Cooled microwave ablation of thyroid nodules: Initial experience

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Presentation transcript:

Cooled microwave ablation of thyroid nodules: Initial experience Yücel Korkusuz, Oscar Maximilian Mader, Wolfgang Kromen, Christian Happel, Shadi Ahmad, Daniel Gröner, Mithat Koca, Alexander Mader, Frank Grünwald, Hüdayi Korkusuz European Journal of Radiology Volume 85, Issue 11, Pages 2127-2132 (November 2016) DOI: 10.1016/j.ejrad.2016.09.019 Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 Doppler blood flow was measured on a 3-point scale (no perfusion=1; slight perfusion=2; marked perfusion=3). Significant (p<0.05) decrease of blood circulation (Δ =1.1±0.33 points) was measured. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 Echogenicity was measured on a 3-point scale (hypo-echogenic=1; iso-echogenic=2; hyper-echogenic=3). Significant (p<0.05) decrease in echogenicity (Δ=0.8±0.4 points) was measured. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Nodule elasticity was measured on a 4-point scale (soft=1; more soft than solid=2; more solid than soft=3; solid=4). Significant (p<0.05) increase in elasticity (Δ=1.1±0.6 points) was measured. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 4 Significant (p<0.05) increase of serum Thyroglobulin (Tg)-levels (mean Tg 4494.95±5024.47ng/ml) as evidence that thyroid tissue has been destroyed. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 5 Color-coded Ultrasound image of the nodule before cooled Microwave ablation treatment showing intranodular blood flow. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 6 Color-coded Ultrasound investigation after Microwave ablation does not show any remaining intranodular blood flow. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

Fig. 7 Ultrasound-guided probe positioning. European Journal of Radiology 2016 85, 2127-2132DOI: (10.1016/j.ejrad.2016.09.019) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions