Can HIFU Improve Symptoms, and Decrease the Volume of the Thyroid Nodule? This study suggests the answer is yes.

Can HIFU Improve Symptoms, and Decrease the Volume of the Thyroid Nodule? This study suggests the answer is yes.

Can HIFU Improve Symptoms, and Decrease the Volume of the Thyroid Nodule? This study suggests the answer is yes.

Can HIFU Improve Symptoms, and Decrease the Volume of the Thyroid Nodule? This study suggests the answer is yes

High-Intensity Focused Ultrasound for Treatment of Symptomatic Benign Thyroid Nodules: A Prospective Study.

Lang BH et al Radiology. 2017 Apr 18:161640
Twenty-two patients underwent HIFU and 22 underwent active surveillance.The 12-month mean volume reduction was significant (68.87% ± 15.27 [range, 47.35%-94.89%], P < .001). But not in the surveillance group (-2.11% ± 6.29 [range, -15.64% to 12.70%], P > .05). At 12 months, patients in the HIFU group had less swelling (P < .001), lower pressure symptom scores (P < .001), and higher physical composite scores (P = .006). Physical composite scores significantly correlated with 6-month reduction in nodule size (r = 0.768; 95% CI: 0.660, 0.930; P < .001) and 12-month reduction in nodule size (r = 0.704; 95% CI: 0.680, 940; P < .001). Conclusion HIFU ablation of symptomatic benign thyroid nodules not only induced significant shrinkage but also improved pressure symptom scores and HRQOL throughout a 12-month period.
The system uses 2 ultrasound systems.One is the usual diagnostic US that will measure the nodule and the computer will map the nodule and “danger areas”. The second is a treatment US that will deliver the heat to a designated path through the nodule. The key is the fact there is no puncture of the skin to position the probe as in Radiofrequency or microwave ablation.
Comments:
HIFU is a true non-invasive method from France that uses skin contact just like diagnostic to do the ablation. The 2 US beams meet at a focal point and that is where the heat causes the destruction of the nodules. HIFU is not approved in the USA, but I can arrange to have you treated in Europe after my evaluation in the US. The 2 day stay would just for the treatment as the my evaluation will be accepted so the actual stay in country will be short. Call Matt if you are interested in a HIFU treatment referral to Europe. 310-393-8860
Richard Guttler MD,FACE,ECNU
thyroid.com
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