Evidence map›Paper›PMID 38546792›Full record

ArticleEuropean radiology2024

Efficacy of microwave ablation in the treatment of large benign thyroid nodules: a multi-center study.

Yuan-Cheng Cang, Fang-Ying Fan, Yang Liu, Jian-Ming Li, Chuan Pang, Dong Xu, Ying Che, Chun-Lai Zhang, Gang Dong, Ping Liang and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 5 institutions in 1 country.

Yuan-Cheng CangDepartment of Otolaryngology-Head & Neck Surgery, The Sixth Medical Center of PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Fang-Ying FanDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Yang LiuDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Jian-Ming LiDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Chuan PangDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Dong XuDepartment of Ultrasound, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, 310022, China.
Ying CheDepartment of Ultrasound, The First Affiliated Hospital of Dalian Medical University, 193 Lianhe Road, Dalian, Liaoning, 116011, China.
Chun-Lai ZhangDepartment of Ultrasound, Lishui People's Hospital, 15 Dazhong Street, Lishui, 323000, China.
Gang DongDepartment of Ultrasound Intervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Ping LiangDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China.
Jie YuDepartment of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China. jiemi301@163.com.ORCID http://orcid.org/0000-0002-1168-8766
Lei ChenDepartment of Otolaryngology-Head & Neck Surgery, The Sixth Medical Center of PLA General Hospital & PLA Medical College, 28 Fuxing Road, Beijing, 100853, China. chen301@aliyun.com.
Chinese PLA General Hospital · CNDalian Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNLishui City People's Hospital · CNZhejiang Cancer Hospital · CN

Funding

National Scientific Foundation Committee of China 12126607
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy, safety, and improvement of symptoms by ultrasound-guided microwave ablation (MWA) for patients with large benign thyroid nodules (BTNs).

methodsEighty-seven patients with 87 BTNs (≥ 4 cm) treated with MWA between April 2015 and March 2021 were enrolled in this retrospective multicenter study, with clinical and ultrasound examinations performed at the 1st, 3rd, 6th, and 12th months. A multivariable linear mixed effects model was employed to explore the alterations in volume and volume reduction ratio (VRR), as well as the potential factors associated with VRR.

resultsThe mean age of the 87 patients was 45.69 ± 14.21 years (range 18-76 years), and the ratio of men to women was 1:4.8. The mean volumes were much decreased at the 12th month after ablation compared to the initial volumes (p < .001). The mean VRR was 76.09% at the 12th month. The technique efficacy (VRR > 50%) was 90.80% at the 12th month. A multivariate analysis revealed that VRR was related to the initial volume (p = .015), annular flow (p = .010), and nodule composition (p = .024). The mean symptomatic score decreased from 4.40 ± 0.28 to 0.26 ± 0.06 at the 12th month (p < .001). At the same time, the mean cosmetic score decreased from 3.22 ± 0.10 to 1.31 ± 0.08 (p < .001).

conclusionMWA could serve as a safe and effective therapy for large BTNs, significantly reducing the volume of BTNs and significantly improving compressive symptoms and appearance problems. CLINICAL RELEVANCE STATEMENT: Microwave ablation could serve as a safe and effective therapy for large benign thyroid nodules, leading to significant volume reduction and satisfied symptom and cosmetic alleviation period. KEY POINTS: • This multicenter study investigated the feasibility and safety of microwave ablation for large benign thyroid nodules. • After ablation, the nodule volume was significantly reduced, and patients' symptoms and appearance problems were significantly improved. • Microwave ablation is feasible for large benign thyroid nodules and has been a supplement treatment.

Indexed as

MicrowavesThyroid NoduleAdolescentAdultAgedFemaleHumansMaleMiddle AgedRadiofrequency AblationRetrospective StudiesTreatment OutcomeUltrasonography, InterventionalYoung AdultAblation techniquesComplicationsMulticenter studiesThyroid nodulesUltrasonography

Identifiers

PMID38546792
OpenAlexW4393262991

What OpenQuestion holds

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Registered trials

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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.