Thyroid disease

Effects of Ultrasound-Guided Laser Ablation Therapy on Symptomatic Benign Thyroid Nodules, Using EchoLaser – Results of a Pilot Study in the United States

Endocr PractPublished Prospective interventional pilot study

Authors' conclusion

This study demonstrated the feasibility of performing laser ablation in a clinical setting in the United States. Reduction in nodule volume and symptoms were observed, and the procedure was tolerated well by the subjects.

Study context

Population
Adults with normal thyroid function and symptomatic benign thyroid nodules >29 mm and ≤60 mm with <20% cystic area by US; outpatient setting, United States9 completed 12-month follow-up
Participants
10 adults
Outcome
Efficacy of single US-guided laser ablation on symptomatic benign thyroid nodules (nodule volume reduction)
Follow-up
12 months
Methodological detailssingle-center, nonrandomized, open label, Baseline nodule volumes 5.51 to 28.22 mL; total energy delivered 1477.00 to 7206.50 J
  • Single-center
  • Nonrandomized
  • Open label
  • Baseline nodule volumes 5.51 to 28.22 mL; total energy delivered 1477.00 to 7206.50 J

Main finding

As reported in the abstract

Average nodule volume reduction

Average nodule volume reduction at 12 months (9 patients)

71.087%

Observational data: associations, not effects.

Further findings

Nodule visibility from >1 m away

Visible at baseline
all 10 subjects
Not visible at 3 months
8 of 10
Not visible at 12 months
6 of 9

Willingness to undergo procedure again

Most subjects reported they would likely undergo the procedure again

Safety

No significant adverse events were reported

Original publication

Effects of Ultrasound-Guided Laser Ablation Therapy on Symptomatic Benign Thyroid Nodules, Using EchoLaser – Results of a Pilot Study in the United States. Endocr Pract. Published 11 September 2023. doi:10.1016/j.eprac.2023.08.015

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