Thyroid Radiofrequency
Ablation
in Atlanta, GA

A Minimally Invasive Alternative to Thyroid Surgery

At American Endocrine, we specialize in radiofrequency ablation (RFA) for thyroid conditions. RFA is particularly useful for patients with benign thyroid nodules that cause pressure symptoms related to their size or are visible and aesthetically undesirable. We offer a non-invasive alternative to surgery with excellent outcomes.

What Is Thyroid Radiofrequency Ablation (RFA)?

Thyroid RFA is a minimally invasive procedure that uses radio waves to generate heat and destroy abnormal thyroid tissue, such as nodules. This technique is particularly beneficial for patients with benign thyroid nodules that are symptomatic or cause cosmetic concerns, offering a less invasive alternative to traditional surgery. RFA is used to shrink these nodules, which can alleviate symptoms such as difficulty swallowing or the visible appearance of nodules on the neck.

Dr. Hyunsuk Suh has undergone training in radiofrequency ablation with Dr. Baek at Asan Medical Center, who performed the very first thyroid RFA and is considered the leader in the field.

RFA vs. Surgery:
Which One to Choose

When comparing RFA to traditional surgery, several distinct advantages emerge, highlighting the benefits of RFA as a treatment option. Firstly, RFA is considered minimally invasive, as it only involves a needle probe, resulting in less disruption to surrounding tissues and typically leading to significantly quicker recovery times for patients. This aspect is particularly appealing to those who wish to minimize downtime and return to their daily activities as soon as possible.

Additionally, RFA provides a high degree of precision in targeting the affected thyroid tissue, which helps preserve overall thyroid function by minimizing damage to the rest of the gland. This targeted approach reduces the likelihood of complications, such as infections, bleeding, or potential nerve damage, which are more common in traditional surgery. These factors make RFA an attractive option for patients looking for safer and less invasive treatment alternatives.

Thyroid RFA Procedure: What to Expect

Anesthesia

Once you are determined to be a candidate, the RFA is performed as an outpatient procedure under local anesthesia. You will be awake, lying down comfortably, and communicating with the team throughout the procedure.

Probe Insertion & Treatment

Under the guidance of ultrasound, which provides real-time imaging, a thin needle probe is carefully inserted into the target thyroid nodule. Once properly positioned, radiofrequency wave energy is transmitted through the probe. The entire process typically takes less than an hour.

Observation

You will be observed for a short period before discharge. Post-procedural care involves taking over-the-counter anti-inflammatory medications and applying intermittent cold compression for your comfort.

Follow-Up Visit

A follow-up visit with an ultrasound exam will be scheduled in 3 months to monitor progress and for blood work.

Indications for RFA Treatment

Radiofrequency ablation (RFA) is particularly effective for treating benign thyroid nodules under specific conditions, making it a preferred choice for addressing certain patient needs. RFA is ideally suited for solid or predominantly solid benign thyroid nodules, where it can effectively reduce their size and impact.

This treatment is especially beneficial for nodules that cause size-related symptomatic issues, such as difficulties with swallowing or visible cosmetic concerns, or for nodules that produce an excessive amount of thyroid hormone, referred to as ‘hot’ or ‘toxic’ nodules, which can lead to hyperthyroidism. A simple and quick treatment can improve your quality of life.

Additionally, for RFA to be considered a safe option, the targeted nodules must be located at a safe distance from critical structures in the neck. This precaution helps to avoid potential complications during the procedure, ensuring the safety and effectiveness of the treatment.

Am I a Candidate for RFA?

To determine if you qualify for RFA, a thorough evaluation is necessary, including neck imaging and a fine-needle aspiration biopsy to confirm the benign nature of the nodule. If you are experiencing symptoms related to thyroid nodules and are interested in a minimally invasive treatment option, please reach out to American Endocrine for a personalized consultation. Our team will work with you to assess your condition and discuss whether RFA is the right choice for your healthcare needs.

Thyroid Cancer and
RFA

The role of RFA for small, low-risk thyroid cancer is being studied. The size and location of the thyroid cancer are essential factors. Patients with suspicion of possible thyroid cancer spread to adjacent lymph nodes are not candidates for RFA.

Benefits of Thyroid Radiofrequency Ablation

Minimally Invasive

RFA involves a needle probe under local anesthesia, resulting in less pain and faster recovery. This approach provides patients with an effective method for removing thyroid nodules without the need for open surgery.

Function Preservation

The procedure targets only the problematic nodule, preserving the surrounding healthy thyroid tissue. As a result, most patients can maintain normal thyroid function after treatment.

Low Risk

RFA carries a reduced risk of complications, such as nerve damage, bleeding, or injury to other organs. It also allows patients to avoid cosmetically unacceptable incisions, making it an appealing alternative to surgery.

Reduced Solid Nodules

RFA is ideal for treating benign solid nodules, effectively shrinking their size or even completely eliminating smaller nodules. This reduction improves both physical comfort and cosmetic appearance.

Symptomatic Relief

RFA is best suited for large nodules causing discomfort, swallowing difficulties, shortness of breath, voice changes, or visible lumps. This treatment can effectively treat symptomatic nodules, improving overall quality of life.

More Inclusive

RFA is suitable for a wider group of patients who might not be surgical candidates. This makes it an excellent option for individuals seeking a safer, less invasive solution.

Disadvantages and Risks of RFA

While RFA is a safe and effective treatment option for many patients with thyroid nodules, it is not without its limitations and potential complications:

Incomplete ablation of the nodule: The goal of RFA is to “shrink” the nodule, not to eliminate it. You will need serial follow-ups with ultrasound, and the ablated nodule can regrow, requiring additional treatments.
No final tissue diagnosis: Compared to surgical resection, there is no tissue specimen for a pathologist to review. A cancer diagnosis could be missed or delayed.
Although rare, injury from needle probe manipulation and excessive thermal injury to surrounding tissue can occur, leading to nerve damage, bleeding, infection, or other complications related to the procedure.

These risks underscore the importance of careful patient selection and meticulous procedural execution by experienced medical professionals, such as Dr. Suh.

Cost of Thyroid Radiofrequency Ablation in Atlanta, GA

The cost of thyroid radiofrequency ablation in Atlanta typically ranges from $3,500 to $8,000, depending on factors such as the size and number of nodules being treated. Insurance coverage is becoming more common, but for those paying out of pocket, our office can provide a precise estimate during your consultation.

We Offer the Latest Innovations in Thyroid Treatment

At American Endocrine, patients benefit from advanced approaches that combine world-class training and cutting-edge techniques. Dr. Hyunsuk Suh, educated at Emory University and internationally trained in robotic and endocrine surgery, has helped redefine the treatment of thyroid and parathyroid disorders. Using precision methods, such as ultrasound guidance and specialized temperature monitoring, our team ensures procedures are both safe and effective. We provide care for patients with visibly conspicuous benign nodules, offer minimally invasive options to treat toxic nodules, and deliver expertise in both thyroid and parathyroid surgery. This commitment to innovation enables us to provide patients with tailored solutions that enhance function, appearance, and overall quality of life.

Our Partnership with STARmed

American Endocrine has partnered with STARmed, the first and leading provider of medical technology for RFA procedures, to bring this advanced treatment to our patients.

Frequently Asked Questions (FAQs)

Is the procedure painful?

During thyroid radiofrequency ablation, a local anesthetic is used to numb the treatment area, and in some cases, oral sedative medication is given to help you feel more relaxed. Most patients tolerate the procedure very well, and any discomfort afterward is usually mild enough to be managed with over-the-counter pain medication.

What is a thyroid nodule?

Thyroid nodules are abnormal growths that develop within the thyroid gland. While many of them are harmless, some can become visible benign thyroid nodules that cause cosmetic concerns or pressure symptoms. Not all nodules require treatment. However, evaluation is crucial, especially in cases of indeterminate nodules, which may necessitate closer monitoring or intervention.

Why is thyroid RFA a better alternative to head and neck surgery in many cases?

Thyroid RFA is a minimally invasive procedure that uses an electrical needle probe to generate heat energy and destroy (“ablate”) thyroid tissue. It’s an effective alternative treatment option to surgery for certain benign thyroid conditions.

Will my thyroid gland continue working properly after RFA?

Yes. Thyroid radiofrequency ablation is designed to shrink thyroid nodules while preserving the rest of the gland. By using carefully controlled radiofrequency energy, only the targeted tissue is treated, leaving healthy thyroid tissue intact. In most cases, the thyroid gland continues to function normally, and patients do not require thyroid supplementation afterward.

Which procedure should I consider if I have a more severe thyroid condition?

If your initial consultation reveals a more complex condition, such as very large nodules or nodules suspicious for cancer, you may be better suited for traditional thyroid surgery. In such cases, the nodule or thyroid tissue is surgically removed through surgical excision, which may sometimes require thyroid supplements afterward. Open surgery may require advanced pain control measures, and it also carries higher risks of collateral injury, particularly to the vocal cord. While recovery is longer than with RFA, most patients return to normal activity once healing is complete. It is best to schedule a consultation with Dr. Suh to evaluate your condition. RFA may be a treatment option, involving the use of a rapidly oscillating electrical current for tissue dissection with maximum safety and comfort.

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Thyroid Radiofrequency Ablation in Atlanta, GA