Evidence map›Paper›PMID 33770383›Full record

ArticleEndocrine2021

Percutaneous thermal ablation of lung metastases from thyroid carcinomas. A retrospective multicenter study of 107 nodules. On behalf of the TUTHYREF network.

Françoise Bonichon, Thierry de Baere, Amandine Berdelou, Sophie Leboulleux, Anne-Laure Giraudet, Marie Cuinet, Delphine Drui, Renan Liberge, Antony Kelly, Florence Tenenbaum and 6 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Endocrine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Review
  5. Article
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

16 authors at 10 institutions in 1 country.

Françoise BonichonDepartment of Nuclear Medicine and Thyroid Oncology, Institut Bergonié, Bordeaux, France. fbonichon@gmail.com.
Thierry de BaereDepartment of Interventional Radiology, Gustave-Roussy, Villejuif, France.
Amandine BerdelouDepartment of Nuclear Medicine and Endocrine Cancer, Gustave-Roussy, Villejuif, France.
Sophie LeboulleuxDepartment of Nuclear Medicine and Endocrine Cancer, Gustave-Roussy, Villejuif, France.
Anne-Laure GiraudetDepartment of Nuclear Medicine, Léon Bérard Center, Lyon, France.
Marie CuinetDepartment of Radiology, Léon Bérard Center, Lyon, France.
Delphine DruiDepartment of Endocrinology, Institut du Thorax, University Hospital, Nantes, France.
Renan LibergeThoracic and General Radiology Department, University Hospital, Nantes, France.
Antony KellyDepartment of Nuclear Medicine, Jean Perrin Center, Clermont Ferrand, France.
Florence TenenbaumNuclear Medicine Service, Hôpital Cochin, 27 rue du Faubourg St Jacques, 75014, Paris, France.
Paul LegmannDepartment of radiology, Hôpital Cochin, 27 rue du Faubourg St Jacques, 75014, Paris, France.
Christine Do CaoDepartment of Endocrinology, University Hospital, Lille, France.
Laurence LeenhardtUnité Thyroïde Tumeurs Endocrines, Sorbonne Université, AP-HP Hôpital Pitié-Salpêtrière, Paris, France.
Michel ToubeauDepartment of Nuclear Medicine, Centre Georges-François Leclerc, Dijon, France.
Yann GodbertDepartment of Nuclear Medicine and Thyroid Oncology, Institut Bergonié, Bordeaux, France.
Jean PalussièreDepartment of Radiology, Institut Bergonié, Bordeaux, France.
Institut Bergonié · FRInstitut Gustave Roussy · FRCentre Léon Bérard · FRHôpital Cochin · FRCentre Georges François Leclerc · FRCentre Hospitalier Universitaire de Nantes · FRCentre Jean Perrin · FRInstitut du Thorax · FRLille’s Cardiology Hospital · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine efficacy and safety of thermal ablation (TA) for the local treatment of lung metastases of thyroid cancer.

methodsWe retrospectively studied 47 patients from 10 centers treated by TA (radiofrequency, microwaves, and cryoablation) over 10 years. The endpoints were overall survival (OS), local efficacy, complications (CTCAE classification), and factors associated with survival. OS curves after first TA were built using the Kaplan-Meier method and compared with the log-rank test.

resultsA total of 107 lung metastases during 75 sessions were treated by radiofrequency (n = 56), microwaves (n = 9), and cryoablation (n = 10). Median follow-up time after TA was 5.2 years (0.2-13.3). OS was 93% at 2 years (95% confidence interval (CI): 86-94) and 79% at 3 years (95% CI: 66-91). On univariate and multivariate analysis with a Cox model, histology was the only significant factor for OS. OS at 3 years was 94% for follicular, oncocytic, or papillary follicular variant carcinomas, compared to 59% for papillary, medullary, insular or anaplastic carcinomas (P = 0.0001). The local control rate was 98.1% at 1 year and 94.8% at 2, 3, 4, and 5 years. Morbidity was low with no major complications (grade 4 and 5 CTCAE) and no complications in 29 of 75 sessions (38.7%).

conclusionsTA is a useful, safe and effective option for local treatment of lung metastases from thyroid carcinoma. Prolonged OS was obtained, especially for lung metastases from follicular, oncocytic, or papillary follicular variant carcinomas. Achieving disease control with TA delays the need for systemic treatment.

Indexed as

Catheter AblationLung NeoplasmsThyroid NeoplasmsHumansMicrowavesRetrospective StudiesSurvival RateTreatment OutcomeCryoablationLung metastasesMicrowavesRadiofrequencyThermal ablationThyroid carcinoma

Identifiers

PMID33770383
OpenAlexW3136000089

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.