Image-guided methods in the treatment of thyroid nodules and cancer

Thyroid nodules (TN) are present in about half of the population. About 5% all malignant. Image-guided methods for treatment TN becoming a significant alternative to surgery. Percutaneous ethanol ablation (PEA) is effective thyroid cysts, and neck lymph node metastases. laser (PLA) significantly reduces size improves subjective symptoms. The adverse effects PEA rare, transitory, mild. Radiofrequency (RFA) sizes compositions. major complications RFA rare transient. Microwave also with complications. High-intensity focused ultrasound (HIFU) transcutaneous method. It nodules, rare. Graves' hyperthyroidism was treated HIFU. As thermal (TA ) more popular 2020, European Association published clinical practice guidelines use image-guided benign nodules. A meta-analysis showed that low-risk papillary microcarcinoma recurrences after TA as acceptable carcinoma Cardiovascular Interventional Radiological Society Europe issued minimally invasive treatments malignant lesions. cancer here stay. Their will expand become part routine practice.