What is interventional thyroidology?
Interventional thyroidology is a rapidly evolving field using the minimally invasive image-guided techniques of percutaneous ablation and thyroid artery embolisation to treat benign and some malignant thyroid nodules without surgery.
These outpatient procedures reduce nodule size, preserve thyroid function, and prevent scarring.
Interventional Thyroidology
Interventional thyroidology as an alternative to surgery
Dr Bryan Barry is one of the early adopters of percutaneous thermal based ablation (TA) to treat benign thyroid nodules and was the first to offer and perform Thryoid Artery Embolisation (TAE) to multinodular goitre (MNG) in Australia.
These minimally invasive techniques bridge the clinical gap for patients who are unable or unwilling to undergo more invasive surgical procedures.
Minimally invasive procedures such as TA and TAE can be performed with minimal discomfort, lower risk of complications and as a day procedure, allowing patients to return home the same day and resume normal activities.
Frequently Asked Questions
Am I a suitable candidate?
1
The procedure is most suitable for patients with symptomatic, benign thyroid nodules who are looking for an alternative to surgery (thyroidectomy). Suitability is assessed at an initial outpatient consultation, where an interventional radiologist will examine you and review factors such as nodule size and location. Malignant nodules are also feasible but require further investigation and multidisciplinary discussion before proceeding.
Is the procedure performed under general anaesthesia?
2
No, the procedure is typically performed under local anaesthetic with you awake. General anaesthesia is not required. Most patients experience minimal pain and discomfort.
Is the procedure performed as an outpatient?
3
Yes all of our procedures are performed as outpatients. Most patients are discharged the same day after 1–4 hours of observation. Recovery and return-to-work times are generally shorter than with surgery, and scarring at the needle insertion site is minimal. Note someone will need to take you home from the hospital and you will not be able to drive on the same day.
What is the referral process?
4
A referral from your GP, endocrinologist, or surgeon is required to access this service. We will then contact you to arrange a consultation based on clinical priority and waiting list availability. If suitable, your procedure will then be booked at the earliest possible date at Liverpool Hospital or Sydney Southwest Hospital.
What is the cost of the procedure?
5
There is no charge for thyroid ablation or thyroid embolisation in Medicare eligible public patients.