{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:58:20Z","timestamp":1784422700431,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"vor","delay-in-days":203,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81871367"],"award-info":[{"award-number":["81871367"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To evaluate the long\u2010term efficacy and safety of ultrasound\u2010guided percutaneous laser ablation (PLA) for the treatment of low\u2010risk papillary thyroid microcarcinoma (PTMC). <jats:italic>Methods<\/jats:italic>. From June 2012 to May 2015, 105 patients with solitary, pathologically confirmed PTMC lesions were treated with ultrasound\u2010guided PLA. Nodule location, nodule volume, thyroid function, and clinical symptoms were evaluated before ablation. Contrast\u2010enhanced ultrasound (CEUS) was performed 1\u2009h after treatment to evaluate whether the ablation was complete. Ultrasound examination was performed at 1, 3, 6, and 12 months after ablation and every 6 months thereafter to determine the size of the ablation area and search for recurrence in the thyroid parenchyma and lymph node metastasis. Thyroid function was examined before and 1 month after ablation. Fine needle aspiration biopsy was performed for any suspicious metastatic lymph nodes and recurrent lesions in the thyroid. <jats:italic>Results<\/jats:italic>. All 105 lesions were completely inactivated after one ablation, making the success rate for single ablation 100%. The average ablation time was 2.78 \u00b1 1.05\u2009min, and the average ablation energy was 505 \u00b1 185\u2009J. All patients could tolerate and complete the ablation. No serious complications occurred during the treatment; only minor side effects such as pain and local discomfort were reported. The volume reduction rates were \u2212781.14 \u00b1 653.29<jats:italic>%<\/jats:italic> at 1\u2009h posttreatment and \u2212268.65 \u00b1 179.57<jats:italic>%<\/jats:italic>, \u221298.39 \u00b1 76.58<jats:italic>%<\/jats:italic>, 36.78 \u00b1 30.32<jats:italic>%<\/jats:italic>, 75.55 \u00b1 21.81<jats:italic>%<\/jats:italic>, 96.79 \u00b1 10.57<jats:italic>%<\/jats:italic>, and 100% at 1, 3, 6, 12, 18, and 24 months after ablation, respectively. This rate remained 100% at the later follow\u2010up times. Overall, 28 (26.67%), 74 (70.48%), 96 (91.43%), and 103 (100%) were completely absorbed by 6, 12, 18, and 24 months after PLA. One patient developed another lesion 12 months after ablation, and two patients had central cervical lymph node metastasis 24 months after ablation. <jats:italic>Conclusion<\/jats:italic>. PLA is a safe and effective alternative clinical treatment for low\u2010risk PTMC.<\/jats:p>","DOI":"10.1155\/2021\/6616826","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T18:35:05Z","timestamp":1627065305000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Long\u2010Term Efficacy of Ultrasound\u2010Guided Percutaneous Laser Ablation for Low\u2010Risk Papillary Thyroid Microcarcinoma: A 5\u2010Year Follow\u2010Up 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