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.

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.

Dr.Guttler’s comments:

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.

8.Cal me at 310-393-8860 or email to thyroid.manager@thyroid.com.

Ask for alicia

Dr.G.