Table 1.
Group | Study | Enrollment period | Affiliation | Patient no. | Mean age | Male: female | Study design | Nodule no. | Criteria for ablation (summary of inclusion and exclusion criteria) |
---|---|---|---|---|---|---|---|---|---|
RFA | Aldea Martinez et al. (2019) [10] | May 2014 to Oct 2018 | Hospital Universitario de Burgos, Spain | 24 | 50.2 | 4:20 | Retro. | 24 | Inclusion: symptomatic nodule, TIRADS 1 or 2, 2 consecutive Bethesda II, solid or predominantly solid nodules Exclusion: contralateral laryngeal nerve palsy, presence of pacemaker, pregnancy, cystic nodules, history of neck radiation, patient’s refusal |
RFA | Deandrea et al. (2019) [11] | 2011 to 2015 | Mauriziano Hospital, Italy | 215 | 66 | 33:182 | Retro. | 215 | Inclusion: solid or mixed with a solid portion >70%, benign (2 consecutive Bethesda II), normal thyroid function Exclusion: RFA performed more than once |
RFA | Jung et al. (2018) [12] | May 2010 to Dec 2011 | Multicenter, Koreaa | 276 | 46 | 43:302 | Pro. | 276 | Inclusion: symptomatic or cosmetic problems, 2 consecutive benign cytology results, no malignant feature on US, solid (>50% solid components), predominantly cystic (10%<solid components <50%), normal thyroid function Exclusion: follicular neoplasm, primary thyroid cancer, pregnancy, history of neck radiation, cystic nodules (<10% solid components) |
RFA | Lim et al. (2013) [13] | Jun 2002 to Dec 2007 | Daerim St. Mary’s Hospital, Korea | 111 | 37.9 | 10:101 | Retro. | 126 | Inclusion: symptomatic or cosmetic problems, size >2 cm, 2 consecutive benign cytology results, no malignant feature on US, normal thyroid function, refused or ineligible for surgery Exclusion: NA |
RFA | Sim et al. (2017) [14] | Jun 2008 to Nov 2013 | Withsim Clinic, Korea | 54 | 44.1 | 5:49 | Retro. | 54 | Inclusion: symptomatic or cosmetic problems, at least 12 months of follow-up Exclusion: NA |
LA | Dossing et al. (2011) [3] | 1999 to 2008 | Odense University Hospital, Denmark | 78 | 46 | 4:74 | Retro. | 78 | Inclusion: symptomatic or cosmetic problems, solitary, solid, cold nodule, benign cytology, normal thyroid function, normal calcitonin Exclusion: family history of thyroid cancer, history of neck radiation |
LA | Gambelunghe et al. (2013) [4] | 2005 to 2008 | University of Perugia, Italy | 40 | 63 | NA | Retro. | 40 | Inclusion: symptomatic nodule, single or dominant nodule, benign cytology, cold nodule, normal thyroid function, normal calcitonin, solid, refused or for ineligible surgery, size of 5–150 mL Exclusion: NA |
LA | Gambelunghe et al. (2018) [5] | 2009 to 2014 | University of Perugia, Italy | 82 | 41 | 31:51 | Retro. | 82 | Inclusion: toxic nodule, hot nodule, normal thyroglobulin, normal calcitonin, normal anti-thyroglobulin antibodies and anti-microsomal antibodies, benign cytology, refused or ineligible for surgery or other conventional treatment Exclusion: history of neck radiation and surgery |
LA | Magri et al. (2020) [6] | Jan 2010 to Jan 2013 | Istituti Clinici Scientifci Maugeri IRCCS, Italy | 43 | 55.9 | 5:38 | Retro. | 43 | Inclusion: symptomatic or cosmetic problems, single or dominant nodule, benign cytology (TIR 2) Exclusion: NA |
LA | Negro et al. (2019) [7] | Jul 2009 to Mar 2012 | V. Fazzi Hospital, Italy | 62 | 54.7 | 15:47 | Retro. | 62 | Inclusion: symptomatic or cosmetic problems, 2 consecutive benign cytology results, cold nodule, normal thyroid function, normal calcitonin Exclusion: history of thyroid treatment, thyroid hormone-related drug treatment, history of neck radiation |
LA | Papini et al. (2014) [8] | Unclear, over 1 year | Multicenter, Italyb | 101 | 51.5 | 16:85 | Pro. | 101 | Inclusion: solid, 2 consecutive benign cytology results, normal thyroid function, cold nodule, maximum diameter >30 mm, volume of 6–17 mL Exclusion: autoimmunity, previous thyroid gland treatment, thyroid hormone-related drug treatment, history of neck radiation |
LA | Valcavi et al. (2010) [9] | Jan 2004 to Dec 2006 | Arcispedale Santa Maria Nuova, Italy | 122 | 52.2 | 27:95 | Retro. | 122 | Inclusion: symptomatic or cosmetic problems, 2 consecutive benign cytology results, single or dominant nodule, solid or mixed (<20% cystic components), size of 2.5–90 mL, diameter >1.5 cm and <7 cm, cold nodule, normal thyroid function, normal calcitonin, no malignant feature on US, normal platelet count and blood coagulation tests Exclusion: family history of thyroid cancer, history of neck radiation and surgery |
RFA, radiofrequency ablation; Retro., retrospective; Pro., prospective; US, ultrasonography; NA, not available; LA, laser ablation.
Asan Medical Center, Seoul St. Mary’s Hospital, Daerim St. Mary’s Hospital, Seoul National University Hospital, Human Medical Imaging and Intervention Center, Korea;
Regina Apostolorum Hospital, University of Pisa, University of Perugia, Catholic University “Sacro Cuore”, Regina Apostolorum Hospital, Italy.