You are invited to master the most current technology in Interventional Endocrinology!
Dr. Roberto Valcavi, Director of the ETC Clinic (Endocrine & Thyroid Clinic) of Reggio Emilia, Italy, was invited on Wednesday 13 October 2021 to participate in the webinar entitled “ABLATION TECHNIQUE FOR AUTONOMOUSLY FUNCTIONING THYROID NODULES” organized by the North American Society of Interventional Endocrinologists (NASOIE), which will take place at 01:00 – 02:00 am Italian time.
The North American Society of Interventional Endocrinologists (NASOIE) strives in the US for excellence in thyroid care and supports endocrinologists in advancing cutting-edge treatments and interventional procedures. NASOIE invited Dr. Valcavi to present a paper entitled “Ablation Techniques in Autonomously Functioning Thyroid Nodules: Why RFA is The Treatment of Choice.” Dr Valcavi’s report will close the event as an “Expert Opinion” as presented by the interventionist endocrinologist of recognized experience with respect to that of the North American speakers.
Functioning autonomic adenoma or “toxic / pretoxic adenoma” is a nodular thyroid formation scintigraphically “hot”, ie iodine overcapturing (Fig. 1), which tends to produce subclinical (protoxic adenoma) or clinical (toxic adenoma) hyperthyroidism. In other words, hyperfunctioning thyroid adenoma causes hyperthyroidism, but unlike Graves’ Basedow’s disease it does not have an autoimmune cause, but is caused by a benign tumor that produces excess thyroid hormones. Symptoms of toxic adenoma are similar to those of Graves’ Basedow’s hyperthyroidism except that cardiovascular symptoms prevail and no ocular signs are present.
Until now, the solutions proposed for pretoxic or toxic adenoma have been, after a period of stabilization with antithyroid drugs (methimazole), or radioiodine radio metabolic therapy or surgical therapy. Recently, echo-guided ablative techniques have been successfully adopted, among which radiofrequency ablation (RFA) is more effective. Dr. Valcavi will give an overview of other techniques and technologies, including alcoholization (PEI), laser ablation (LTA), focused ultrasound ablation (HIFU) and microwave ablation (MWA). None of these techniques achieves the results obtainable in expert hands by RFA, which represents the minimally invasive ultrasound-guided procedure of choice in the treatment of hyperfunctioning toxic thyroid adenoma.