Comparison of the Efficiency of Radiofrequency and Microwave Ablation Methods in the Treatment of Benign Thyroid Nodules.

Autor:	Cerit MN; Department of Radiology, Gazi University Faculty of Medicine, Beşevler, 06500 Ankara, Turkey (M.N.C., C.Y., H.N.S., S.Ö.O.). Electronic address: mahinurp@yahoo.com., Yücel C; Department of Radiology, Gazi University Faculty of Medicine, Beşevler, 06500 Ankara, Turkey (M.N.C., C.Y., H.N.S., S.Ö.O.); Private Radiology Clinic, Gazi University Faculty of Medicine, Ankara, Turkey (C.Y.)., Cerit ET; Department of Endocrinology, Gazi University Faculty of Medicine, Ankara, Turkey (E.T.C., M.M.Y.)., Yalçın MM; Department of Endocrinology, Gazi University Faculty of Medicine, Ankara, Turkey (E.T.C., M.M.Y.)., Şendur HN; Department of Radiology, Gazi University Faculty of Medicine, Beşevler, 06500 Ankara, Turkey (M.N.C., C.Y., H.N.S., S.Ö.O.)., Oktar SÖ; Department of Radiology, Gazi University Faculty of Medicine, Beşevler, 06500 Ankara, Turkey (M.N.C., C.Y., H.N.S., S.Ö.O.).
Jazyk:	angličtina
Zdroj:	Academic radiology [Acad Radiol] 2023 Oct; Vol. 30 (10), pp. 2172-2180. Date of Electronic Publication: 2023 Jun 24.
DOI:	10.1016/j.acra.2023.05.030
Abstrakt:	Rationale and Objectives: To compare the efficacy of two thermal ablation techniques (radiofrequency vs microwave ablation) in the treatment of benign thyroid nodules. Materials and Methods: A total of 80 patients with 80 nodules underwent thermal ablation of thyroid nodules with either radiofrequency ablation (RFA) (23 females and 14 males; mean age 41 ± 9years) or microwave ablation (MWA) (28 females and 15 males; mean age 45 ± 11years). Ultrasound assessments were made at the 1st, 3rd, 6th, and 12th months after the ablation procedure. Results: The mean initial volume of the nodules (RFA: 15.6 mL [min 2.5-max 74]; MWA: 40 mL [min 2-max 205]) was statistically significantly different (P < .001). The following were the volume reduction rates of nodules at 1, 3, 6, and 12months, respectively: after RFA: 46.8 ± 13.5%, 62.9 ± 13.6%, 71.6 ± 11.9%, and 77.9 ± 10.3%. After MWA: 38.7 ± 12.5%, 54 ± 15.3%, 59.6 ± 12.5%, and 65 ± 11.3%. For all months, volume reduction rates in the RFA group were significantly higher than those in the MWA group (P < .05). One patient treated by RFA reported an abscess formation and another patient treated by RFA had a self-limiting hematoma, who recovered without any further treatment. Also, in the MWA group, one patient had abscess formation and another patient had transient recurrent nerve paralysis, who recovered with appropriate treatment. Conclusion: Both methods are effective in treating benign thyroid nodules; however, RFA provides a better volume reduction. Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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