Evidence map›Paper›PMID 30919288›Full record

ArticleEndocrine2019

High-intensity focused ultrasound (HIFU) for benign thyroid nodules: 2-year follow-up results.

Pierpaolo Trimboli, Federico Pelloni, Fabiano Bini, Franco Marinozzi, Luca Giovanella

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. [Clinical Approach for Thyroid Radiofrequency Ablation].Journal of the Korean Society of Radiology · 2023
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  14. RFA and benign thyroid nodules: Review of the current literature.Laryngoscope investigative otolaryngology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Pierpaolo TrimboliDepartment of Nuclear Medicine and Thyroid Centre, Imaging Institute of Southern Switzerland, Bellinzona, 6500, Switzerland. pierpaolo.trimboli@eoc.ch.ORCID 0000-0002-2125-4937
Federico PelloniDepartment of Nuclear Medicine and Thyroid Centre, Imaging Institute of Southern Switzerland, Bellinzona, 6500, Switzerland.
Fabiano BiniDepartment of Mechanical and Aerospace Engineering, "Sapienza" University of Rome, Rome, 00184, Italy.
Franco MarinozziDepartment of Mechanical and Aerospace Engineering, "Sapienza" University of Rome, Rome, 00184, Italy.
Luca GiovanellaDepartment of Nuclear Medicine and Thyroid Centre, Imaging Institute of Southern Switzerland, Bellinzona, 6500, Switzerland.
Institute of Oncology Research · CHSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-intensity focused ultrasound (HIFU) is the last introduced thermal treatment of thyroid nodules. Here we evaluated the results at 24 months after HIFU.

methodsSince 2016, HIFU was considered as a therapeutic option at our institute in patients with benign thyroid nodules presenting local symptoms. We searched in our database all patients who had undergone thyroid HIFU and selected for the study only cases followed-up for at least 24 months after the treatment. Volume reduction rate (VRR) was evaluated. A reduction above 50% defined the success of HIFU.

resultsThirty-one nodules of 31 patients (24 females and 7 males, median age 67 years) with median major diameter from 17 to 34 mm and estimated nodule volume of 5.48 mL were included. HIFU was performed with median power of 42 W/site (interquartile range 25-45) and median energy of 263 J/site (interquartile range 225-273). Median duration of the procedure was 6 min (interquartile range 5-7). At 2 years after HIFU, nodule volume was significantly (p < 0.0001) lower (i.e., 3.40 mL) with VRR of 43.3%, and 26 (83.9%) lesions were reduced. A reduction by at least 50% was observed at 6, 12, and 24 months in 2 (6.4%), 5 (16.1%), and 7 (22.5%) nodules, respectively. Visual analog score showed a significant improvement (p < 0.0001). No complications were recorded.

conclusionsA reduction of benign thyroid nodule by more than 40% could be reached within 1 year by HIFU. Given the non-significant size increase of some lesions later, a larger study with a longer follow-up is necessary.

Indexed as

Extracorporeal Shockwave TherapyAgedFemaleFollow-Up StudiesHumansMaleThyroid NoduleTreatment OutcomeHigh-intensity focused ultrasound (HIFU)Thermal ablationThyroid

Identifiers

PMID30919288
OpenAlexW2929233610

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.