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Cooled microwave ablation of thyroid nodules: Initial experience

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Presentation on theme: "Cooled microwave ablation of thyroid nodules: Initial experience"— Presentation transcript:

1 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 (November 2016) DOI: /j.ejrad Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

2 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  , DOI: ( /j.ejrad ) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

3 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  , DOI: ( /j.ejrad ) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

4 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  , DOI: ( /j.ejrad ) Copyright © 2016 Elsevier Ireland Ltd Terms and Conditions

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

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

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

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

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