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From 2018 clients with cytologically proven PTMC 10mm were discussed in a multidisciplinary group and evaluated for feasibility of image-guided thermal ablation. In the event of technical feasibility, the 3 feasible choices (i.e., image-guided thermal ablation, surgery, and active surveillance) had been discussed with clients. Patients just who decided to be treated with image directed thermal ablation underwent radiofrequency (RFA) or laser ablation under local an