NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1868
Description Before treatment, the thyroid nodule is confirmed as benign, typically by 2 fine-needle aspiration biopsies. Ultrasound-guided percutaneous microwave ablation for benign thyroid nodules is usually done in an outpatient setting using local anaesthesia. The patient lies in the supine position with moderate neck extension. A microwave antenna is inserted into the nodule using ultrasound guidance to visualise the electrode during the procedure. Once in position, the microwave antenna is activated to heat and destroy the tissue by coagulative necrosis. The antenna may be repositioned to ensure that most of the nodule is ablated. The aim is to reduce symptoms and improve cosmetic appearance by making the nodule smaller while preserving thyroid function and with fewer complications than surgery.

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For further information on how we develop guidance, please see our page about NICE interventional procedures guidance