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Radiofrequency ablation (RFA) for thyroid nodules is well-known, effective, and safe treatment for treating benign thyroid nodules and recurrent thyroid cancers. Under ultrasound guidance, RF electrode generates frequency and coagulate targeted tissue. For the thyroid RFA, the trans-isthmic approach and moving shot technique are two fundamental methods.
The VIVA RF Generator is designed to create the predictable and consistent ablation zone by using the optimized ablation modes for various nodules. It also has convenient and useful functions including to the easy operation structure and smart user interface to provide the exact information related to procedure details which is able to be translated to computer for recording patient treatment data.
Read MoreThe VIVA multi RF Generator is designed to create the predictable and consistent ablation zone by using the optimized ablation modes for various nodules. It also has convenient and useful functions including to the easy operation structure and smart User Interface to provide the exact information related to procedure details which is able to be translated to computer for recording patient treatment data.
Read MoreThe star RF electrodes of fixed type are intended to be used in percutaneous, intraoperative and laparoscopic approaches in radiofrequency ablation procedures. Coolant circulation system of electrode maintains suitable impedance at the surface of electrode. It also prevents tissue adjacent to active tip from charring and helps to make a spherical ablation zone.
Read MoreThe VIVA RF electrode is single electrode which is designed to be used in multiple nodules. Traditional single electrodes make the fixed ablation volume, but it is able to make the varisized ablation volume by adjust an active tip.
Read MoreThe current created from RF generator flows only through the tissue which is between the two poles on an electrode. With bipolar delivery, no current flows through the rest of the body, so no grounding or return pad is needed. Hence, Bipolar series of star RF electrode are secure against skin burn.
Read MoreKorean Society of Thyroid Radiology | 2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology. Kim JH, Baek JH, Lim HK, Ahn HS, Baek SM, Choi YJ, Choi YJ, Chung SR, Ha EJ, Hahn SY, Jung SL, Kim DS, Kim SJ, Kim YK, Lee CY, Lee JH, Lee KH, Lee YH, Park JS, Park H, Shin JH, Suh CH, Sung JY, Sim JS, Youn I, Choi M, Na DG; Guideline Committee for the Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology. Korean J Radiol. 2018 Jul-Aug;19(4):632-655. doi: 10.3348/kjr.2018.19.4.632. Epub 2018 Jun 14. Review. PMID: 29962870 |
AACE/ACE/AME Guidelines | AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS, AMERICAN COLLEGE OF ENDOCRINOLOGY, AND ASSOCIAZIONE MEDICI ENDOCRINOLOGI MEDICAL GUIDELINES FOR CLINICAL PRACTICE FOR THE DIAGNOSIS AND MANAGEMENT OF THYROID NODULES – 2016 UPDATE APPENDIX Gharib H, Papini E, Garber JR, Duick DS, Harrell RM, Hegedüs L, Paschke R, Valcavi R, Vitti P; AACE/ACE/AME Task Force on Thyroid Nodules. Endocr Pract. 2016 May;22(5):622-39. doi: 10.4158/EP161208.GL. PMID: 27167915 |
American Thyroid Association Management Guidelines | 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, Pacini F, Randolph GW, Sawka AM, Schlumberger M, Schuff KG, Sherman SI, Sosa JA, Steward DL, Tuttle RM, Wartofsky L. Thyroid. 2016 Jan;26(1):1-133. doi: 10.1089/thy.2015.0020. PMID: 26462967 PMCID: PMC4739132 |
NICE Guideline |
Ultrasound-guided percutaneous radiofrequency ablation for benign thyroid nodules
Interventional procedures guidance Published: 22 June 2016 nice.org.uk/guidance/ipg562 |
Italian Opinion Statement | Radiofrequency ablation for thyroid nodules: which indications? The first Italian opinion statement Roberto Garberoglio, Camillo Aliberti, Marialuisa Appetecchia, Marco Attard, Giuseppe Boccuzzi, Flavio Boraso, Giorgio Borretta, Giuseppe Caruso, Maurilio Deandrea, Milena Freddi, Gabriella Gallone, Giovanni Gandini, Guido Gasparri, Carlo Gazzera, Ezio Ghigo, Maurizio Grosso, Paolo Limone, Mauro Maccario, Luigi Mansi, Alberto Mormile, Pier Giorgio Nasi, Fabio Orlandi, Donatella Pacchioni, Claudio Maurizio Pacella, Nicola Palestini, Enrico Papini, Maria Rosa Pelizzo, Andrea Piotto, Teresa Rago, Fabrizio Riganti, Lodovico Rosato, Ruth Rossetto, Antonio Scarmozzino, Stefano Spiezia, Ornella Testori, Roberto Valcavi, Andrea Veltri, Paolo Vitti, Matteo Zingrillo J Ultrasound (2015) 18:423–430. DOI 10.1007/s40477-015-0169-y. PMID: 26550079 |
Clinical significance of vagus nerve variation in radiofrequency ablation of thyroid nodules | Eur Radiol | 2011 | Eun Ju Ha |
Clinical trial of thyroid RFA for papillary microcarcinomas | ICE/ECE 2012 | 2012 | N. Fukunari |
Radiofrequency Ablation for the Treatment of Autonomously Functioning Thyroid Nodules | World J Surg | 2009 | Jung Hwan Baek |
"Benign Predominantly Solid Thyroid Nodules: Prospective Study of Efficacy of Sonographically Guided Radiofrequency Ablation Versus Control Condition" | AJR | 2010 | Jung Hwan Baek |
Locoregional Control of Metastatic Well-Differentiated Thyroid Cancer by Ultrasound-Guided Radiofrequency Ablation | AJR | 2011 | Jung Hwan Baek |
Radiofrequency ablation of benign non-functioning thyroid nodules: 4-year follow-up results for 111 patients | Eur Radiol | 2012 | Hyun Kyung Lim |
Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study 1 | Radiology | 2012 | Jung Hwan Baek |
Sonography-Guided Ethanol Ablation of a Remnant Solid Component after Radio-Frequency Ablation of Benign Solid Thyroid Nodules: A Preliminary Study | AJNR | 2012 | Dong Wook Kim |
How to manage the patients with unsatisfactory results after ethanol ablation for thyroid nodules: Role of radiofrequency ablation | EJR | 2011 | Seung Won Jang |
Symptomatic Benign Thyroid Nodules: Efficacy of Additional Radiofrequency Ablation Treatment Session—Prospective Randomized Study | Radiology | 2012 | Jung Yin Huh |
Radiofrequency Ablation (RFA) of Benign Thyroid Nodules in Patients with Incompletely Resolved Clinical Problems after Ethanol Ablation (EA) | World J Surg | 2010 | Jeong Hyun Lee |
Radiofrequency Ablation of Thyroid Nodules: Basic Principles and Clinical Application | International Journal of Endocrinology | 2012 | Ji Hoon Shin |
Rupture of Benign Thyroid Tumors after Radio-Frequency Ablation | AJNR | 2011 | Jung Hee Shin |
Inoperable Symptomatic Recurrent Thyroid Cancers: Preliminary Result of Radiofrequency Ablation | Ann Surg Oncol | 2011 | Ko Woon Park |
Radiofrequency and ethanol ablation for the treatment of recurrent thyroid cancers: current status and challenges | Curr Opin Oncol | 2012 | Ji E. Shin |
Optimum First-Line Treatment Technique for Benign Cystic Thyroid Nodules: Ethanol Ablation or Radiofrequency Ablation? | AJR | 2010 | Jin Yong Sung |
Unidirectional Ablation Electrode to Minimize Thermal Injury During Radiofrequency Ablation: An Experimental Study in an Ex Vivo Bovine Liver Model | J Vasc Interv Radilo | 2011 | Dong Gyu Na |
Single-Session Treatment of Benign Cystic Thyroid Nodules with Ethanol versus Radiofrequency Ablation: A Prospective Randomized Study1 | Radiology | 2013 | Jin Yong Sung |
Combination Therapy of Temporary Tracheal Stenting and Radiofrequency Ablation for Multinodular Thyroid Goiter with Airway Compression | KJR | 2013 | Ji Hoon Shin |
Thermal Ablation for benign Nodules: Radiofrequency and Laser | KJR | 2011 | Jung Hwan Baek |
Radiofrequency Ablation Compared to Surgery for the Treatment of Benign Thyroid Nodules | International Journal of Endocrinology | 2014 | Stella Bernardi |
PERCUTANEOUS RADIOFREQUENCY ABLATION OF BENIGN THYROID NODULES ASSISTED BY A VIRTUAL NEEDLE TRACKING SYSTEM | Ultrasound in Medicine and Biology | 2014 | Giovanni Turtulici |
Needle track tumor seeding after radiofrequency ablation of thyroid tumor | Jpn J Radiol | 2014 | Chang Un Lee |
Efficacy and safety of radiofrequency ablation for treating locoregional recurrence from papillary thyroid cancer | Eur Radiol | 2014 | Hyun Kyung Lim |
Radiofrequency Ablation for Autonomously Functioning Thyroid Nodules: A Multicenter Study | Thyroid | 2014 | Jin Yong Sung |
Radiofrequency Ablation of Benign Symptomatic Thyroid Nodules: Prospective Safety and Efficacy Study | World J Surg | 2014 | M. Umit Ugurlu |
Moving-Shot versus Fixed Electrode Techniques for Radiofrequency Ablation: Comparison in an Ex-VivoBovine Liver Tissue Model | KJR | 2014 | Eun Ju Ha |
Treatment of Benign Thyroid Nodules: Comparison of Surgery with Radiofrequency Ablation | Thyroid | 2015 | Y. Che |
Radiofrequency Ablation for the Papillary Thyroid Micro-carcinoma in the Highrisk Surgical Patient | Thyroid Disprders & Therapy | 2015 | Eon Ju Jeon |
Radiofrequency Ablation to Treat Loco-Regional Recurrence of Well-Differentiated Thyroid Carcinoma | KJR | 2014 | Sun Jin Lee |
Ultrasonography‐guided percutaneous radiofrequency ablation for cervical lymph node metastasis from thyroid carcinoma | Journal of Cancer Research and Therapeutics | 2014 | Liping Wang |
HEALTH-RELATED QUALITY OF LIFE AFTER PERCUTANEOUS RADIOFREQUENCY ABLATION OF COLD SOLID BENIGN THYROID NODULES: A 2-YEAR FOLLOW-UP STUDY IN 40 PATIENTS | Endocrine Practice | 2015 | Roverto Valcavi |
RADIOFREQUENCY ABLATION FOR BENIGN THYROID NODULES –A LOOK TOWARDS THE FUTURE OF INTERVENTIONAL THYROIDOLOGY | ENDOCRINE PRACTICE | 2015 | Mark A. Lupo |
Combined use of radioiodine therapy and radiofrequency ablation in treating postsurgical thyroid remnant of differentiated thyroid carcinoma | J Cancer Research and Therapeutics | 2015 | Bin Ling |
Single-session radiofrequency ablation on benign thyroid nodules: a prospective single center study | Langenbecks Arch Surg | 2016 | Erhan Aysan |
Quality of life in patients treated with radiofrequency ablation for thyroid nodules | Research Journal of Endocrinology and Metabolism | 2016 | Massimo Giust |
Combination Therapy Consisting of Ethanol and Radiofrequency Ablation for Predominantly Cystic Thyroid Nodules | HEAD & NECK | 2014 | H.M. Yoon |
Virtually-tracked US-guided Radiofrequency Ablation(RFA) of Benign Thyroid Nodules: Preliminary Results | ESHNR | 2013 | G. Turtulici |
A case of thyroid cancer on the track of the radiofrequency electrode 30 months after percutaneous ablation | J Endocrinol Invest | 2016 | S. Oddo |
Radiofrequency ablation of small follicular neoplasms: initial clinical outcomes | INTERNATIONAL JOURNAL OF HYPERTHERMIA | 2017 | Su Min Ha |
Efficacy and Safety of Radiofrequency Ablation for Treatment of Locally Recurrent Thyroid Cancers Smaller than 2 cm | radiology | 2015 | Ji-hoon Kim |
Thyroid Radiofrequency Ablation: Updates on Innovative Devices and Techniques | KJR | 2017 | Hye Sun Park |
US-Guided Percutaneous Radiofrequency versus Microwave Ablation for Benign Thyroid Nodules: A Prospective Multicenter Study | Nature | 2017 | Zhigang Cheng |
Radiofrequency Ablation in the Treatment of Benign Thyroid Nodules: An Efficient and Safe Alternative to Surgery | Journal of Vascular and Interventional Radiology | 2017 | Rosa Cervelli |
Efficacy and safety of ultrasound-guided radiofrequency ablation of hyperplastic parathyroid gland for secondary hyperparathyroidism associated with chronic kidney disease | head&neck | 2016 | Chengzhong Peng, MS |
Radiofrequency ablation of primary thyroid carcinoma: efficacy according to the types of thyroid carcinoma | INTERNATIONAL JOURNAL OF HYPERTHERMIA | 2018 | So Yeong Jeong |
Efficacy and safety of radiofrequency ablation for benign thyroid nodules_prospective multicenter study | KJR | 2018 | So Lyung Jung |
Radiofrequency ablation of low-risk small papillary thyroidcarcinoma: preliminary results for patients ineligible for surgery | International Journal of Hyperthermia | 2016 | Ji-hoon Kim |
Radiofrequency ablation for treatment of benign thyroid nodules | Medicine | 2016 | Fen Chen |
Ex vivo comparison between thyroid-dedicated bipolar and monopolar radiofrequency electrodes | INTERNATIONAL JOURNAL OF HYPERTHERMIA | 2018 | Ra Gyoung Yoon |
Monopolar radiofrequency ablation of thyroid nodules: a prospective Austrian single center study | Thyroid | 2018 | Dobnig Harald |
mRECIST criteria to assess recurrent thyroid carcinoma treatment response after radiofrequency ablation: a prospective study | Journal of Endocrinological Investigation | 2018 | S. Mazzeo |
Benign thyroid nodule unresponsive to radiofrequency ablation treated with laser ablation: a case report | Journal of Medical Case Reports | 2018 | Silvia Oddo |
Management strategy for nerve damage during radiofrequency ablation of thyroid nodules | International Journal of Hyperthermia | 2019 | Sae Rom Chung |
Comparison between Radioiodine therapy and single‐session Radiofrequency ablation of autonomously functioning thyroid nodules: a retrospective study | Clinical endocrinology | 2019 | Rosa Cervelli |