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The purpose of this study is to evaluate thyroid nodule's volume, structure and vascularisation changes following HIFU therapy assessed by ultrasonography
HIFU treatment will be performed under conscious sedation under the supervision / responsibilities of an anesthetist.
A maximum of 2 HIFU sessions per nodule will be performed per patient. The decision to retreat the patient will be taken at 1 month post-HIFU or later.
Follow-up after HIFU treatment
D1 after HIFU session:
D7 after HIFU session
M1 after HIFU session
M3 after HIFU session
In case of a second HIFU session D7b, M1b and M3b, M6b, M9b, M12b, M18b, M24b and M36b will be performed
M6 after last HIFU session
M9 after HIFU session
M12 after last HIFU session
M18, M24, M36 after HIFU session
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HIFU treatment | Experimental | use of HIFU treatment in patients with non-malignant thyroid nodules |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HIFU treatment | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in thyroid nodule's volume | Month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in thyroid nodule's structure and vascularisation | Month 6 | |
| Number of participants with adverse events | D1, D7, M1, M3 and M6 |
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Inclusion Criteria:
Male or female patient 18 years or older.
Patient presenting with at least one thyroid nodule with no signs of malignancy:
Normal TSH.
Targeted nodule accessible and eligible to HIFU
Absence of abnormal vocal cord mobility at laryngoscopy.
Nodule diameter ≥ 10mm measured by ultrasound.
Composition of the targeted nodule(s) : no more than 30% cystic
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roussanka Kovatcheva, Prof. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic of thyroid and metabolite bone disease of the Acad. of Ivan Penchev UDHATE - 2, Zdrave street | Sofia | 14031 | Bulgaria |
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