Comparison Between Radiofrequency Ablation and Microwave Ablation in the Treatment for Benign Thyroid Nodules: a Meta-analysis

2021 ◽  
Author(s):  
Jing Wu ◽  
Junguo Liu ◽  
Li Liu
Keyword(s):  
Radiofrequency Ablation ◽  
Microwave Ablation ◽  
Thyroid Nodules ◽  
Meta Analysis ◽  
Benign Thyroid Nodules ◽  
Benign Thyroid

scholarly journals Comparative efficacy of different ultrasound-guided ablation for the treatment of benign thyroid nodules: Systematic review and network meta-analysis of randomized controlled trials

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0243864
Author(s):  
Linye He ◽  
Wanjun Zhao ◽  
Zijing Xia ◽  
Anping Su ◽  
Zhihui Li ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Volume Change ◽  
Thyroid Nodules ◽  
Meta Analysis ◽  
Percutaneous Ablation ◽  
Score Change ◽  
Benign Nodules ◽  
Benign Thyroid Nodules ◽  
Benign Thyroid

Background Percutaneous ablation is currently deemed an additionally treatment option for benign thyroid nodules in the world, but possibly different effect among the ablation modalities is not clear. So we aim to evaluate the efficacy and complications of thermal/chemical ablation by network meta-analysis. Materials and methods In the network meta-analysis, PubMed, EMBASE and the Cochrane Library databases were searched from 1980 to 2020. Studies of adults with thyroid benign nodules under percutaneous ablation therapy were included. Percentage mean volume change, symptom score change, cosmetic score change and complications were evaluated by network meta-analysis. Results In the network meta-analysis, Radiofrequency Ablation(RFA) with 2 treatment sessions group was associated with the highest reduction for the mean volume change during 6-month follow-up (MD = 79.09 and 95% CrI:48.23–89.94). There is no significant difference in the incidence of complications. Subgroup analysis showed that 2 sessions of Radiofrequency Ablation (RFA) ranks the highest probability (surface under the cumulative ranking curve (SUCRA) values 77.9) of being the most efficacious treatment for solid or predominantly solid benign nodules. Ethanol ablation (EA) ranked first (SUCRA value 81.1) in the treatment for cyst or predominantly cyst benign nodules. Conclusion RFA appears to be superior to other US-guided percutaneous ablation in reducing benign thyroid nodule volume during short- and long-term follow-up. In the subgroup analysis, RFA with 2 treatment sessions showed the most significant effectiveness for solid benign thyroid nodules and EA showed more effectiveness to decrease the volume of cyst benign thyroid nodules.

Radiofrequency ablation vs. microwave ablation for patients with benign thyroid nodules: a propensity score matching study

Endocrine ◽  
2016 ◽  
Vol 55 (2) ◽  
pp. 485-495 ◽  
Author(s):  
Wen-Wen Yue ◽  
Shu-Rong Wang ◽  
Feng Lu ◽  
Li-Ping Sun ◽  
Le-Hang Guo ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Microwave Ablation ◽  
Thyroid Nodules ◽  
Benign Thyroid Nodules ◽  
Benign Thyroid

scholarly journals A Propensity Score Matching Study Between Microwave Ablation and Radiofrequency Ablation in Terms of Safety and Efficacy for Benign Thyroid Nodules Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Hao Jin ◽  
Jinrui Fan ◽  
Ligong Lu ◽  
Min Cui
Keyword(s):  
Radiofrequency Ablation ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Microwave Ablation ◽  
Thyroid Nodules ◽  
Complication Rates ◽  
Safety And Efficacy ◽  
Significant Difference ◽  
Benign Thyroid Nodules ◽  
Benign Thyroid

BackgroundLarge benign thyroid nodules often lead to cosmetic problems and compression on trachea. Thermal ablation is an effective method for benign thyroid nodules treatment. Among all the thermal ablation techniques, microwave and radiofrequency are frequently used energy sources. However, treatment outcomes of the two ablation types have not been compared in detail. Therefore, we conducted this study aiming for comparing the safety and efficacy of the two ablation techniques in benign thyroid nodules treatment.MethodsInformation was retrospectively collected from patients with benign thyroid nodules, who received radiofrequency ablation or microwave ablation between January 1, 2018, and December 31, 2019, in a main hospital in South China. Patients were divided into microwave ablation group and radiofrequency ablation group according to the techniques applied. A propensity score matching was performed to balance the baseline indexes between the two groups. We also recorded and analyzed the operative variables including operative duration, intraoperative blood loss, hospitalization time, and overall costs. Postoperative quality of life, volume reduction rates, and complication rates were routinely evaluated during the follow-up by asking patients to fulfil questionnaires at the 1st, 3rd, 6th, 12th, and 18th postoperative month.ResultsA total of 943 patients receiving microwave ablation or radiofrequency ablation in the years of 2018 and 2019 met our inclusion criteria. After 1:1 propensity score matching, 289 pairs of patients were matched. There was no significant difference between the two groups in operative duration, intraoperative blood loss, hospitalization time, overall cost, quality of life scores, complication rates or volume reduction rates.ConclusionThere was no significant difference between microwave and radiofrequency ablation in terms of safety and efficacy. Both of the two techniques` are ideal therapeutic methods in benign thyroid nodules treatment.Registration numberChiCTR2000034764.

Efficacy and safety of cooled and uncooled microwave ablation for the treatment of benign thyroid nodules: a systematic review and meta-analysis

Endocrine ◽  
2018 ◽  
Vol 62 (2) ◽  
pp. 307-317 ◽  
Author(s):  
Bo-wen Zheng ◽  
Jin-fen Wang ◽  
Jin-xiu Ju ◽  
Tao Wu ◽  
Ge Tong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Microwave Ablation ◽  
Thyroid Nodules ◽  
Meta Analysis ◽  
Efficacy And Safety ◽  
Benign Thyroid Nodules ◽  
Benign Thyroid
Sign in / Sign up

Export Citation Format

Share Document