2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer

Zhen-Long Zhao¹, Shu-Rong Wang¹, Jennifer Kuo¹, Bülent Çekiç¹, Lei Liang¹, Hossam Arafa Ghazi¹, Shu-Hang Xu¹, Gerardo Amabile¹, Song-Song Wu¹, Ajit Yadav¹, Gang Dong¹, Ingo Janssen¹, Bo-Qiang Fan¹, Nobuhiro Fukunari¹, Jun-Feng He¹, Le Thanh Dung¹, Song-Yuan Yu¹, Sum Leong¹, Jian-Jun Yu¹, Yi-Hong Chou¹, Rafael De Cicco¹, Ying Che¹, Kai-Lun Cheng¹, Emad Kandil¹, Wei-Che Lin¹, Dong Xu¹, Jonathon Russell¹, Man Lu¹, Ralph H. Tufano¹, Lin-Xue Qian¹, Gregory W Randolph¹, Jian-Qiao Zhou¹, Giovanni Mauri¹, Hong-Hui Su¹, Marika Russell¹, Amr H. Abdelhamid Ahmed¹, Kaustubh Patel¹, Jung Hwan Baek¹, Ji-Hoon Kim¹, Ying Wei¹, Ming-An Yu¹

Affiliations

Affiliation

¹ From the Department of Interventional Medicine, China-Japan Friendship Hospital, 2 Yinghuayuan E St, Chaoyang, Beijing 100029, China (Z.L.Z., Y.W., M.A.Y.); Department of Ultrasound, Yantai Hospital of Shandong Wendeng Orthopaedics and Traumatology, Yantai, China (S.R.W.); Department of Surgery, Columbia University, New York, NY (J.K.); Department of Interventional Radiology, Antalya Training and Research Hospital, Antalya, Turkey (B.Ç.); Department of Ultrasound, Aerospace Center Hospital, Beijing, China (L.L.); Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt (H.A.G.); Department of Endocrinology, Jiangsu Province Hospital of Integration of Chinese and Western Medicine, Nanjing, China (S.H.X.); Department of Advanced Medical and Surgery Sciences, University of Campania Luigi Vanvitelli, Naples, Italy (G.A.); Department of Ultrasound, Fujian Provincial Hospital, Fuzhou, China (S.S.W.); Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India (A.Y.); Department of Ultrasound, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China (G.D.); Department of Radiology and Nuclear Medicine, MVZ BeRaNuk Medical Center, Berlin, Germany (I.J.); Department of Oncology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China (B.Q.F.); Department of Endocrine Surgery and Thyroid Center, Showa University Northern Yokohama Hospital, Kanagawa, Japan (N.F.); Department of Ultrasound, First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia, China (J.F.H.); Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam (L.T.D.); Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China (S.Y.Y.); Department of Interventional Radiology, Singapore General Hospital, Singapore (S.L.); Department of Surgery, People's Hospital of Ningxia Hui Autonomous Region, Ningxia, China (J.J.Y.); Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, China (Y.H.C.); Department of Head and Neck Surgery, Instituto de Câncer Dr Arnaldo, São Paulo, Brazil (R.D.C.); Department of Ultrasound, First Affiliated Hospital of Dalian Medical University, Liaoning, China (Y.C.); Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, China (K.L.C.); Department of Surgery, Tulane University School of Medicine, New Orleans, La (E.K.); Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, China (W.C.L.); Department of Ultrasound, Zhejiang Cancer Hospital, Hangzhou, China (D.X.); Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Md (J.R.); Department of Ultrasound, Sichuan Cancer Hospital, Chengdu, China (M.L.); Division of Head and Neck Endocrine Surgery, Sarasota Memorial Health Care System, Sarasota, Fla (R.T.); Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing, China (L.X.Q.); Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Mass (G.W.R., M.R., A.A.); Department of Ultrasound, Ruijin Hospital, Shanghai, China (J.Q.Z.); Department of Interventional Radiology, European Institute of Oncology, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Milan, Italy (G.M.); Department of Interventional Ultrasound, Second Affiliated Hospital of Shantou University Medical College, Shantou, China (H.H.S.); Department of Head and Neck Oncology, HCG Cancer Centre, Ahmedabad, India (K.P.); Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea (J.H.B.); and Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea (J.H.K.).

PMID: 40261172
DOI: 10.1148/radiol.240347

Review

2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer

Zhen-Long Zhao et al. Radiology. 2025 Apr.

. 2025 Apr;315(1):e240347.

doi: 10.1148/radiol.240347.

Authors

Affiliation

¹ From the Department of Interventional Medicine, China-Japan Friendship Hospital, 2 Yinghuayuan E St, Chaoyang, Beijing 100029, China (Z.L.Z., Y.W., M.A.Y.); Department of Ultrasound, Yantai Hospital of Shandong Wendeng Orthopaedics and Traumatology, Yantai, China (S.R.W.); Department of Surgery, Columbia University, New York, NY (J.K.); Department of Interventional Radiology, Antalya Training and Research Hospital, Antalya, Turkey (B.Ç.); Department of Ultrasound, Aerospace Center Hospital, Beijing, China (L.L.); Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt (H.A.G.); Department of Endocrinology, Jiangsu Province Hospital of Integration of Chinese and Western Medicine, Nanjing, China (S.H.X.); Department of Advanced Medical and Surgery Sciences, University of Campania Luigi Vanvitelli, Naples, Italy (G.A.); Department of Ultrasound, Fujian Provincial Hospital, Fuzhou, China (S.S.W.); Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India (A.Y.); Department of Ultrasound, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China (G.D.); Department of Radiology and Nuclear Medicine, MVZ BeRaNuk Medical Center, Berlin, Germany (I.J.); Department of Oncology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China (B.Q.F.); Department of Endocrine Surgery and Thyroid Center, Showa University Northern Yokohama Hospital, Kanagawa, Japan (N.F.); Department of Ultrasound, First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia, China (J.F.H.); Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam (L.T.D.); Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Shanghai, China (S.Y.Y.); Department of Interventional Radiology, Singapore General Hospital, Singapore (S.L.); Department of Surgery, People's Hospital of Ningxia Hui Autonomous Region, Ningxia, China (J.J.Y.); Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, China (Y.H.C.); Department of Head and Neck Surgery, Instituto de Câncer Dr Arnaldo, São Paulo, Brazil (R.D.C.); Department of Ultrasound, First Affiliated Hospital of Dalian Medical University, Liaoning, China (Y.C.); Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, China (K.L.C.); Department of Surgery, Tulane University School of Medicine, New Orleans, La (E.K.); Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, China (W.C.L.); Department of Ultrasound, Zhejiang Cancer Hospital, Hangzhou, China (D.X.); Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Md (J.R.); Department of Ultrasound, Sichuan Cancer Hospital, Chengdu, China (M.L.); Division of Head and Neck Endocrine Surgery, Sarasota Memorial Health Care System, Sarasota, Fla (R.T.); Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing, China (L.X.Q.); Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Mass (G.W.R., M.R., A.A.); Department of Ultrasound, Ruijin Hospital, Shanghai, China (J.Q.Z.); Department of Interventional Radiology, European Institute of Oncology, Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Milan, Italy (G.M.); Department of Interventional Ultrasound, Second Affiliated Hospital of Shantou University Medical College, Shantou, China (H.H.S.); Department of Head and Neck Oncology, HCG Cancer Centre, Ahmedabad, India (K.P.); Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea (J.H.B.); and Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea (J.H.K.).

PMID: 40261172
DOI: 10.1148/radiol.240347

Erratum in

Erratum for: 2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer.
Zhao ZL, Wang SR, Kuo J, Çekiç B, Liang L, Ghazi HA, Xu SH, Amabile G, Wu SS, Yadav A, Dong G, Janssen I, Fan BQ, Fukunari N, He JF, Dung LT, Yu SY, Leong S, Yu JJ, Chou YH, De Cicco R, Che Y, Cheng KL, Kandil E, Lin WC, Xu D, Russell J, Lu M, Tufano RP, Qian LX, Randolph GW, Zhou JQ, Mauri G, Su HH, Russell M, Abdelhamid Ahmed AH, Patel K, Baek JH, Kim JH, Wei Y, Yu MA. Zhao ZL, et al. Radiology. 2025 May;315(2):e259009. doi: 10.1148/radiol.259009. Radiology. 2025. PMID: 40423543 No abstract available.

Abstract

Thermal ablation has started to gain acceptance as a therapeutic approach for the management of papillary thyroid cancer (PTC), mainly in the T1 stage (tumor size ≤ 2 cm in greatest dimension and limited to the thyroid). Despite its increasing popularity, a lack of uniformity in the technical details persists, and existing guidelines do not fully align with recent research advancements. To standardize the use of US-guided thermal ablation for T1N0M0 PTC, a panel of experts jointly issued this expert consensus on thermal ablation for PTC. This consensus was developed by experts with specific competence and expertise in this field through rounds of the modified Delphi method. An evidence-based approach incorporating the practical experience of the panelists was adopted. The consensus was developed through extensive discussions, systematic literature review with meta-analysis, and expert evaluations. In this consensus, a total of 27 recommendations are made, addressing the indications and contraindications for thermal ablation for PTC, physician training, preoperative preparation, technical procedures, complications, efficacy assessment, and follow-up strategies. This expert consensus provides up-to-date, high-quality, standardized guidance to harmonize treatment practices, enhance patient outcomes, and potentially shape future research and policy developments in the management of T1N0M0 PTC using US-guided thermal ablation.

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2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer

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2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer

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