Percutaneous stereotactic image-guided microwave ablation for malignant liver lesions

被引:0
|
作者
Stéphanie Perrodin
Anja Lachenmayer
Martin Maurer
Corina Kim-Fuchs
Daniel Candinas
Vanessa Banz
机构
[1] Bern University Hospital and University of Bern,Department of Visceral Surgery and Medicine, Inselspital
[2] Bern University Hospital and University of Bern,Department of Radiology, Inselspital
来源
Scientific Reports | / 9卷
关键词
D O I
暂无
中图分类号
学科分类号
摘要
Thermal ablation has proven beneficial for hepatocellular carcinoma and possibly for colorectal liver metastases, but data is lacking for other liver metastases. Computer-assisted navigation can increase ablation efficacy and broaden its indications. We present our experience with percutaneous stereotactic image-guided microwave ablation (SMWA) for non-colorectal liver metastases (NCRLM), in form of a retrospective study including all SMWA for NCRLM from 2015 to 2017. Indication for SMWA was determined at a multidisciplinary tumorboard. End-points include recurrence, overall and liver-specific disease progression and complications. Twenty-three patients underwent 25 interventions for 40 lesions, including 17 neuroendocrine tumor, nine breast cancer, four sarcoma, two non-small cell lung cancer, three duodenal adenocarcinoma, one esophageal adenocarcinoma, one pancreatic adenocarcinoma, one ampullary carcinoma, one prostate carcinoma, and one renal cell carcinoma metastases. Median follow-up was 15 months (2–32). Incomplete ablation rate was 2.5% (1/40), local recurrence rate 10% (4/40). Three patients (12%) had minor complications. Overall disease progression was 73.9% (17/23), median disease-free survival 7 months (0–26) and overall survival 18 months (2–39). SIMWA is feasible, safe and minimally invasive for NCRLM in selected patients. While it might offer an alternative to resection or palliative strategies, the oncological benefit needs to be evaluated in a larger patient cohort.
引用
收藏
相关论文
共 50 条
  • [21] Percutaneous image-guided radiofrequency ablation of renal malignancies
    Zagoria, RJ
    RADIOLOGIC CLINICS OF NORTH AMERICA, 2003, 41 (05) : 1067 - +
  • [22] Update on Image-Guided Percutaneous Ablation of Breast Cancer
    Fleming, Margaret M.
    Holbrook, Anna I.
    Newell, Mary S.
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2017, 208 (02) : 267 - 274
  • [23] Image-guided percutaneous ablation of hepatic epithelioid hemangioendothelioma
    Emmy Y. Hu
    Sharath K. Bhagavatula
    Andy Shi
    Priscilla Merriam
    Vincent M. Levesque
    Paul B. Shyn
    Abdominal Radiology, 2024, 49 : 1241 - 1247
  • [24] The role of percutaneous image-guided ablation for lung tumors
    Petre, Elena N.
    Solomon, Stephen B.
    Sofocleous, Constantinos T.
    RADIOLOGIA MEDICA, 2014, 119 (07): : 541 - 548
  • [25] The role of percutaneous image-guided ablation for lung tumors
    Elena N. Petre
    Stephen B. Solomon
    Constantinos T. Sofocleous
    La radiologia medica, 2014, 119 : 541 - 548
  • [26] Percutaneous image-guided ablation: From techniques to treatments
    Ridouani, Fourat
    Srimathveeravalli, Govindarajan
    PRESSE MEDICALE, 2019, 48 (7-8): : E219 - E231
  • [27] Image-guided percutaneous ablation of hepatic epithelioid hemangioendothelioma
    Hu, Emmy Y.
    Bhagavatula, Sharath K.
    Shi, Andy
    Merriam, Priscilla
    Levesque, Vincent M.
    Shyn, Paul B.
    ABDOMINAL RADIOLOGY, 2024, 49 (04) : 1241 - 1247
  • [28] Image-Guided Percutaneous Ablation for Primary and Metastatic Tumors
    Mansur, Arian
    Garg, Tushar
    Shrigiriwar, Apurva
    Etezadi, Vahid
    Georgiades, Christos
    Habibollahi, Peiman
    Huber, Timothy C.
    Camacho, Juan C.
    Nour, Sherif G.
    Sag, Alan Alper
    Prologo, John David
    Nezami, Nariman
    DIAGNOSTICS, 2022, 12 (06)
  • [29] Percutaneous Image-Guided Ablation of Breast Tumors: An Overview
    Sag, Alan A.
    Maybody, Majid
    Comstock, Christopher
    Solomon, Stephen B.
    SEMINARS IN INTERVENTIONAL RADIOLOGY, 2014, 31 (02) : 193 - 202
  • [30] Image-guided percutaneous thermal ablation of bone tumors
    Groenemeyer, DHW
    Schirp, S
    Gevargez, A
    ACADEMIC RADIOLOGY, 2002, 9 (04) : 467 - 477