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, Julia E. Noel, Brendan C. Stack, Marika D. Russell, Peter Angelos, Jung Hwan Baek, Kevin T. Brumund, Feng Yu Chiang, Mary Beth Cunnane, Louise Davies, Andrea Frasoldati, Anne Y. Feng, Laszlo Hegedüs, Ayaka J. Iwata, Emad Kandil, Jennifer Kuo, Celestino Lombardi, Mark Lupo, Ana Luiza Maia, Bryan McIverDong Gyu Na, Roberto Novizio, Enrico Papini, Kepal N. Patel, Leonardo Rangel, Jonathon O. Russell, Jennifer Shin, Maisie Shindo, David C. Shonka, Amanda S. Karcioglu, Catherine Sinclair, Michael Singer, Stefano Spiezia, Jose Higino Steck, David Steward, Kyung Tae, Neil Tolley, Roberto Valcavi, Ralph P. Tufano, R. Michael Tuttle, Erivelto Volpi, Che Wei Wu, Amr H. Abdelhamid Ahmed, Gregory W. Randolph

Research output: Contribution to journalArticlepeer-review

77 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)633-660
Number of pages28
JournalHead and Neck
Volume44
Issue number3
DOIs
StatePublished - Mar 2022

Keywords

  • international consensus
  • radiofrequency ablation
  • thermal ablation
  • thyroid ablation
  • ultrasound-guided ablation

ASJC Scopus subject areas

  • Otorhinolaryngology

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