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Thermal Ablation for the Treatment of Abdominal Tumors
Published on: March 7, 2011
2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer
Zhen-Long Zhao1, Shu-Rong Wang1, Jennifer Kuo1
1From 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.).
None:
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.

