{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Thermal Ablation as a Game Changer: It Will Replace 50% of Thyroid Surgeries, Dr. Giovanni Mauri","description":"FIND A THYROID ABLATION DOCTOR at www.rfamd.com FOLLOW @DoctorThyroid #thyroid #thyroidcancer #ultrasound  Introduction \u29bf Host: Welcome by the host of the RFAMD podcast. \u29bf Guest: Introduction of Dr. Giovanni Mauri, a medical professional from Milan, Italy. Dr. Mauri's Journey into Medicine \u29bf Childhood Influence: Inspired by his father, a radiologist. \u29bf Career Choice: Fascination with radiology and interventional radiology. \u29bf Family Background: His father worked in diagnostic radiology in an oncological hospital. History of Ablation in Italy \u29bf Early Adoption: Discussion of pioneers in ablation treatments in Italy, starting in the 1980s. \u29bf Development: The evolution of ablation techniques, from ethanol ablation for liver cancers to radiofrequency ablation. Dr. Mauri's Specialization \u29bf Scope of Ablation: Treating various cancers (liver, kidney, lung, bone, soft tissues) with thermal ablation. \u29bf Focus on Thyroid Ablation: Special emphasis on treating both benign and malignant thyroid diseases. Patient Success Stories \u29bf Personal Case: A female patient treated multiple times for lymph node metastasis, avoiding further surgery. \u29bf Impact on Patients: Emphasizing the success and life-changing effects of successful thyroid ablation treatments. Thyroid Surgery vs. Ablation \u29bf Patient Perspective: Benefits in terms of invasiveness and future hormonal treatment. \u29bf Medical Community: Surgeons appreciating the option of ablation to manage resources and time effectively. Global Trends in Thyroid Ablation \u29bf FDA Approval: The significant impact of FDA approval in the U.S. in 2018. \u29bf Rapid Growth: Thyroid ablation as the fastest-growing field in ablation treatments worldwide. Dangers of Rapid Growth \u29bf Training and Expertise: Emphasizing the necessity of proper training and the risks posed by inexperienced practitioners. \u29bf Comparison of Techniques: Differences between traditional surgery and ultrasound-guided ablation procedures. Pioneers in Thyroid Ablation \u29bf Innovations: Introduction of specifically designed needles and techniques in Korea and Italy. \u29bf Global Adoption: The spread of thyroid ablation practices to countries like South America, North America, and Europe. Risks of Thyroid Ablation \u29bf Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage. \u29bf Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks. Risks of Thyroid Ablation \u29bf Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage.  \u29bf Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks. Unsuccessful Cases \u29bf Benign Nodules: Rare unsuccessful cases, often due to initial under-treatment. \u29bf Malignant Tumors: Possibility of incomplete ablation, with options for re-treatment. Selecting the Right Provider \u29bf Criteria for Choosing: Experience of the physician, ideally in a hospital setting for beginners. \u29bf Importance of Supervision: Emphasis on proper environment and supervision for new practitioners. Addressing Skepticism \u29bf Literature and Communication: Using scientific evidence and open discussions to address concerns. \u29bf Surgical Alternatives: Emphasizing ablation as a reversible option compared to definitive surgery. Types of Ablation \u29bf Radiofrequency vs. Microwave: Discussion on the advantages and risks of each type in thyroid treatments. Guidelines and Clinical Experience \u29bf Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines. \u29bf Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines. Guidelines and Clinical Experience \u29bf Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines. \u29bf Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines. Patient Perception and Decision Making \u29bf Overdiagnosis and Overtreatment: Addressing the issue of overdiagnosis in thyroid cancer and the role of minimally invasive treatments. \u29bf Patient Preferences: Understanding patient choices in treatment options, including active surveillance. Second Opinions and Treatment Choices \u29bf Changing Treatment Plans: Cases where patients change their mind after seeking a second opinion. \u29bf Informed Decision Making: The importance of providing comprehensive information to patients. Innovations in Thyroid Treatment \u29bf New Technologies: Exploring new treatments like embolization, expanding the scope of minimally invasive procedures. Conclusion and Rapid Fire Questions  \u29bf Future of Thyroid Treatment: Predictions about the shift towards ablation in the next decade. \u29bf 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 ","author_name":"Doctor Thyroid","author_url":"http:\/\/docthyroid.com\/","html":"