Evidence map›Paper›PMID 42213383›Full record

SynthesisLa Radiologia medica2026

Complications of minimally invasive treatments of benign thyroid nodules: preventive andmanaging strategies: A systematic review.

Giovanni Mauri, Lorenzo Monfardini, Pierluigi Glielmo, Antonio Galluzzo, Pierre Yves Marcy, Robert M Eisele, Michael Douek, Auh Whan Park, Wei-Che Lin, Edouard Ghanassia and 8 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in La Radiologia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

18 authors.

Giovanni Mauri *Unit of Diagnostic and Interventional Radiology, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
Lorenzo Monfardini *Interventional Radiology, San Giuseppe Hospital, IRCCS Multimedica, Milan, Italy.
Pierluigi GlielmoUnit of Diagnostic and Interventional Radiology, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy.
Antonio GalluzzoDepartment of Radiology, Nuovo Ospedale del Mugello, Borgo San Lorenzo Florence, Italy.ORCID http://orcid.org/0009-0008-5978-845X
Pierre Yves MarcyIMASUD Radiology Group, Aix- Marseille University, PolyClinic Les Fleurs,, ELSAN Medipôle Sud Group, Quartier Quiez, 83189, Ollioules, France.
Robert M EiseleSurgical Center Oranienburg Bernauer Str. 100, 16515, Oranienburg, Germany.
Michael DouekDepartment of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Auh Whan ParkDepartment of Radiology, Division of Pediatric Interventional Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Wei-Che LinDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Edouard GhanassiaThyroid Diagnosis and Interventional Center, Sète, France.
Gilles RussThyroid and Endocrine Tumors Department, Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.
Daniele MaiettiniInterventional Radiology Division, European Institute of Oncology, Milan, Italy.
Juan Pablo DueñasDivision of Endocrine Surgery, Integral Endocrine Surgery Clinic, Medellin, Colombia.
Stefano SpieziaDepartment of Surgery, Endocrine and Ultrasound-Guided Surgery Unit, Ospedale del Mare, ASL 1, Napoli, Italy.
Giovanni AntonelliDepartment of Surgery, Endocrine and Ultrasound-Guided Surgery Unit, Ospedale del Mare, ASL 1, Napoli, Italy.
Enrico PapiniDepartment of Endocrine and Metabolic Diseases, Regina Apostolorum Hospital-Lifenet Health Group, Albano, Rome, Italy.
Luigi SolbiatiDepartment of Biomedical Science, Humanitas University and Humanitas Clinical and Research Hospital IRCCS, Rozzano, Milan, Italy.
Luca Maria SconfienzaUnit of Diagnostic and Interventional Radiology, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milan, Italy. io@lucasconfienza.it.ORCID http://orcid.org/0000-0003-0759-8431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUltrasound (US)-guided thermal ablation (TA) is widely used as a minimally invasive alternative to surgery for symptomatic benign thyroid nodules. Although less invasive, complications occur in up to 4% of cases. This review assessed the incidence of TA-related complications, focusing on prevention and management. MATERIAL AND

methodsPubMed, Embase, and Cochrane were searched for studies on thyroid TA complications. Eligible studies were in English, included > 100 patients, reported complication rates, and had full text available. Studies with malignant nodules, unclear reporting, or < 100 patients were excluded. Risk of bias was assessed with ROBINS-I and evidence certainty with GRADE. Complications and preventive strategies were summarized.

resultsAmong 282 screened studies, 11 including 15,333 patients were analyzed. The pooled overall complication rate was 4.3% (range 1.0-8.8%). Post-procedural pain was most common (1.5%, range 0-5%). Major complications were rare (0.16%), while minor complications occurred in 4.2%. Prevention relied on operator training, knowledge of neck anatomy, hydrodissection, trans-isthmic approach, and moving-shot technique.

conclusionsThyroid TA is safe, with very low major complication rates, though minor events may occur. Best results require strong anatomical knowledge, ultrasound expertise, and correct technique. Evidence quality remains low with moderate-to-serious risk of bias.

Indexed as

Ablation TechniquesMinimally Invasive Surgical ProceduresPostoperative ComplicationsThyroid NoduleUltrasonography, InterventionalHumansAblationComplicationsLaserMicrowavesRadiofrequencyThyroid

Identifiers

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.