Clinical Approach for Thyroid Radiofrequency Ablation
Radiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules. This treatment works by heating and destroying the nodule tissue, which results in reduction of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are confirmed to...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2023-09-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2023.0088 |
| _version_ | 1797670957779779584 |
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| author | Jung Suk Sim |
| author_facet | Jung Suk Sim |
| author_sort | Jung Suk Sim |
| collection | DOAJ |
| description | Radiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules.
This treatment works by heating and destroying the nodule tissue, which results in reduction
of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are
confirmed to be benign on two or more cytological or histological examinations, and which result
in clinical symptoms requiring medical treatment. It is associated with good short-term outcomes
on one-year follow-up; however, 20%–30% of the nodules regrow after more than three
years. Therefore, on the basis of long-term follow-up, management of regrowth is key to patient
care following RFA. Regrowth is more likely to occur in nodules that are large in size prior to RFA,
and in those with high or increased vascularity. Recently, new techniques such as hydrodissection,
artery-first ablation, and venous ablation have been introduced to inhibit regrowth. In addition,
appropriate criteria for additional RFA should be applied to manage regrowth and prolong
its therapeutic effects. RFA is essentially an alternative to surgery; therefore, the ultimate
goal of this procedure is to avoid surgery permanently, rather than to achieve temporary effects. |
| first_indexed | 2024-03-11T21:08:19Z |
| format | Article |
| id | doaj.art-ebfd65c3cfc7454db165bc24d7e16dea |
| institution | Directory Open Access Journal |
| issn | 2951-0805 |
| language | English |
| last_indexed | 2024-03-11T21:08:19Z |
| publishDate | 2023-09-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj.art-ebfd65c3cfc7454db165bc24d7e16dea2023-09-29T10:07:46ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052023-09-0184510171030https://doi.org/10.3348/jksr.2023.0088Clinical Approach for Thyroid Radiofrequency AblationJung Suk SimRadiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules. This treatment works by heating and destroying the nodule tissue, which results in reduction of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are confirmed to be benign on two or more cytological or histological examinations, and which result in clinical symptoms requiring medical treatment. It is associated with good short-term outcomes on one-year follow-up; however, 20%–30% of the nodules regrow after more than three years. Therefore, on the basis of long-term follow-up, management of regrowth is key to patient care following RFA. Regrowth is more likely to occur in nodules that are large in size prior to RFA, and in those with high or increased vascularity. Recently, new techniques such as hydrodissection, artery-first ablation, and venous ablation have been introduced to inhibit regrowth. In addition, appropriate criteria for additional RFA should be applied to manage regrowth and prolong its therapeutic effects. RFA is essentially an alternative to surgery; therefore, the ultimate goal of this procedure is to avoid surgery permanently, rather than to achieve temporary effects.https://doi.org/10.3348/jksr.2023.0088radiofrequency ablationthyroid nodulegoiternodular |
| spellingShingle | Jung Suk Sim Clinical Approach for Thyroid Radiofrequency Ablation Journal of the Korean Society of Radiology radiofrequency ablation thyroid nodule goiter nodular |
| title | Clinical Approach for Thyroid Radiofrequency Ablation |
| title_full | Clinical Approach for Thyroid Radiofrequency Ablation |
| title_fullStr | Clinical Approach for Thyroid Radiofrequency Ablation |
| title_full_unstemmed | Clinical Approach for Thyroid Radiofrequency Ablation |
| title_short | Clinical Approach for Thyroid Radiofrequency Ablation |
| title_sort | clinical approach for thyroid radiofrequency ablation |
| topic | radiofrequency ablation thyroid nodule goiter nodular |
| url | https://doi.org/10.3348/jksr.2023.0088 |
| work_keys_str_mv | AT jungsuksim clinicalapproachforthyroidradiofrequencyablation |