scholarly journals Lung Ablation: Indications and Techniques

2019 ◽  
Vol 36 (03) ◽  
pp. 163-175 ◽  
Author(s):  
Bashir Akhavan Tafti ◽  
Scott Genshaft ◽  
Robert Suh ◽  
Fereidoun Abtin
Keyword(s):  
Thermal Ablation ◽  
Microwave Ablation ◽  
Local Therapy ◽  
Initial Report ◽  
Image Guided

AbstractLung ablation is ever more recognized since its initial report and use almost two decades ago. With technological advancements in thermal modalities, particularly microwave ablation and cryoablation, better identification of the cohort of patients who best benefit from ablation, and understanding the role of imaging after ablation, image-guided thermal ablation for primary and secondary pulmonary malignancies is increasingly recognized and accepted as a cogent form of local therapy.

The Role of Percutaneous Image-Guided Thermal Ablation for the Treatment of Pulmonary Malignancies

2017 ◽  
Vol 209 (4) ◽  
pp. 740-751 ◽  
Author(s):  
Samdeep K. Mouli ◽  
Ieva Kurilova ◽  
Constantinos T. Sofocleous ◽  
Robert J. Lewandowski
Keyword(s):  
Thermal Ablation ◽  
Image Guided

Pulmonary Ablation: A Primer

2014 ◽  
Vol 65 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Benjamin J. Roberton ◽  
David Liu ◽  
Mark Power ◽  
John M.C. Wan ◽  
Sam Stuart ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thermal Ablation ◽  
Microwave Ablation ◽  
Practical Knowledge ◽  
Early Stage ◽  
Treatment Options ◽  
Small Cell ◽  
Small Cell Lung ◽  
Image Guided

Percutaneous image-guided thermal ablation is safe and efficacious in achieving local control and improving outcome in the treatment of both early stage non–small-cell lung cancer and pulmonary metastatic disease, in which surgical treatment is precluded by comorbidity, poor cardiorespiratory reserve, or unfavorable disease distribution. Radiofrequency ablation is the most established technology, but new thermal ablation technologies such as microwave ablation and cryoablation may offer some advantages. The use of advanced techniques, such as induced pneumothorax and the popsicle stick technique, or combining thermal ablation with radiotherapy, widens the treatment options available to the multidisciplinary team. The intent of this article is to provide the reader with a practical knowledge base of pulmonary ablation by concentrating on indications, techniques, and follow-up.

Thermal Ablations for Colorectal Liver Metastases

2019 ◽  
Vol 03 (02) ◽  
pp. 117-125 ◽  
Author(s):  
Nicolò Gennaro ◽  
Giovanni Mauri ◽  
Gianluca Maria Varano ◽  
Lorenzo Monfardini ◽  
Vittorio Pedicini ◽  
...  
Keyword(s):  
Liver Metastases ◽  
Thermal Ablation ◽  
Microwave Ablation ◽  
Colorectal Liver Metastases ◽  
Image Guidance ◽  
Hepatic Metastases ◽  
Colorectal Cancers ◽  
Future Trends ◽  
Image Guided ◽  
Metastatic Lesions

AbstractApproximately 25% of colorectal cancers patients will develop hepatic metastases in the course of their disease. Surgical resection of hepatic metastases remains the first treatment choice for these patients, when feasible. However, only approximately 30% of metastatic lesions are resectable at the time of diagnosis. Thermal ablations have played an increasing role over the last few decades in the palliative and curative setting of colorectal liver metastases (CRLMs) in nonsurgical candidates with a liver-predominant disease. Several different techniques have been used to perform image-guided thermal ablations in the liver, including radiofrequency ablation, microwave ablation, cryoablation, and laser thermal ablation. We review the current ablation techniques, image-guidance modalities, indications, and debated topics of image-guided thermal ablation in CRLMs. Moreover, recent results from clinical trials are discussed along with future trends in liver thermal ablations.

scholarly journals Percutaneous Image-Guided Cryoablation in Vascular Anomalies

2017 ◽  
Vol 34 (03) ◽  
pp. 280-287 ◽  
Author(s):  
Raja Shaikh
Keyword(s):  
Thermal Ablation ◽  
Vascular Anomalies ◽  
Tumor Treatment ◽  
Quarter Century ◽  
Persistent Symptoms ◽  
Image Guided ◽  
Attractive Option ◽  
Characteristic Imaging ◽  
Made In

AbstractUnderstanding and management of vascular anomalies has always been intriguing. These disorders exhibit an expected pattern of clinical presentation and progression, and characteristic imaging findings. Significant progress in understanding and treating patients with vascular anomalies has been made in the past quarter century. Newer multidisciplinary domains for treating these disorders with medical drugs and less invasive image-guided or surgical procedures are constantly evolving. Vascular anomalies can exhibit aggressive tumor-like behavior resulting in recurrence or persistent symptoms after treatment. Thermal ablation has been widely used in tumor treatment. This has generated interest on using thermal ablation for treating vascular anomalies. Percutaneous image-guided cryoablation is increasingly used for this purpose as compared with other ablation technologies. Availability of small caliber cryoprobes and the ability to monitor the freeze zone in real time have made this an attractive option to interventional radiologists. These experiences are relatively new and limited. It is helpful to understand the emerging role of this technology in the treatment of vascular anomalies.

Percutaneous Thermal Ablation: Hydrodissection and Balloon Displacement to Protect Adjacent Non-Target Critical Structures

2018 ◽  
Author(s):  
Farrah J. Wolf ◽  
Jason Iannuccilli
Keyword(s):  
Thermal Ablation ◽  
Microwave Ablation ◽  
Thermal Injury ◽  
Contrast Material ◽  
Ablation Zone ◽  
Image Guided ◽  
Angioplasty Balloon ◽  
Ionic Contrast ◽  
Percutaneous Thermal Ablation ◽  
Physical Displacement

This chapter describes techniques that may be utilized to protect soft tissue structures and vessels that lie less than 1 cm from the planned ablation zone from thermal injury. Hydrodissection with dextrose 5% in water combined with non-ionic contrast material may be used as a means of providing mechanical displacement. Alternatively, an angioplasty balloon inflated with air may be used to provide both physical displacement and thermal insulation. This chapter provides an overview of the percutaneous image-guided thermal ablation technique as well as clinical examples, including microwave ablation of a renal cell carcinoma and radiofrequency ablation of a hepatocellular carcinoma, utilizing hydrodissection and balloon displacement techniques.

scholarly journals Role of percutaneous thermal ablation in cancer treatment

2021 ◽  
Author(s):  
Doha Jamal Ahmad ◽  
Amal Yahea Alyami ◽  
Abdullah Ahmed Alasker ◽  
Kholoud Bakur Fallatah ◽  
Reshan Mane AlReshan ◽  
...  
Keyword(s):  
Cancer Treatment ◽  
Thermal Ablation ◽  
Specific Volume ◽  
Microwave Ablation ◽  
The Other ◽  
Clinical Settings ◽  
Malignant Cells ◽  
Less Invasive ◽  
Percutaneous Thermal Ablation

The main aim of using thermal ablation strategies is to eliminate the targeted malignant cells within a specific volume. However, it should be noted that some researchers have reported the potential limitations of some of these techniques. On the other hand, more updated investigations indicated that these limitations could be overcome by the adjuvant use of other management modalities as chemotherapy. Many limitations have been reported with the modality, including the prolonged therapeutic time. Therefore, cryoablation and microwave ablation techniques were introduced in the literature as safe and efficacious modalities that overcame the limitations of the radiofrequency technique. Overall, percutaneous thermal ablation is associated with favorable outcomes and should be used in clinical settings due to the various advantages that have been reported for the modality, in addition to being less invasive.

Oligometastatic adrenocortical carcinoma: the role of image-guided thermal ablation

2020 ◽  
Vol 30 (12) ◽  
pp. 6958-6964
Author(s):  
Andrea Veltri ◽  
Domenico Basile ◽  
Marco Calandri ◽  
Chiara Bertaggia ◽  
Marco Volante ◽  
...  
Keyword(s):  
Adrenocortical Carcinoma ◽  
Thermal Ablation ◽  
Image Guided

scholarly journals Role of Thermal Ablation in Colorectal Cancer Lung Metastases

Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 908
Author(s):  
Alexandre Delpla ◽  
Thierry de Baere ◽  
Eloi Varin ◽  
Frederic Deschamps ◽  
Charles Roux ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Prognostic Factors ◽  
Thermal Ablation ◽  
Medical Oncology ◽  
Pulmonary Metastases ◽  
Lung Metastases ◽  
Stereotactic Ablative Radiotherapy ◽  
Chest Drainage ◽  
Results Of Surgery

Background: Consensus guidelines of the European Society for Medical Oncology (ESMO) (2016) provided recommendations for the management of lung metastases. Thermal ablation appears as a tool in the management of these secondary pulmonary lesions, in the same manner as surgical resection or stereotactic ablative radiotherapy (SABR). Methods: Indications, technical considerations, oncological outcomes such as survival (OS) or local control (LC), prognostic factors and complications of thermal ablation in colorectal cancer lung metastases were reviewed and put into perspective with results of surgery and SABR. Results: LC rates varied from 62 to 91%, with size of the metastasis (<2 cm), proximity to the bronchi or vessels, and size of ablation margins (>5 mm) as predictive factors of LC. Median OS varied between 33 and 68 months. Pulmonary free disease interval <12 months, positive carcinoembryonic antigen, absence of neoadjuvant chemotherapy and uncontrolled extra-pulmonary metastases were poor prognostic factors for OS. While chest drainage for less than 48 h was required in 13 to 47% of treatments, major complications were rare. Conclusions: Thermal ablation of a selected subpopulation of patients with colorectal cancer lung metastases is safe and can provide excellent LC and delay systemic chemotherapy.

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