Thyroid radiofrequency ablation and microwave ablation are widely adopted minimally invasive treatments for diverse thyroid conditions worldwide. Fundamental skills such as the trans-isthmic approach and the moving shot technique are crucial for performing thyroid ablation, and advanced techniques, including hydrodissection and vascular ablation, improve safety and efficacy and reduce complications. Given the learning curve associated with ultrasound-guided therapeutic procedures, operators need training and experience. While training models exist, limited attention has been given to ultrasound maneuvers in ablation needle manipulation. This article introduces two essential maneuvers, the zigzag moving technique and the alienate maneuver, while also reviewing the latest ultrasound techniques in thyroid ablation, contributing valuable insights into this evolving field.
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A cost-effective porcine training model for thermal ablation of thyroid nodules and subsequent transoral endoscopic thyroidectomy Lei Min, Yujing Weng, Weichun Chen, Debiao Chen, Qing Ai, Jiang Jiang, Zhiheng Huang Minimally Invasive Therapy & Allied Technologies.2026; 35(1): 79. CrossRef
Factors associated with early complete resolution after radiofrequency ablation for low-risk papillary thyroid microcarcinoma: a dual-center retrospective study Yuxuan Qiu, Yina Zhang, Jingqi Zhu, Yun Gong, Lu Yin, Pin Fan, Lian Zhang, Lingyun Bao, Jianhua Fang, Jun Lou, Chenke Xu European Radiology.2026; 36(7): 5277. CrossRef
Controlled minimally invasive surgical interventions for the treatment of patients with thyroid carcinoma David D. Dolidze, Zurab A. Bagatelia, Suren G. Laboyan, Arshak V. Vardanyan, Konstantin S. Titov, Ivan N. Lebedinsky, Georgi Genadi Melkonyan, Dmitriy V. Matveev, Nodar N. Gogitidze, Andrei Y. Lukin, Armen R. Oganyan, David G. Gogolashvili, Anastasia V. B Journal of Experimental and Clinical Surgery.2026; 19(1): 45. CrossRef
Expression of serum inflammatory factors and vascular endothelial growth factor and volume reduction rate in thyroid nodules treated with ultrasound-guided radiofrequency ablation Hui Yang, Mei Liu, Yadong Zhou, Yali He, Huijuan Jin Journal of Medical Biochemistry.2026; (00): 87. CrossRef
North American Society for Interventional Thyroidology Statement on Directed Ablative Therapy for the Management of Low Risk Papillary Thyroid Carcinoma Chelsey K. Baldwin, Kaitlyn M. Frazier, Jennifer H. Kuo, Julia E. Noel, Jonathon O. Russell, Victoria E. Banuchi Endocrine Practice.2026;[Epub] CrossRef
Volumetric outcomes of ultrasound-guided microwave ablation for benign thyroid nodules: A single-centre retrospective cohort study İsmail Engin, Ali H. Emirkadı, Zafer Ü. Coşkun Ultrasound.2026;[Epub] CrossRef
Advances in Ultrasound-Targeted Microbubble Destruction (UTMD) for Breast Cancer Therapy Yunfeng Wu, Yuxi Liu, Han Wu, Mengying Tong, Linyao Du, Shuangsong Ren, Ying Che International Journal of Nanomedicine.2025; Volume 20: 1425. CrossRef
Diagnostic accuracy of ultrasound in hyperthyroidism: A comprehensive review of recent studies Dawei Wang, Chao Xie, Xuena Zheng, Min Li Journal of Radiation Research and Applied Sciences.2025; 18(2): 101370. CrossRef
Current evidence and strategies for preventing tumor recurrence following thermal ablation of papillary thyroid carcinoma Ru Li, Luyang Yang, Ming Xu, Baofeng Wu, Qinhao Liu, Qin An, Yuchen Sun, Yi Zhang, Yunfeng Liu Cancer Imaging.2025;[Epub] CrossRef
Ablación de nódulos tiroideos: revisión de la literatura Alex Wash Franulic Revista Médica Clínica Las Condes.2025; 36(4): 267. CrossRef
Thermal ablation for papillary thyroid microcarcinoma in the isthmus: a systematic review and meta-analysis Yuqi Hao, Kun Liao, Ling Zeng, Lili Feng Endocrine Connections.2025;[Epub] CrossRef
Current role of interventional radiology in thyroid nodules Onur Taydas, Erbil Arik, Omer Faruk Sevinc, Ahmet Burak Kara, Mustafa Ozdemir, Hasret Cengiz, Zulfu Bayhan, Mehmet Halil Ozturk Frontiers in Endocrinology.2024;[Epub] CrossRef
Recurrent laryngeal nerve monitoring by flexible laryngoscopy during thyroid radiofrequency ablation in the awake patient Marsida Teliti, Antonio Occhini, Rodolfo Fonte, Laura Croce, Benedetto Calì, Federica Antonella Ripepi, Andrea Carbone, Mario Rotondi, Spyridon Chytiris Frontiers in Endocrinology.2024;[Epub] CrossRef