laser ablation for thyroid nodules: a multicenter study on 1531 patients (2015) J Clin Endocrinol Metab, 100, pp. 3903-3910; Spiezia, S., Vitale, G., Di Somma, C., Ultrasound-guided laser thermal ablation in the treatment of autonomous hyperfunctioning thyroid nodules and compressive nontoxic nodular goiter (2003) Thyroid, 13, pp. 941-947; Sung, J.Y., Baek, J.H., Jung, S.L., Radiofrequency ablation for autonomously functioning thyroid nodules: a multicenter study (2015) Thyroid, 25, pp. 112-117; Bernardi, S., Stacul, F., Michelli, A., 12-month efficacy of a single radiofrequency ablation on autonomously functioning thyroid nodules (2017) Endocrine, 57, pp. 402-408; Døssing, H., Bennedbaek, F.N., Bonnema, S.J., Randomized prospective study comparing a single radioiodine dose and a single laser therapy session in autonomously functioning thyroid nodules (2007) Eur J Endocrinol, 157, pp. 95-100; Pacella, C.M., Mauri, G., Is there a role for minimally invasive thermal ablations in the treatment of autonomously functioning thyroid nodules? (2018) Int J Hyperth, 34, pp. 636-638; Mauri, G., Pacella, C.M., Papini, E., Proceedings of the first Italian conference on thyroid minimally invasive treatments and foundation of the Italian research group for thyroid minimally invasive procedures (2018) Int J Hyperth, 34, pp. 603-605; (2016), https://www.cebm.net/wp-content/uploads/2014/06/CEBM-Levels-of-Evidence-2.1.pdf, OCEBM Levels of Evidence 2016 v. 2.1., [cited 2019 Feb 4]; Steurer, J., The Delphi method: an efficient procedure to generate knowledge (2011) Skeletal Radiol, 40, pp. 959-961; Sconfienza, L.M., Albano, D., Allen, G., Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus (2018) Eur Radiol, 28, pp. 5338-5351; Messina, C., Bignotti, B., Tagliafico, A., A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative (2017) Insights Imaging, 8, pp. 491-497; Brouwers, M., Kho, M., Browman, G., AGREE II: advancing guideline development, reporting and evaluation in healthcare (2001) Can Med Assoc J, 182, pp. 839-842; Dietrich, C.F., Müller, T., Bojunga, J., Statement and recommendations on interventional ultrasound as a thyroid diagnostic and treatment procedure (2018) Ultrasound Med Biol, 44, pp. 14-36; Ferreira, M.C., Piaia, C., Cadore, A.C., Percutaneous ethanol injection versus conservative treatment for benign cystic and mixed thyroid nodules (2016) Arch Endocrinol Metab, 60, pp. 211-216; Valcavi, R., Frasoldati, A., Ultrasound-guided percutaneous ethanol injection therapy in thyroid cystic nodules (2004) Endocr Pract, 10, pp. 269-275; Verde, G., Paplni, E., Pacella, C.M., Ultrasound guided percutaneous ethanol injection in the treatment of cystic thyroid nodules (1994) Clin Endocrinol, 41, pp. 719-724; Bennedbaek, F.N., Hegedüs, L., Treatment of recurrent thyroid cysts with ethanol: a randomized double-blind controlled trial (2003) J Clin Endocrinol Metab, 88, pp. 5773-5777; Baek, J.H., Ha, E.J., Choi, Y.J., Radiofrequency versus ethanol ablation for treating predominantly cystic thyroid nodules: a randomized clinical trial (2015) Korean J Radiol, 16, p. 1332; Sung, J.Y., Baek, J.H., Kim, K.S., Single-session treatment of benign cystic thyroid nodules with ethanol versus radiofrequency ablation: a prospective randomized study (2013) Radiology, 269, pp. 293-300; Gharib, H., Papini, E., Garber, J.R., American Association of Clinical Endocrinologists, American College of Endocrinology, and Associazione Medici Endocrinologi Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules–2016 Update (2016) Endocr Pr, 22, pp. 622-639; Jang, S.W., Baek, J.H., Kim, J.K., How to manage the patients with unsatisfactory results after ethanol ablation for thyroid nodules: role of radiofrequency ablation (2012) Eur J Radiol, 81, pp. 905-910; Lee, J.H., Kim, Y.S., Lee, D., Radiofrequency ablation (RFA) of benign thyroid nodules in patients with incompletely resolved clinical problems after ethanol ablation (EA) (2010) World J Surg, 34, pp. 1488-1493; Døssing, H., Bennedbaek, F.N., Hegedüs, L., Interstitial laser photocoagulation (ILP) of benign cystic thyroid nodules - a prospective randomized trial (2013) J Clin Endocrinol Metab, 98, pp. E1213-E1217; Pacini, F., Basolo, F., Bellantone, R., Italian consensus on diagnosis and treatment of differentiated thyroid cancer: joint statements of six Italian societies (2018) J Endocrinol Invest, 41, pp. 849-876; Cibas, E.S., Ali, S.Z., The 2017 bethesda system for reporting thyroid cytopathology (2017) Thyroid, 27, pp. 1341-1346; Magister, M.J., Chaikhoutdinov, I., Schaefer, E., Association of thyroid nodule size and bethesda class with rate of malignant disease (2015) JAMA Otolaryngol Head Neck Surg, 141, pp. 1089-1095; Shi, H., Bobanga, I., McHenry, C.R., Are large thyroid nodules classified as benign on fine needle aspiration more likely to harbor cancer? (2017) Am J Surg, 213, pp. 464-466; Russ, G., Bonnema, S.J., Erdogan, M.F., European thyroid association guidelines for ultrasound malignancy risk stratification of thyroid nodules in adults: the EU-TIRADS (2017) Eur Thyroid J, 6, pp. 225-237; Persichetti, A., Di Stasio, E., Guglielmi, R., Predictive value of malignancy of thyroid nodule ultrasound classification systems: a prospective study (2018) J Clin Endocrinol Metab, 103, pp. 1359-1368; Kim, J.H., Baek, J.H., Lim, H.K., 2017 Thyroid radiofrequency ablation guideline: Korean society of thyroid radiology (2018) Korean J Radiol, 19, pp. 632-655; Kim, J.Y., Jung, S.L., Kim, M.K., Differentiation of benign and malignant thyroid nodules based on the proportion of sponge-like areas on ultrasonography: imaging-pathologic correlation (2015) Ultrasonography, 34, pp. 304-311; Bonavita, J.A., Mayo, J., Babb, J., Pattern recognition of benign nodules at ultrasound of the thyroid: which nodules can be left alone? (2009) AJR Am J Roentgenol, 193, pp. 207-213; Moon, W.-J., Jung, S.L., Lee, J.H., Benign and malignant thyroid nodules: US differentiation-multicenter retrospective study (2008) Radiology, 247, pp. 762-770; Hong, M.J., Na, D.G., Baek, J.H., Cytology-ultrasonography risk-stratification scoring system based on fine-needle aspiration cytology and the Korean-thyroid imaging reporting and data system (2017) Thyroid, 27, pp. 953-959; Haugen, B.R., Alexander, E.K., Bible, K.C., 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: The American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer (2016) Thyroid, 26, pp. 1-133; Valcavi, R., Riganti, F., Bertani, A., Percutaneous laser ablation of cold benign thyroid nodules: a 3-year follow-up study in 122 patients (2010) Thyroid, 20, pp. 1253-1261; Papini, E., Rago, T., Gambelunghe, G., Long-term efficacy of ultrasound-guided laser ablation for benign solid thyroid nodules. Results of a three-year multicenter prospective randomized trial (2014) J Clin Endocrinol Metab, 99, pp. 3653-3659; Cesareo, R., Pasqualini, V., Simeoni, C., Prospective study of effectiveness of ultrasound-guided radiofrequency ablation versus control group in patients affected by benign thyroid nodules (2015) J Clin Endocrinol Metab, 100, pp. 460-466; Deandrea, M., Limone, P., Basso, E., US-guided percutaneous radiofrequency thermal ablation for the treatment of solid benign hyperfunctioning or compressive thyroid nodules (2008) Ultrasound Med Biol, 34, pp. 784-791; Zhi, X., Zhao, N., Liu, Y., Microwave ablation compared to thyroidectomy to treat benign thyroid nodules (2018) Int J Hyperthermia, 34, pp. 644-652; Bernardi, S., Dobrinja, C., Fabris, B., Radiofrequency ablation compared to surgery for the treatment of benign thyroid nodules (2014) Int J Endocrinol, 2014, pp. 1-10; Bernardi, S., Dobrinja, C., Carere, A., Patient satisfaction after thyroid RFA versus surgery for benign thyroid nodules: a telephone survey (2018) Int J Hyperth, 35, pp. 150-158; Che, Y., Jin, S., Shi, C., Treatment of benign thyroid nodules: comparison of surgery with radiofrequency ablation (2015) AJNR Am J Neuroradiol, 36, pp. 1321-1325; Cervelli, R., Mazzeo, S., De Napoli, L., Radiofrequency ablation in the treatment of benign thyroid nodules: an efficient and safe alternative to surgery (2017) J Vasc Interv Radiol, 28, pp. 1400-1408; Yan, J., Qiu, T., Lu, J., Microwave ablation induces a lower systemic stress response in patients than open surgery for treatment of benign thyroid nodules (2018) Int J Hyperthermia, 34, pp. 606-610; Lang, B.H.H., Woo, Y.C., Chiu, K.W.H., Sequential high intensity focused ultrasound (HIFU) ablation in the treatment of benign multinodular goitre: an observational retrospective study (2018) Eur Radiol, 28, pp. 3237-3244; Mauri, G., Sconfienza, L.M., Percutaneous ablation holds the potential to substitute for surgery as first choice treatment for symptomatic benign thyroid nodules (2017) Int J Hyperth, 33, pp. 301-302; Baek, J.H., Kim, Y.S., Lee, D., Benign predominantly solid thyroid nodules: prospective study of efficacy of sonographically guided radiofrequency ablation versus control condition (2010) AJR Am J Roentgenol, 194, pp. 1137-1142; Mauri, G., Cova, L., Monaco, C.G., Benign thyroid nodules treatment using percutaneous laser ablation (PLA) and radiofrequency ablation (RFA) (2017) Int J Hyperth, 33, pp. 295-299; Papini, E., Pacella, C.M., Misischi, I., The advent of ultrasound-guided ablation techniques in nodular thyroid disease: towards a patient-tailored approach (2014) Best Pract Res Clin Endocrinol Metab, 28, pp. 601-618; Ma, S., Zhou, P., Wu, X., Detection of the single-session complete ablation rate by contrast-enhanced ultrasound during ultrasound-guided laser ablation for benign thyroid nodules: a prospective study (2016) Biomed Res Int, 2016, p. 956536; Huh, J.Y., Baek, J.H., Choi, H., Symptomatic benign thyroid nodules: efficacy of additional radiofrequency ablation treatment session—prospective randomized study (2012) Radiology, 263, pp. 909-916; Zhao, C.K., Xu, H.X., Lu, F., Factors associated with initial incomplete ablation for benign thyroid nodules after radiofrequency ablation: first results of CEUS evaluation (2017) Clin Hemorheol Microcirc, 65, pp. 393-405; Sim, J.S., Baek, J.H., Lee, J., Radiofrequency ablation of benign thyroid nodules: depicting early sign of regrowth by calculating vital volume (2017) Int J Hyperth, 33, pp. 905-910; Jeong, W.K., Baek, J.H., Rhim, H., Radiofrequency ablation of benign thyroid nodules: safety and imaging follow-up in 236 patients (2008) Eur Radiol, 18, pp. 1244-1250; Døssing, H., Bennedbaek, F.N., Hegedüs, L., Long-term outcome following interstitial laser photocoagulation of benign cold thyroid nodules (2011) Eur J Endocrinol, 165, pp. 123-128; Amabile, G., Rotondi, M., Pirali, B., Interstitial laser photocoagulation for benign thyroid nodules: time to treat large nodules (2011) Lasers Surg Med, 43, pp. 797-803; Cesareo, R., Naciu, A.M., Iozzino, M., Nodule size as predictive factor of efficacy of radiofrequency ablation in treating autonomously functioning thyroid nodules (2018) Int J Hyperth, 34, pp. 617-623; Gambelunghe, G., Stefanetti, E., Colella, R., A single session of laser ablation for toxic thyroid nodules: three-year follow-up results (2018) Int J Hyperthermia, 34, pp. 631-635; Chianelli, M., Bizzarri, G., Todino, V., Laser ablation and 131-iodine: a 24-month pilot study of combined treatment for large toxic nodular goiter (2014) J Clin Endocrinol Metab, 99, pp. E1283-E1286; Døssing, H., Bennedbaek, F.N., Hegedüs, L., Ultrasound-guided interstitial laser photocoagulation of an autonomous thyroid nodule: the introduction of a novel alternative (2003) Thyroid, 13, pp. 885-888
PY - 2019
Y1 - 2019
N2 - Benign thyroid nodules are a common clinical occurrence and usually do not require treatment unless symptomatic. During the last years, ultrasound-guided minimally invasive treatments (MIT) gained an increasing role in the management of nodules causing local symptoms. In February 2018, the Italian MIT Thyroid Group was founded to create a permanent cooperation between Italian and international physicians dedicated to clinical research and assistance on MIT for thyroid nodules. The group drafted this list of statements based on literature review and consensus opinion of interdisciplinary experts to facilitate the diffusion and the appropriate use of MIT of thyroid nodules in clinical practice. (#1) Predominantly cystic/cystic symptomatic nodules should first undergo US-guided aspiration; ethanol injection should be performed if relapsing (level of evidence [LoE]: ethanol is superior to simple aspiration = 2); (#2) In symptomatic cystic nodules, thermal ablation is an option when symptoms persist after ethanol ablation (LoE = 4); (#3) Double cytological benignity confirmation is needed before thermal ablation (LoE = 2); (#4) Single cytological sample is adequate in ultrasound low risk (EU-TIRADS ≤3) and in autonomously functioning nodules (LoE = 2); (#5) Thermal ablation may be proposed as first-line treatment for solid, symptomatic, nonfunctioning, benign nodules (LoE = 2); (#6) Thermal ablation may be used for dominant lesions in nonfunctioning multinodular goiter in patients refusing/not eligible for surgery (LoE = 5); (#7) Clinical and ultrasound follow-up is appropriate after thermal ablation (LoE = 2); (#8) Nodule re-treatment can be considered when symptoms relapse or partially resolve (LoE = 2); (#9) In case of nodule regrowth, a new cytological assessment is suggested before second ablation (LoE = 5); (#10) Thermal ablation is an option for autonomously functioning nodules in patients refusing/not eligible for radioiodine or surgery (LoE = 2); (#11) Small autonomously functioning nodules can be treated with thermal ablation when thyroid tissue sparing is a priority and ≥80% nodule volume ablation is expected (LoE = 3). © 2019, © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.
AB - Benign thyroid nodules are a common clinical occurrence and usually do not require treatment unless symptomatic. During the last years, ultrasound-guided minimally invasive treatments (MIT) gained an increasing role in the management of nodules causing local symptoms. In February 2018, the Italian MIT Thyroid Group was founded to create a permanent cooperation between Italian and international physicians dedicated to clinical research and assistance on MIT for thyroid nodules. The group drafted this list of statements based on literature review and consensus opinion of interdisciplinary experts to facilitate the diffusion and the appropriate use of MIT of thyroid nodules in clinical practice. (#1) Predominantly cystic/cystic symptomatic nodules should first undergo US-guided aspiration; ethanol injection should be performed if relapsing (level of evidence [LoE]: ethanol is superior to simple aspiration = 2); (#2) In symptomatic cystic nodules, thermal ablation is an option when symptoms persist after ethanol ablation (LoE = 4); (#3) Double cytological benignity confirmation is needed before thermal ablation (LoE = 2); (#4) Single cytological sample is adequate in ultrasound low risk (EU-TIRADS ≤3) and in autonomously functioning nodules (LoE = 2); (#5) Thermal ablation may be proposed as first-line treatment for solid, symptomatic, nonfunctioning, benign nodules (LoE = 2); (#6) Thermal ablation may be used for dominant lesions in nonfunctioning multinodular goiter in patients refusing/not eligible for surgery (LoE = 5); (#7) Clinical and ultrasound follow-up is appropriate after thermal ablation (LoE = 2); (#8) Nodule re-treatment can be considered when symptoms relapse or partially resolve (LoE = 2); (#9) In case of nodule regrowth, a new cytological assessment is suggested before second ablation (LoE = 5); (#10) Thermal ablation is an option for autonomously functioning nodules in patients refusing/not eligible for radioiodine or surgery (LoE = 2); (#11) Small autonomously functioning nodules can be treated with thermal ablation when thyroid tissue sparing is a priority and ≥80% nodule volume ablation is expected (LoE = 3). © 2019, © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.
KW - minimally invasive treatments
KW - percutaneous thermal ablation
KW - Statement
KW - thyroid gland
KW - thyroid nodule
KW - ultrasonography
KW - alcohol
KW - ablation therapy
KW - Article
KW - aspiration
KW - clinical practice
KW - clinical research
KW - consensus
KW - Delphi study
KW - follow up
KW - goiter
KW - human
KW - interventional ultrasonography
KW - Italy
KW - minimally invasive procedure
KW - relapse
KW - thyroid gland tissue
KW - female
KW - male
KW - pathology
KW - Consensus
KW - Female
KW - Humans
KW - Male
KW - Thyroid Nodule
U2 - 10.1080/02656736.2019.1575482
DO - 10.1080/02656736.2019.1575482
M3 - Article
VL - 36
SP - 376
EP - 382
JO - Int. J. Hyperthermia
JF - Int. J. Hyperthermia
SN - 0265-6736
IS - 1
ER -