Chinese guidelines for ultrasound-guided thermal ablation of thyroid nodules (2024 edition)
Zhiyu Han, Jianping Dou, Lin Zheng, Min Xu, Jie Ren, Hui Wang, Bozhao Wang, Weiwei Zhan, Jianqiao Zhou, Shuhang Xu, Wen Cheng, Man Lu, Dong Xu, Jie Yu, Jing Fei, Ming-An Yu, Song-Yuan Yu, Zhigang Cheng, Chengzhong Peng, Ying Che, Wei-de Dai, Zubang Zhou, Hong Yang, Xiaoping Leng, Liping Sun, Guangbin He, Guangzhi He, Zhi-Bin Cong, Qinying Li, Qiyu Zhao, Bai Nan, Cun Liu, Jia Guo, Qian Li, Qiang Wei, Gang Wang, Ying Huang, Desheng Sun, Tian-an Jiang, Ping Liang
Abstract
The Chinese guidelines for ultrasound-guided thermal ablation of thyroid nodules (2024 edition) were jointly initiated by the Ultrasound Committee of Chinese Medical Association, the Interventional Ultrasound Committee of Chinese Association of Ultrasound in Medicine and Engineering, the Ultrasonic Intervention Committee of Chinese Colleges of Interventionalists, and the Oncological Intervention Committee of Chinese Research Hospital Association; 37 multidisciplinary experts in interventional ultrasound, ultrasound medicine, endocrinology, and thyroid surgery participated in the compilation of this guide, which expanded the depth and breadth of the perspective and enhanced the authority of the guide. Based on the systematic review of literature related to ultrasound-guided thermal ablation of thyroid nodules and the professional opinions of experts, the guidelines define the indications and contraindications of thermal ablation, including pre-ablation evaluation and preparation, thermal ablation techniques and operational procedures, post-ablation follow-up, therapeutic effect evaluation, complication prevention and treatment, and the writing of medical documents for ablation. According to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), a total of 17 objective and comprehensive recommendations were given. The publication and promotion of this guideline will play a positive role in promoting the standardization of ultrasound-guided thermal ablation of thyroid nodules.