Ultrasonography.  2023 Jul;42(3):357-375. 10.14366/usg.22126.

2022 Taiwan clinical multicenter expert consensus and recommendations for thyroid radiofrequency ablation

Affiliations
  • 1Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • 2Department of Radiology, Jen Ai Chang Gung Health, Taichung, Taiwan
  • 3School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan
  • 4Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • 5Division of General Surgery and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
  • 6Department of Nuclear Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • 7Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
  • 8Section of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
  • 9Division of Endocrinology and Metabolism, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan
  • 10Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • 11Department of Medical Imaging, Chung Shan Medical University Hospital, School of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
  • 12Department of Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
  • 13Division of Endocrinology and Metabolism, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • 14Division of Endocrinology and Metabolism, Department of Internal Medicine, Taitung Christian Hospital, Taitung, Taiwan
  • 15Department of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
  • 16Department of Otolaryngology, Cathay General Hospital, Taipei City; Department of Otolaryngology, Sijhih Cathay General Hospital, New Taipei City; School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
  • 17Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan

Abstract

Radiofrequency ablation (RFA) is a minimally invasive management strategy that has been widely applied for benign and recurrent malignant thyroid lesions as an alternative to surgery in Taiwan. Members of academic societies for specialists in interventional radiology, endocrinology, and endocrine surgery collaborated to develop the first consensus regarding thyroid RFA in Taiwan. The modified Delphi method was used to reach a consensus. Based on a comprehensive review of recent and valuable literature and expert opinions, the recommendations included indications, pre-procedural evaluations, procedural techniques, post-procedural monitoring, efficacy, and safety, providing a comprehensive review of the application of RFA. The consensus effectively consolidates advice regarding thyroid RFA in clinical practice for local experts.

Keyword

Thyroid; Ultrasound; Radiofrequency ablation; Nodule; Locally recurrent thyroid cancer; Consensus
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