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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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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
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already present in the CT images of the two 18F-FDG PET/CT performed previously. Fig. 1. a WBI scintigraphy anterior view showing high focal uptake in the right facial region as well as physiological tracer distribution and a focus of uptake in
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blood glucose (FBG), glycated hemoglobin (HbA1C), serum triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C). Ultrasound examination Subjects were placed in a supine position with the neck exposed, and thyroid ultrasonography was
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children with DTC are stratified according to those who may benefit from higher-intensity treatment vs those for whom lower-intensity treatment will suffice. By stratification, the goals of therapy for pediatric DTC (to maintain the high survival rate with
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female-male ratio was approximately 3:1. The mean pain intensity score, which measures the severity of neck pain in the last 24 h, was high (7.74 ± 1.56). Neck pain radiating to the jaw/ear was seen in most patients (71.1%). The vast majority (93.4%) of
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Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands
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Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
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Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
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Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands
Amsterdam Reproduction & Development Research Institute, Amsterdam, The Netherlands
Department of Laboratory Medicine, Endocrine Laboratory, Amsterdam UMC Location Vrije Universiteit Amsterdam, Boelelaan, Amsterdam, The Netherlands
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Laboratory Specialized Diagnostics & Research, Department of Laboratory Medicine, Amsterdam UMC, University of Amsterdam, Meibergdreef, Amsterdam, The Netherlands
Amsterdam Public Health Research Institute, Meibergdreef, Amsterdam, The Netherlands
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diagnostic testing, threshold for starting therapy, and intensity of follow-up diagnostic between guidelines and between primary and secondary care, we scored these items as low, intermediate, or high. Concerning diagnostic testing, recommendations to perform
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differentiated thyroid cancer. Functional imaging using iodine-123 and iodine-131 ( 131 I), in particular, provides information regarding suitability for therapy and the comprehensive staging of disease. Ultrasound remains the first line of investigation for