Radiofrequency ablation and related ultrasound-guided ablation technologies for treatment of benign and malignant thyroid disease: An international multidisciplinary consensus statement of the American Head and Neck Society Endocrine Surgery Section with the Asia Pacific Society of Thyroid Surgery, Associazione Medici Endocrinologi, British Association of Endocrine and Thyroid Surgeons, European Thyroid Association, Italian Society of Endocrine Surgery Units, Korean Society of Thyroid Radiology, Latin American Thyroid Society, and Thyroid Nodules Therapies Association

Lisa A Orloff¹, Julia E Noel¹, Brendan C Stack Jr², Marika D Russell³, Peter Angelos⁴, Jung Hwan Baek⁵, Kevin T Brumund⁶, Feng-Yu Chiang⁷, Mary Beth Cunnane⁸, Louise Davies⁹, Andrea Frasoldati¹⁰, Anne Y Feng¹¹, Laszlo Hegedüs¹², Ayaka J Iwata¹³, Emad Kandil¹⁴, Jennifer Kuo¹⁵, Celestino Lombardi¹⁶, Mark Lupo¹⁷, Ana Luiza Maia¹⁸, Bryan McIver¹⁹, Dong Gyu Na²⁰, Roberto Novizio²¹, Enrico Papini²², Kepal N Patel²³, Leonardo Rangel²⁴, Jonathon O Russell²⁵, Jennifer Shin¹¹, Maisie Shindo²⁶, David C Shonka Jr²⁷, Amanda S Karcioglu^{28

29}, Catherine Sinclair³⁰, Michael Singer³¹, Stefano Spiezia³², Jose Higino Steck³³, David Steward³⁴, Kyung Tae³⁵, Neil Tolley³⁶, Roberto Valcavi²¹, Ralph P Tufano²⁵, R Michael Tuttle³⁷, Erivelto Volpi³⁸, Che Wei Wu³⁹, Amr H Abdelhamid Ahmed⁴⁰, Gregory W Randolph⁴⁰

Affiliations

¹ Department of Otolaryngology - Head & Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.
² Department of Otolaryngology - Head & Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
³ Department of Otolaryngology - Head & Neck Surgery, San Francisco School of Medicine, University of California, San Francisco, California, USA.
⁴ Department of Surgery, University of Chicago, Chicago, Illinois, USA.
⁵ Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁶ Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of California, San Diego, San Diego, California, USA.
⁷ Department of Otolaryngology - Head and Neck Surgery, E-Da Hospital, School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
⁸ Department of Radiology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
⁹ The Section of Otolaryngology, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
¹⁰ Department of Endocrinology and Metabolism, Arcispedale Santa Maria Nuova IRCCS-ASL, Reggio Emilia, Italy.
¹¹ Department of Otolaryngology - Head and Neck Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
¹² Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.
¹³ Department of Otolaryngology - Head & Neck Surgery, Kaiser Permanente, Santa Clara, California, USA.
¹⁴ Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
¹⁵ Department of Surgery, Columbia University Irving Medical Center, New York, New York, USA.
¹⁶ Division of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
¹⁷ Thyroid & Endocrine Center of Florida, Sarasota, Florida, USA.
¹⁸ Unidade de Tireoide, Hospital de Clínicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
¹⁹ Department of Head and Neck-Endocrine Oncology, H. Lee Moffitt Cancer Center, Research Institute, Tampa, Florida, USA.
²⁰ Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, South Korea.
²¹ Endocrine & Thyroid Clinic (E.T.C.), Reggio Emilia, Italy.
²² Department of Endocrinology and Metabolism, Regina Apostolorum Hospital, Rome, Italy.
²³ Department of Surgery, New York University, New York, New York, USA.
²⁴ Division of Otorhinolaryngology - Head and Neck Surgery, State University of Rio de Janeiro, Rio de Janiero, Brazil.
²⁵ Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
²⁶ Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.
²⁷ Department of Otolaryngology - Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
²⁸ Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University Health System, Evanston, Illinois, USA.
²⁹ Clinician Educator, Pritzker School of Medicine, Chicago, Illinois, USA.
³⁰ Department of Otolaryngology - Head and Neck Surgery, Mount Sinai West Hospital, New York, New York, USA.
³¹ Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan, USA.
³² Endocrine Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy.
³³ Department of Otorhinolaryngology - Head and Neck Surgery, University of Campinas, Campinas, Brazil.
³⁴ Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA.
³⁵ Department of Otolaryngology - Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
³⁶ Hammersmith Hospital, Imperial College NHS Healthcare Trust, London, UK.
³⁷ Endocrine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
³⁸ Oncology Center, Oswaldo Cruz German Hospital, Sao Paulo, Brazil.
³⁹ Department of Otolaryngology - Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
⁴⁰ Department of Otolaryngology - Head and Neck Surgery, Division of Thyroid and Parathyroid Endocrine Surgery, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.

PMID: 34939714
DOI: 10.1002/hed.26960

Review

Radiofrequency ablation and related ultrasound-guided ablation technologies for treatment of benign and malignant thyroid disease: An international multidisciplinary consensus statement of the American Head and Neck Society Endocrine Surgery Section with the Asia Pacific Society of Thyroid Surgery, Associazione Medici Endocrinologi, British Association of Endocrine and Thyroid Surgeons, European Thyroid Association, Italian Society of Endocrine Surgery Units, Korean Society of Thyroid Radiology, Latin American Thyroid Society, and Thyroid Nodules Therapies Association

Lisa A Orloff et al. Head Neck. 2022 Mar.

. 2022 Mar;44(3):633-660.

doi: 10.1002/hed.26960. Epub 2021 Dec 23.

Authors

Affiliations

¹ Department of Otolaryngology - Head & Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.
² Department of Otolaryngology - Head & Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
³ Department of Otolaryngology - Head & Neck Surgery, San Francisco School of Medicine, University of California, San Francisco, California, USA.
⁴ Department of Surgery, University of Chicago, Chicago, Illinois, USA.
⁵ Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁶ Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of California, San Diego, San Diego, California, USA.
⁷ Department of Otolaryngology - Head and Neck Surgery, E-Da Hospital, School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
⁸ Department of Radiology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
⁹ The Section of Otolaryngology, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
¹⁰ Department of Endocrinology and Metabolism, Arcispedale Santa Maria Nuova IRCCS-ASL, Reggio Emilia, Italy.
¹¹ Department of Otolaryngology - Head and Neck Surgery, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
¹² Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.
¹³ Department of Otolaryngology - Head & Neck Surgery, Kaiser Permanente, Santa Clara, California, USA.
¹⁴ Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
¹⁵ Department of Surgery, Columbia University Irving Medical Center, New York, New York, USA.
¹⁶ Division of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
¹⁷ Thyroid & Endocrine Center of Florida, Sarasota, Florida, USA.
¹⁸ Unidade de Tireoide, Hospital de Clínicas de Porto Alegre, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
¹⁹ Department of Head and Neck-Endocrine Oncology, H. Lee Moffitt Cancer Center, Research Institute, Tampa, Florida, USA.
²⁰ Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, South Korea.
²¹ Endocrine & Thyroid Clinic (E.T.C.), Reggio Emilia, Italy.
²² Department of Endocrinology and Metabolism, Regina Apostolorum Hospital, Rome, Italy.
²³ Department of Surgery, New York University, New York, New York, USA.
²⁴ Division of Otorhinolaryngology - Head and Neck Surgery, State University of Rio de Janeiro, Rio de Janiero, Brazil.
²⁵ Department of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
²⁶ Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.
²⁷ Department of Otolaryngology - Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
²⁸ Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University Health System, Evanston, Illinois, USA.
²⁹ Clinician Educator, Pritzker School of Medicine, Chicago, Illinois, USA.
³⁰ Department of Otolaryngology - Head and Neck Surgery, Mount Sinai West Hospital, New York, New York, USA.
³¹ Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan, USA.
³² Endocrine Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy.
³³ Department of Otorhinolaryngology - Head and Neck Surgery, University of Campinas, Campinas, Brazil.
³⁴ Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA.
³⁵ Department of Otolaryngology - Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
³⁶ Hammersmith Hospital, Imperial College NHS Healthcare Trust, London, UK.
³⁷ Endocrine Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
³⁸ Oncology Center, Oswaldo Cruz German Hospital, Sao Paulo, Brazil.
³⁹ Department of Otolaryngology - Head and Neck Surgery, Kaohsiung Medical University Hospital, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
⁴⁰ Department of Otolaryngology - Head and Neck Surgery, Division of Thyroid and Parathyroid Endocrine Surgery, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.

PMID: 34939714
DOI: 10.1002/hed.26960

Abstract

Background: The use of ultrasound-guided ablation procedures to treat both benign and malignant thyroid conditions is gaining increasing interest. This document has been developed as an international interdisciplinary evidence-based statement with a primary focus on radiofrequency ablation and is intended to serve as a manual for best practice application of ablation technologies.

Methods: A comprehensive literature review was conducted to guide statement development and generation of best practice recommendations. Modified Delphi method was applied to assess whether statements met consensus among the entire author panel.

Results: A review of the current state of ultrasound-guided ablation procedures for the treatment of benign and malignant thyroid conditions is presented. Eighteen best practice recommendations in topic areas of preprocedural evaluation, technique, postprocedural management, efficacy, potential complications, and implementation are provided.

Conclusions: As ultrasound-guided ablation procedures are increasingly utilized in benign and malignant thyroid disease, evidence-based and thoughtful application of best practices is warranted.

Keywords: international consensus; radiofrequency ablation; thermal ablation; thyroid ablation; ultrasound-guided ablation.

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References

REFERENCES

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