Benign Thyroid Nodule Interventions: A Review and Imaging Considerations for the Interventional Radiologist.

IF 1 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in Interventional Radiology Pub Date : 2024-08-19 eCollection Date: 2024-06-01 DOI:10.1055/s-0044-1788339

Tyler Park, Timothy Huber, Katherine Marchak, James Hart, Lisa Walker

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Abstract

Thyroid radiofrequency ablation (RFA) is a minimally invasive procedure that can be used to treat patients with benign thyroid nodules and is a good alternative to thyroidectomy or radioactive iodine. Thyroid RFA is commonly performed with local lidocaine or minimal/moderate sedation and has a minimal risk profile and few side effects. The efficacy of thyroid RFA has been well documented in the literature, with a volume reduction rate of 67 to 75% at 1 year. Another emerging technique for nodule size reduction is thyroid artery embolization which is a minimally invasive procedure that may be performed in patients with nodular goiters, particularly with substernal thyroid nodule extension, and who are either poor surgical candidates or do not want surgery. This article reviews thyroid RFA, focusing on the relevant preprocedural, procedural, and postprocedural imaging, as well as a discussion on the emerging role of thyroid artery embolization.

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良性甲状腺结节介入治疗：介入放射医师的回顾和成像注意事项。

甲状腺射频消融术（RFA）是一种微创手术，可用于治疗甲状腺良性结节患者，是甲状腺切除术或放射性碘的良好替代方法。甲状腺射频消融术通常在局部利多卡因或轻度/中度镇静的情况下进行，风险极低，副作用很小。甲状腺射频消融术的疗效已在文献中得到充分证明，1 年后体积缩小率为 67% 到 75%。另一种缩小结节体积的新兴技术是甲状腺动脉栓塞术，它是一种微创手术，可用于结节性甲状腺肿患者，尤其是甲状腺结节向胸骨下扩展、不适合手术或不想手术的患者。本文回顾了甲状腺射频消融术，重点介绍了相关的术前、术中和术后成像，并讨论了甲状腺动脉栓塞术的新作用。

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来源期刊

Seminars in Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-

CiteScore

1.90

自引率

7.10%

发文量

期刊介绍： Seminars in Interventional Radiology is a review journal that publishes topic-specific issues in the field of radiology and related sub-specialties. The journal provides comprehensive coverage of areas such as cardio-vascular imaging, oncologic interventional radiology, abdominal interventional radiology, ultrasound, MRI imaging, sonography, pediatric radiology, musculoskeletal radiology, metallic stents, renal intervention, angiography, neurointerventions, and CT fluoroscopy along with other areas. The journal''s content is suitable for both the practicing radiologist as well as residents in training.