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The Outcomes of Ultrasound-guided Thermal Ablation for Benign Thyroid Nodules

Not Applicable
Recruiting
Conditions
Thyroid Nodules
Interventions
Procedure: ultrasound-guided thermal ablation
Registration Number
NCT06340945
Lead Sponsor
Chinese PLA General Hospital
Brief Summary

1. To evaluate the clinical outcomes of ultrasound-guided thermal ablationfor the treatment of benign thyroid nodules;

2. To develop and validate a artificial intelligence model to predict the outcomes of ultrasound-guided thermal ablation in the treatment of benign thyroid nodules

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1500
Inclusion Criteria
  • [1]confirmation of benign nodule status on two separate fine- needle aspiration (FNA) or core-needle biopsy (CNB) [2]no suspicious malignant features on ultrasound examination [3]report of cosmetic and/ or symptomatic problems or concern of nodules growing rapidly or malignant transformation [4]refusal or ineligibility for surgery [5]follow-up time ≥6months
Exclusion Criteria
  1. follicular neoplasm or malignancy findings on biopsy
  2. nodules with benign result on biopsy had suspicious of malignancy in US, including marked hypoechoic, ill-defined margins, taller-than-wide shape or microcalcifications
  3. patients with cystic nodules
  4. patients with contra-lateral vocal cord par- alysis
  5. previous radiation to the head and neck
  6. ; follow- up time less than 6 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
ultrasound-guided thermal ablationultrasound-guided thermal ablation-
Primary Outcome Measures
NameTimeMethod
rate of nodule regrowththrough study completion, an average of 1 months

Regrowth was defined as ≥50% volume increase compared to the previously recorded smallest volume during the follow-up

volume reduction ratethrough study completion, an average of 6 months

The volume reduction rate (VRR)was calculated by the equations: VRR=(\[initial volume-final volume\] × 100)/initial volume

Secondary Outcome Measures
NameTimeMethod
vital volumethrough study completion, an average of 6 months

vital volume was the incompletely treated vital volume which located peripherally

rate of complications1 week

complications after ablation

symptom scorethrough study completion, an average of 6 months

The symptom score was self-measured by patients using a 10-cm visual analogue scale (grade 0-10)

total volumethrough study completion, an average of 6 months

the overall volume of the nodules

cosmetic scorethrough study completion, an average of 6 months

The cosmetic score was assessed by a physician (1, no palpable mass; 2, no cosmetic problem but palpable mass; 3, a cosmetic problem on swallowing only; and 4, a readily detected cosmetic problem)

Trial Locations

Locations (1)

Chinese PLA General Hospital

🇨🇳

Beijing, China

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