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entire nodule or a large part of it [ 20 - 22 ]. The cost of MWA applicators is about EUR 600 in Europe. Treatment is performed on an outpatient basis and lasts 10–20 min (Table 2 ). High-Intensity Focused Ultrasound With HIFU, sparing of
Division of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy
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Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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the frequency of minor complications was 23% [ 34 ]. High-Intensity Focused Ultrasound Ablation High-intensity focused ultrasound ablation is the only completely noninvasive ablation technique. Ultrasonic energy, in the 20 kHz–200 Mhz range
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0265-6736 12 Lang BH , Wong CK , Ma EP , Woo YC , Chiu KW . A propensity-matched analysis of clinical outcomes between open thyroid lobectomy and high-intensity focused ultrasound (HIFU) ablation of benign thyroid nodules
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, which use various energy sources: laser, radiofrequency, microwaves, or high-intensity focused ultrasound ( 17 ). MITs result in a relevant and long-lasting decrease of nodule volume (57–77% at 5 years) that is paralleled by improvement of local symptoms