))
Thermal Ablation as a Game Changer: It Will Replace 50% of Thyroid Surgeries, Dr. Giovanni Mauri
Manage episode 407465348 series 3560708
Innhold levert av Philip James and Philip James interviews top thyroid experts about surgery. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Philip James and Philip James interviews top thyroid experts about surgery eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
FIND A THYROID ABLATION DOCTOR at www.rfamd.com FOLLOW @DoctorThyroid #thyroid #thyroidcancer #ultrasound
Introduction
⦿ Host: Welcome by the host of the RFAMD podcast.
⦿ Guest: Introduction of Dr. Giovanni Mauri, a medical professional from Milan, Italy.
Dr. Mauri's Journey into Medicine
⦿ Childhood Influence: Inspired by his father, a radiologist.
⦿ Career Choice: Fascination with radiology and interventional radiology.
⦿ Family Background: His father worked in diagnostic radiology in an oncological hospital.
History of Ablation in Italy
⦿ Early Adoption: Discussion of pioneers in ablation treatments in Italy, starting in the 1980s.
⦿ Development: The evolution of ablation techniques, from ethanol ablation for liver cancers to radiofrequency ablation.
Dr. Mauri's Specialization
⦿ Scope of Ablation: Treating various cancers (liver, kidney, lung, bone, soft tissues) with thermal ablation.
⦿ Focus on Thyroid Ablation: Special emphasis on treating both benign and malignant thyroid diseases.
Patient Success Stories
⦿ Personal Case: A female patient treated multiple times for lymph node metastasis, avoiding further surgery.
⦿ Impact on Patients: Emphasizing the success and life-changing effects of successful thyroid ablation treatments.
Thyroid Surgery vs. Ablation
⦿ Patient Perspective: Benefits in terms of invasiveness and future hormonal treatment.
⦿ Medical Community: Surgeons appreciating the option of ablation to manage resources and time effectively.
Global Trends in Thyroid Ablation
⦿ FDA Approval: The significant impact of FDA approval in the U.S. in 2018.
⦿ Rapid Growth: Thyroid ablation as the fastest-growing field in ablation treatments worldwide.
Dangers of Rapid Growth
⦿ Training and Expertise: Emphasizing the necessity of proper training and the risks posed by inexperienced practitioners.
⦿ Comparison of Techniques: Differences between traditional surgery and ultrasound-guided ablation procedures.
Pioneers in Thyroid Ablation
⦿ Innovations: Introduction of specifically designed needles and techniques in Korea and Italy. ⦿ Global Adoption: The spread of thyroid ablation practices to countries like South America, North America, and Europe.
Risks of Thyroid Ablation
⦿ Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage.
⦿ Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks.
Risks of Thyroid Ablation
⦿ Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage.
⦿ Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks.
Unsuccessful Cases
⦿ Benign Nodules: Rare unsuccessful cases, often due to initial under-treatment.
⦿ Malignant Tumors: Possibility of incomplete ablation, with options for re-treatment.
Selecting the Right Provider
⦿ Criteria for Choosing: Experience of the physician, ideally in a hospital setting for beginners.
⦿ Importance of Supervision: Emphasis on proper environment and supervision for new practitioners.
Addressing Skepticism
⦿ Literature and Communication: Using scientific evidence and open discussions to address concerns.
⦿ Surgical Alternatives: Emphasizing ablation as a reversible option compared to definitive surgery.
Types of Ablation
⦿ Radiofrequency vs. Microwave: Discussion on the advantages and risks of each type in thyroid treatments.
Guidelines and Clinical Experience
⦿ Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines.
⦿ Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines.
Guidelines and Clinical Experience
⦿ Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines.
⦿ Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines.
Patient Perception and Decision Making
⦿ Overdiagnosis and Overtreatment: Addressing the issue of overdiagnosis in thyroid cancer and the role of minimally invasive treatments.
⦿ Patient Preferences: Understanding patient choices in treatment options, including active surveillance.
Second Opinions and Treatment Choices
⦿ Changing Treatment Plans: Cases where patients change their mind after seeking a second opinion.
⦿ Informed Decision Making: The importance of providing comprehensive information to patients.
Innovations in Thyroid Treatment
⦿ New Technologies: Exploring new treatments like embolization, expanding the scope of minimally invasive procedures.
Conclusion and Rapid Fire Questions
⦿ Future of Thyroid Treatment: Predictions about the shift towards ablation in the next decade.
⦿ Importance of Communication: The crucial role of clear communication in discussing cancer treatments with patients.
For podcast inquiries or if you would like to be a guest. Contact: philip@rfamd.com
124 episoder
Del
