Dr.Guttler’s Patient Thyroid Blog Posts: PET/CT can it Prevent futile surgery on indeterminate thyroid nodules? This paper suggests the answer is yes.
E. deKoster et al
Eur J. Nucl Med Mol Imaging April 2022 49: 1970-84.
1. 122 adults with indeterminate nodules had PET/ CT. When the nodule was visualized on PET/CT the patient went on to surgery.
2. Negative PET/CT nodules were watched by Active surveillance. No malignat tumors were found in the PET/CT negative group
3.PET/CT driven management avoided 40% diagnostic surgery in benign nodules.
4. This use of PET/CT as a part of the diagnostic work up leads to practice changing.
5. Negative imaging of the nodule by PET/CT accurately safely reduces futile surgery in 40%.
6. This use of PET/CT shpuld be limited to non-Hurthle cell nodules.
7. We have added PET/CT to the evaluation of Class II and IV indeterminate nodules.
Alternative minimally invasive thyroid radiofrequency ablation RFA can treat the benign nodule.
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