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Type 2 diabetes (T2D) is a progressive metabolic condition associated with obesity, cardiovascular disease and substantial morbidity and mortality.1 Despite the availability of multiple glucose-lowering therapies, a significant proportion of individuals with T2D fail to achieve recommended glycemic targets, particularly those with long disease duration, obesity and insulin resistance.2,3 In parallel, excess adiposity remains a major driver of […]

Lisanne de Koster, ETA 2021: FDG-PET/CT Prior to Diagnostic Thyroid Surgery

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Published Online: Oct 4th 2021

We caught up with Dr Lisanne de Koster, (Radboud University Medical Center, Nijmegen, The Netherlands) to discuss her study which investigated whether the use of FDG-PET/CT could prevent unnecessary diagnostic thyroid surgery.

The abstract ‘Efficacy of 18F-FDG-PET/CT in evaluation of cytological indeterminate thyroid nodules prior to surgery (EfFECTS): a randomised-controlled multicentre trial’ (Abstract 49) was presented at the European Thyroid Association (ETA) Annual Meeting 2021, 4-7 September 2021.

Questions

1. How is papillary thyroid cancer currently diagnosed and prognosed? (0:15)
2. Why is it important to avoid unbeneficial diagnostic thyroid lobectomies and how might fludeoxyglucose (18F-FDG)-PET/CT imaging improve preoperative differentiation? (0:53)
3. What impact did FDG-PET/CT imaging have on unbeneficial diagnostic thyroid lobectomies? (2:36)
4. Are there any nodule types where FDG-PET/CT imaging was more or less useful in pre-operative nodule differentiation? (03:14)
5. What impact will these findings have on patients and is there anything more that needs to be done to inform clinical management guidelines (04:13)

Disclosures: Dr Lisanne de Koster has nothing to disclose in relation to this video.

Support: Interview and filming supported by Touch Medical Media. Interview conducted by Louise Taylor.

Filmed in coverage of the European Thyroid Association (ETA) Annual Meeting 2021, 4-7 September 2021.

 

18F-FDG = 2-deoxy-2-[fluorine-18]fluoro-D-glucose; CT = computed tomography; PT = positron emission.

Reference

de Koster EJ, De Geus-Oei L-F, Brouwers AH, et al. 49: Efficacy of 18F-FDG-PET/CT in evaluation of cytological indeterminate thyroid nodules prior to surgery (EfFECTS): a randomised-controlled multicentre trial. Eur Thyroid J 2021;10(Suppl. 1):13.

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