A new AI tool improves identification of parathyroid glands during thyroid surgeries, making operations safer and more efficient. Smartthyroid achieved a mean dice score of 0.873, significantly reducing recognition time for all surgeons. Junior surgeons showed improved gland recognition rates, enhancing their performance in complex procedures. This AI technology could transform patient outcomes by minimizing […]
Category: Endocrine Surgery
New thresholds for fine-needle aspiration thyroglobulin redefine metastatic thyroid cancer diagnostics
Fine-needle aspiration thyroglobulin (fna-tg) enhances detection of lymph node metastases in papillary thyroid carcinoma. An optimal cutoff value of 0.865 ng/ml yields 80% sensitivity and 94.4% specificity. When paired with cytological and thyroglobulin ratio assessments, diagnostic accuracy soars to 96.6%. The fna-tg levels correlate with serum thyroglobulin and thyroid status, streamlining the identification of metastatic […]
Percutaneous Vagal Stimulation Outperforms Peroral Method in Thyroid Surgery
In a comparative study of neuromonitoring techniques during transoral thyroidectomy, percutaneous continuous vagal stimulation (PC) demonstrated superior performance over the conventional peroral delta electrode method. The PC group achieved faster electrode positioning, fewer displacement issues, and more reliable EMG signals. While both groups faced traction-related nerve injuries during surgery, the PC group’s incidents resulted in […]
Novel Technique Cuts Chylous Fistula Rates in Thyroid Surgery
A new surgical method—reverse-sequence dissection—dramatically reduces chylous fistula occurrences after lateral neck lymph node dissection for thyroid cancer. In a study of 989 patients, those undergoing the novel technique showed a chylous fistula rate of just 0.81%, compared to 5.05% in the traditional method cohort. This advancement not only enhances surgical safety but also offers […]
AI Boosts Accuracy in Thyroid Neoplasm Diagnoses
A novel deep learning model significantly enhances the preoperative diagnosis of follicular-patterned thyroid neoplasms (FNs) using routine ultrasound images. In extensive multicenter validation, the model achieved an impressive AUC of 0.937 for internal and 0.853 for external cohorts. Moreover, it demonstrated high accuracy (90.9% and 82.8%) and sensitivity (93.9% and 84.5%), streamlining clinical decision-making and […]
An ATF/CREB-based model predicts outcomes in adrenocortical carcinoma
A seven-gene prognostic model derived from the ATF/CREB family effectively stratifies adrenocortical carcinoma (ACC) patients into high- and low-risk groups based on overall survival. This model not only serves as an independent prognostic factor across various clinical settings but also reveals unique immune characteristics linked to high-risk patients, including reduced CD8+ T cell presence and […]
Artificial intelligence enhances preoperative assessment of thyroid conditions
Advances in artificial intelligence are revolutionizing the preoperative evaluation of thyroid nodules, significantly improving diagnostic accuracy. By enhancing imaging, cytopathology diagnostics, and prognostic assessments, AI minimizes reliance on clinical judgment and reduces diagnostic errors. The ability to process large volumes of data enables a comprehensive analysis of thyroid conditions, facilitating the development of tailored treatment […]
A cost-effective liver retraction technique improves laparoscopic surgery.
Researchers introduced a novel liver retraction approach for laparoscopic right adrenalectomy using basic local tools, enhancing feasibility in resource-limited settings. This technique, featuring a unique port configuration and ergonomic support, was designed to prevent liver injury while ensuring optimal surgical exposure. Its simplicity and cost-effectiveness demonstrate potential for broad adoption in developing countries, addressing challenges […]
Minimally invasive parathyroidectomy under local anesthesia is effective.
A systematic review of 23 studies involving 2,470 adults with primary hyperparathyroidism demonstrated the feasibility of minimally invasive parathyroidectomy under local anesthesia. Operative times averaged 43.86 minutes with a 95-97% success rate. Patients experienced a mean hospitalization of just 16.83 hours and relatively few complications. Preoperative and postoperative parathyroid hormone and calcium levels showed significant […]
Increased adoption of intraoperative nerve monitoring in Italy
A nationwide survey revealed that 67.14% of Italian endocrine surgeons now routinely employ intraoperative nerve monitoring (IONM) during thyroid and parathyroid surgeries. This marks a significant increase since 2014, indicating improved surgical safety and reduced complication rates. Despite growing acceptance, challenges such as the variability in monitoring strategies and the occurrence of false results remain. […]