Primary lung cancer Most common cause of cancer-related mortality Diagnostic dilemma - shell we screen? - 20 % reduction of lung cancer mortality - Cost-effectiveness: up to $ 169000 per QUALY(www.cancerresearchuk.org) Therapeutic challe...
Evaluating Response mRECIST(肺癌的mRECIST标准) 注意此标准和肝癌TACE的mRECIST标准的不同 Complete response (CR) was where the target lesion demonstrated cavitations, necrosis and cyst formation with a 25% reduction in size Partial response...
肺癌经皮热消融少有技术失败的情况 Insert Technically Unsucc Case 肿瘤与肺动脉还有距离 在针的推力下,肿瘤接近肺动脉 肿瘤与肺动脉已经无距离...
Chan, Victoria O.; McDermott, Shaunagh; Malone, Dermot E.; Dodd, Jonathan D. Percutaneous Radiofrequency Ablation of Lung Tumors: Evaluation of the Literature Using Evidence-based Techniques。Journal of Thoracic Imaging. 26(1):18-26, Febru...
MWA shows technically a better predictabel thermal profile: larger, less variable (shape and size!) and more homogeneous (skip areas!) coagulations (higher vascular thrombosis rate!) clinically a more favourable setting/outcome: no ground...
RFA - Local efficacy Median time to local tumor progression Simon CJ et al., Pulmonary Radiofrequency Ablation: Long-Term Safety and Efficacy in 153 Patients 2007, Radiology...
PERCUTANEOUS ABLATIONS Clinical Criteria: Exclusion Contraindications: - Pulmonary hypertension - Malignant Effusion Abbas G, et al. Surg Oncol 2009;100(8):645-50 Relative contraindications: - Poor lung function: FEV11L respiratory failure...
Rational for ablation Its effective (technically, oncologically, economically, ...) Its minimally-invasive Its easy to perform and safe Its still constantly evolving (new generators, smaller applicators, computer-based treatment planning,...
Invited Submission: CIRSE Standards of Practice Guidelines Published: 21 January 2012 Standards of Practice: Guidelines for Thermal Ablation of Primary and Secondary Lung Tumors...
Lung Cancer Therapeutic options Surgical resection Pneumonectomy, lobectomy, wedge resection, VATS, ... Ablation RFA, MWA, Cryo, ... RTH: SBRT, 3DCRT, ... Systemic CHT, immunotherapy, 分子靶向 ......
RF Ablation Results: Comparative Therapies High-risk stage 1 and 2 NSCLC Modalit...
Post-ablation Care Through Discharge Post-procedural nurse and physician assessm...