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Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
Thyroid cancer: the impact of emerging technologies on clinical practice guidelines
Jeffrey I Mechanick1, Angelo Carpi
1Division of Endocrinology, Diabetes and Bone Disease, Mount Sinai School of Medicine, United States. jmechanick@aol.com
Abstract:
Clinical practice guidelines are available for the evaluation and management of thyroid nodules and thyroid cancer. Nevertheless, there are uncertainties associated with these protocols due to genomic variations among patients and an incomplete evidence base. In addition, deviations from these protocols are due to physician bias and different levels of training. These shortcomings may eventually disappear as emerging technologies enter mainstream medicine. These interventions include (1) better risk stratification with the routine use of diagnostic molecular marker panels in the cytological analysis of thyroid fine-needle aspiration specimens as well as hybridized imaging modalities, (2) less aggressive therapies in low- and intermediate-risk thyroid cancer patients, and (3) molecular targeted therapy, pretargeted radioimmunotherapy, and novel minimally invasive surgical techniques in high-risk thyroid cancer patients.
Insights
Emerging technologies promise to improve thyroid nodule and cancer management by addressing current guideline uncertainties. These advancements include molecular diagnostics, refined risk stratification, and advanced therapies for better patient outcomes.
Area of Science:
- Endocrinology
- Oncology
- Genomics
Background:
- Clinical practice guidelines exist for thyroid nodules and cancer management.
- Current protocols face uncertainties due to patient genomic variations and limited evidence.
- Physician bias and training variations also lead to protocol deviations.
Purpose of the Study:
- To highlight how emerging technologies can overcome current limitations in thyroid nodule and cancer evaluation and management.
- To outline specific technological interventions that can improve risk stratification and treatment strategies.
Main Methods:
- Review of current clinical practice guidelines and their limitations.
- Identification and description of emerging technologies for thyroid cancer care.
- Analysis of how these technologies address existing uncertainties and improve patient stratification and treatment.
Main Results:
- Emerging technologies offer improved risk stratification through molecular marker panels and advanced imaging.
- Less aggressive therapies can be employed for low- and intermediate-risk thyroid cancer.
- High-risk thyroid cancer patients can benefit from molecular targeted therapy, radioimmunotherapy, and minimally invasive surgery.
Conclusions:
- Technological advancements are poised to resolve current uncertainties in thyroid nodule and cancer management.
- Routine use of molecular diagnostics and advanced imaging will enhance risk stratification.
- Personalized therapeutic approaches, including targeted therapies and novel surgical techniques, will optimize treatment for all risk groups.
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