Update techniques and tips of Radiofrequency ablation for treating benign and malignant thyroid nodules Dr Le Thi My Thyroid center Vinmee Times City Hopital Thyroid center Vinmec times city Hospital "Established and operating fom 11/2020, * Core teams: «Endocrinologist «Interventional radiologist - surgeon (head and neck) «Pathologist I0ltgit MIT for diagn& otrseaitmesnt thyroid nodule REA or thyroid lesions, INA Biopsy, = PEL MA egy PIMC MRecurences CONTENTS 1, REAFOR BENIGN THYROLD NODULE: update techniques and tip 1, REAFOR PIMC Indication RFA for benign thyroid nodules * Symptom benign thyroid nodules neck pain, dysphasia, foreign body sensation, discomfor, cought * Cosmetic problem * Tovic-hot nodules; Patients with Ae st FA MterdnAd 18 month after autonomously functioning THOM! THIS fA thyroid nodules (AFTN) causing III,IIM TIM TRỤ Init II TSH II Standard technique * Local anesthesia + Ta isthmic approach * Moving shot * Complete US guidance Periphery regrow or recurrence after RFA Tee ide tronand eon HEH), Publi one a Long-Term Outcomes Following Thermal Ablation of Benign Thyroid Noles san Alternatitvo Surgery The Importance of ontrol Regrowth hg ng vn bat 98 fa9ng pt of dit y Whi Chi erg, Kr, Au el ee Leo an fwNiHtIh lìWt n wnt Syne fly nthe eed ttl ⁄ \\ \ À \Ị Clie a (Wala 1Caren torn peta lt vated Rly, | \ \\ ị] Adal rer ey oan Cig i Chap Sng, Sd tt, J | }} lr \ J| TE AIM a RH eo Heed May 209 ed Ny 209A, 09 Welt — 0 N Wolk t Mobi Webi ‘Utrsonfanthgyroaidpy nal) pre rainy ablation (RF(8)A2)mon,ths pst RA, and (9 ols pos RFA (DF) Diagrams inditchaetlel ome} ablated volume (Va) an vale volume (at these mepoins, oh Vt decreases oer time, incrbye2aseeedn mont2hasnd 9, indicating that pot ofthe residual vale ode tise had already begun In his cae, ationl RIA was performed month afer aihegimage in The cnr oad bypechoariea of abate tise is indie, ORIGINAL RESEARCH article This article is pat ofthe Research Topic Aaoequency Aaton (FA) as an Aermave t0 Convertor Front, Endocrinol, Lt February 024 lwtw See, Thyroid Endocrinology View a 14Arcs ‘naps or/10.S889/tendo 20205480 0 The Ablation of Thyroid Nodule's Afferent Arteries Before Radiofrequency Ablation: Preliminary Data Chara Off’, Sara Garberoglo!, Giovanni Antone, Maria Graia Esposito, Umberto Brancaccio’, Clavdla Miso, Edoardo D'Ambrosio, Oona wf) Stelano Spleaa" The Artery-Frst Ablation Technique A patiotequency ataton © artery fstvR Group A Group8 FA(Grou3p8)IM |W@UW }MMK Gino MN N followup (allow Characteristics Population Group A Group B pale {month volume +8 (ange) 14452 1167 (16045) 119841208104) 1800 086 (412-084) 09 {rmvoolumenvrtitonh+*SD s(ang) 47.20 1850-7425) 20670-0960) 963)26622) 0960 mnths vom +S ange 9262848 (095- 7B 0B(095-8 mons volume vration + SD (ange) (692008968) §6.H 1455 0004-7800, WUUMUỢN OBA months von +S fang Bl 1688021 7682911 021-31) 07409474466) — 0W mons volume varton + SD (ange) 7/04000(6/-03) JIML60/67-87) Đ:MĐWWHUM 6i 00400780) — 009