Thyroid disease

Predictors of retreatment after radiofrequency ablation of benign thyroid nodules: role of pre-treatment growth rate and viable volume

Eur Thyroid JPublished Retrospective cohort study

Authors' conclusion

Pre-treatment growth rate and six-month viable volume are strong, independent predictors of retreatment after RFA of benign thyroid nodules. Incorporating these parameters into clinical decision-making may enhance patient selection, tailor treatment intensity, and inform follow-up intervals, thereby reducing the risk of retreatment and improving cost-effectiveness.

Study context

Population
Patients undergoing radiofrequency ablation (RFA) for benign thyroid nodules at Pitié-Salpêtrière Hospital, 2018–2023
Participants
293 patients
Outcome
Retreatment, defined as a second RFA
Follow-up
Within five years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Required retreatment
61 (20.8%)
Pre-treatment growth rate: AUC
0.808
Pre-treatment growth rate: OR
1.505 (1.182-1.952), P < 0.001 (95% CI)
Six-month viable volume: AUC
0.886
Six-month viable volume: OR
1.252 (1.088-1.496), P < 0.001 (95% CI)
Optimal threshold, pre-treatment growth rate
1.75 mm/year
Optimal threshold, viable volume
4.45 mL
Risk of retreatment with viable volume ≤ 2.1 mL
<5%
Risk of retreatment with viable volume >18.05 mL
>70%

Observational data: associations, not effects.

Original publication

Predictors of retreatment after radiofrequency ablation of benign thyroid nodules: role of pre-treatment growth rate and viable volume. Eur Thyroid J. Published 16 February 2026. doi:10.1530/etj-25-0254

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