Principles of and Advances in Percutaneous Ablation

被引:673
作者
Ahmed, Muneeb [1 ,2 ]
Brace, Christopher L. [4 ,5 ]
Lee, Fred T., Jr. [4 ,5 ]
Goldberg, S. Nahum [1 ,3 ,6 ]
机构
[1] Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Lab Minimally Invas Tumor Therapy,Dept Radiol, Boston, MA 02215 USA
[2] Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Sect Intervent Radiol,Dept Radiol, Boston, MA 02215 USA
[3] Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Sect Abdominal Imaging,Dept Radiol, Boston, MA 02215 USA
[4] Univ Wisconsin, Dept Radiol, Madison, WI 53706 USA
[5] Univ Wisconsin, Dept Elect & Comp Engn, Madison, WI 53706 USA
[6] Hadassah Hebrew Univ, Med Ctr, Dept Radiol, Div Image Guided Therapy, Jerusalem, Israel
关键词
RADIOFREQUENCY THERMAL ABLATION; SMALL HEPATOCELLULAR-CARCINOMA; ETHANOL INJECTION THERAPY; VIVO PORCINE LIVER; INTRATUMORAL LIPOSOMAL DOXORUBICIN; INTERNALLY COOLED ELECTRODE; LASER-INDUCED THERMOTHERAPY; FINITE-ELEMENT-ANALYSIS; ACETIC-ACID INJECTION; RENAL-CELL CARCINOMA;
D O I
10.1148/radiol.10081634
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Image-guided tumor ablation with both thermal and nonthermal sources has received substantial attention for the treatment of many focal malignancies. Increasing interest has been accompanied by continual advances in energy delivery, application technique, and therapeutic combinations with the intent to improve the efficacy and/or specificity of ablative therapies. This review outlines clinical percutaneous tumor ablation technology, detailing the science, devices, techniques, technical obstacles, current trends, and future goals in percutaneous tumor ablation. Methods such as chemical ablation, cryoablation, high-temperature ablation (radiofrequency, microwave, laser, and ultrasound), and irreversible electroporation will be discussed. Advances in technique will also be covered, including combination therapies, tissue property modulation, and the role of computer modeling for treatment optimization. (C) RSNA, 2011
引用
收藏
页码:351 / 369
页数:19
相关论文
共 152 条
  • [1] Improved coagulation with saline solution pretreatment during radiofrequency tumor ablation in a canine model
    Ahmed, M
    Lobo, SM
    Weinstein, J
    Kruskal, JB
    Gazelle, GS
    Halpern, EF
    Afzal, SK
    Lenkinski, RE
    Goldberg, SN
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2002, 13 (07) : 717 - 724
  • [2] Combination radiofrequency ablation with intratumoral liposomal doxorubicin: Effect on drug accumulation and coagulation in multiple tissues and tumor types in animals
    Ahmed, M
    Liu, ZJ
    Lukyanov, AN
    Signoretti, S
    Horkan, C
    Monsky, WL
    Torchilin, VP
    Goldberg, SN
    [J]. RADIOLOGY, 2005, 235 (02) : 469 - 477
  • [3] Combination radiofrequency thermal ablation and adjuvant IV liposomal doxorubicin increases tissue coagulation and intratumoural drug accumulation
    Ahmed, M
    Goldberg, SN
    [J]. INTERNATIONAL JOURNAL OF HYPERTHERMIA, 2004, 20 (07) : 781 - 802
  • [4] Computer modeling of the combined effects of perfusion, electrical conductivity, and thermal conductivity on tissue heating patterns in radiofrequency tumor ablation
    Ahmed, Muneeb
    Liu, Zhengjun
    Humphries, Stanley
    Goldberg, S. Nahum
    [J]. INTERNATIONAL JOURNAL OF HYPERTHERMIA, 2008, 24 (07) : 577 - 588
  • [5] Algan Ö, 2000, CANCER, V89, P399, DOI 10.1002/1097-0142(20000715)89:2<399::AID-CNCR27>3.0.CO
  • [6] 2-4
  • [7] Survival of cirrhotic patients with early hepatocellular carcinoma treated by percutaneous ethanol injection or liver transplantation
    Andriulli, A
    de Sio, R
    Solmi, LI
    De Carlis, L
    Troisi, R
    Grasso, A
    Festa, V
    Caturelli, E
    Giacomoni, A
    Blanco, CD
    De Hemptinne, B
    Burroughs, A
    Perri, F
    [J]. LIVER TRANSPLANTATION, 2004, 10 (11) : 1355 - 1363
  • [8] Influence of NaCl concentrations on coagulation, temperature, and electrical conductivity using a perfusion radiofrequency ablation system:: An ex vivo experimental study
    Aube, Christophe
    Schmidt, Diethard
    Brieger, Jens
    Schenk, Martin
    Kroeber, Stefan
    Vielle, Bruno
    Claussen, Claus D.
    Goldberg, S. Nahum
    Pereira, Philippe L.
    [J]. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2007, 30 (01) : 92 - 97
  • [9] Intelligent biosynthetic nanobiomaterials for hyperthermic combination chemotherapy and thermal drug targeting of HSP90 inhibitor geldanamycin
    Bae, Younsoo
    Buresh, Rita A.
    Williamson, Tracy P.
    Chen, Tze-Haw Howard
    Furgeson, Darin Y.
    [J]. JOURNAL OF CONTROLLED RELEASE, 2007, 122 (01) : 16 - 23
  • [10] BARDY GH, 2005, AM J PHYSL 2, V258, pH1899