Guidelines & Statements

NASOIE

August2022

Consensus Statement on Thermal and Chemical Ablation of Thyroid Nodules and Neck Lesions

Thermal and chemical ablation techniques for the non-surgical treatment of thyroid nodules and neck lesions have been used internationally for decades, with only relatively recent interest and acceptance in the United States of America. This statement is intended to be an evolving document that provides a framework for the safe and effective practice of chemical and thermal ablation techniques for the management of thyroid nodules in the outpatient setting in the United States

NORTH AMERICAN SOCIETY OF INTERVENTIONAL ENDOCRINOLOGISTS
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May2022

Consensus Statement on Thermal and Chemical Ablation of Thyroid Nodules and Neck Lesions

Thermal and chemical ablation techniques for the non-surgical treatment of thyroid nodules and neck lesions have been used internationally for decades, with only relatively recent interest and acceptance in the United States of America. This statement is intended to be an evolving document that provides a framework for the safe and effective practice of chemical and thermal ablation techniques for the management of thyroid nodules in the outpatient setting in the United States

NORTH AMERICAN SOCIETY OF INTERVENTIONAL ENDOCRINOLOGISTS
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Other Societies

JUNE2024

Brazilian Consensus on the Application of Thermal Ablation for Treatment of Thyroid Nodules

There is increasing interest in ultrasound-guided ablation treatments for thyroid diseases, including benign and malignant ones. Surgeons, radiologists, and endocrinologists carry out these treatments, and various organizations within these specialties have recently released multiple international consensus statements and clinical practice standards. The aim of the present consensus statement is to provide guidance, cohesion, and standardization of best practices for thermal ablation procedures of thyroid nodules.

NORTH AMERICAN SOCIETY OF INTERVENTIONAL ENDOCRINOLOGISTS
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November2022

Taiwan clinical multicenter expert consensus and recommendations for thyroid radiofrequency ablation

Radiofrequency ablation (RFA) is a minimally invasive management strategy that has been widely applied for benign and recurrent malignant thyroid lesions as an alternative to surgery in Taiwan. Members of academic societies for specialists in interventional radiology, endocrinology, and endocrine surgery collaborated to develop the first consensus regarding thyroid RFA in Taiwan.

2022 Taiwan clinical multicenter expert consensus
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August2023

General principles for the safe performance, training and adoption of ablation techniques for benign thyroid nodules: An American Thyroid Association Statement

This consensus statement is organized around three key themes: i. safety of ablation techniques and their implementation, ii. optimal skillset criteria for proceduralists performing ablative procedures, and iii. defining expectations of success for this treatment option given its unique risks and benefits.

American Thyroid Association
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December2021

Radiofrequency ablation and related ultrasound-guided ablation technologies for treatment of benign and malignant thyroid disease

The use of ultrasound-guided ablation procedures to treat both benign and malignant thyroid conditions is gaining increasing interest. This document has been developed as an international interdisciplinary evidence-based statement with a primary focus on radiofrequency ablation and is intended to serve as a manual for best practice application of ablation technologies.

American Head and Neck Society Endocrine Surgery Section with the Asian Pacific Society of Thyroid Surgery, Associazione Medici Endocrinologi, British Association of Endocrine and Thyroid Surgeons, European Thyroid Association, Italian Society of Endocrine Surgery Units, Korean Society of Thyroid Radiology, Latin American Thyroid Society, Thyroid Nodules Therapies Association
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September2020

Radiofrequency ablation of benign thyroid nodules: recommendations from the Asian Conference on Tumor Ablation Task Force

Radiofrequency ablation (RFA) is a thermal ablation technique widely used for the management of benign thyroid nodules. To date, five academic societies in various countries have reported clinical practice guidelines, opinion statements, or recommendations regarding the use of thyroid RFA.

Asian Conference on Tumor Ablation Task Force
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September2020

Expert consensus workshop report: Guidelines for thermal ablation of thyroid tumors

As a treatment option for cancer, thermal ablation has satisfactory effects on many types of solid tumors (such as liver and renal cancers). However, its clinical applications for the treatment of thyroid nodules and metastatic cervical lymph nodes are still under debate both in China and abroad. In 2015, the “Zhejiang Expert consensus on thermal ablation for thyroid benign nodules, microcarcinoma, and metastatic cervical lymph nodes (2015 edition),” was released by the Thyroid Cancer Committee of Zhejiang Anti-Cancer Association, China…

Thyroid Tumor Ablation Experts Group of Chinese Medical Doctor Association
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June2020

2020 European Thyroid Association Clinical Practice Guideline for the Use of Image-Guided Ablation in Benign Thyroid Nodules

Standard therapeutic approaches for benign thyroid lesions that warrant intervention are surgery for cold and either surgery or radioiodine for autonomously functioning thyroid nodules (AFTN). Image-guided thermal ablation (TA) procedures are increasingly proposed as therapy options for selected clinical conditions. Due to mounting scientific evidence and widening availability, ETA considered it appropriate to develop guidelines for the use of TA in adult patients….

European Thyroid Association
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March2019

Minimally-invasive treatments for benign thyroid nodules: a Delphi-based consensus statement from the Italian minimally-invasive treatments of the thyroid (MITT) group

Benign thyroid nodules are a common clinical occurrence and usually do not require treatment unless symptomatic. During the last years, ultrasound-guided minimally invasive treatments (MIT) gained an increasing role in the management of nodules causing local symptoms…

Italian Minimally Invasive Treatments of the Thyroid group
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February2019

Radiofrequency ablation of thyroid nodules: “Good Clinical Practice Recommendations” for Austria

An interdisciplinary statement from the following professional associations: Austrian Thyroid Association (ÖSDG), Austrian Society for Nuclear Medicine and Molecular Imaging (OGNMB), Austrian Society for Endocrinology and Metabolism (ÖGES), Surgical Endocrinology Working Group (ACE) of the Austrian Surgical Society (OEGCH)

Austrian Thyroid Association, Austrian Society for Nuclear Medicine and Molecular Imaging, Austrian Society for Endocrinology and Metabolism, Surgical Endocrinology Working Group of the Austrian Surgical Society
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June2018

2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology

Thermal ablation using radiofrequency is a new, minimally invasive modality employed as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. The Task Force Committee of the Korean Society of Thyroid Radiology (KSThR) developed recommendations for the optimal use of radiofrequency ablation for thyroid tumors in 2012. As new meaningful evidences have accumulated, KSThR decided to revise the guidelines.

Korean Society of Thyroid Radiology
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June2016

Ultrasound-guided percutaneous radiofrequency ablation for benign thyroid nodules

Evidence-based recommendations on ultrasound-guided percutaneous radiofrequency ablation for treating benign thyroid nodules in adults. This involves using heat energy to destroy tissue in the nodules.

National Institute for Health and Care Excellence
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MAY 2021

European Thyroid Association and Cardiovascular and Interventional Radiological Society of Europe 2021 Clinical Practice Guideline for the Use of Minimally Invasive Treatments in Malignant Thyroid Lesions

The growing detection of papillary thyroid microcarcinomas (PTMCs) is paralleled by an increase in surgical procedures. Due to the frequent indolent nature, cost, and risk of surgery, active surveillance (AS) and ultrasound-guided minimally invasive treatments (MITs) are in suitable cases of incidental PTMC proposed as alternatives to thyroidectomy.

In: European Thyroid Journal Volume 10 Issue 3 (2021)
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APRIL 2025

2024 International Expert Consensus on US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer | Radiology

Thermal ablation has started to gain acceptance as a therapeutic approach for the management of papillary thyroid cancer (PTC), mainly in the T1 stage (tumor size ≤ 2 cm in greatest dimension and limited to the thyroid).

US-guided Thermal Ablation for T1N0M0 Papillary Thyroid Cancer
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