Medically Inoperable Stage I NSCLC: RF Ablation vs 3D-CRT
Medically Inoperable Stage I NSCLC RF Ablation vs SBRT
| |||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5-year OS | |
| 3D Conf XRT | 10%~30% |
| RFA | 30%~50% |
RFA vs Radiation What about Recurrences?
- Local recurrences with RFA can be retreated with RFA or XRT- Local Recurrences with XRT not easily retreated with XRT but can be treated with RFA
Recurrence after RFA Brown university Experience
To review the recurrence patterns in patients with primary non-small cell lung cancer (NSCLC) treated with percutaneous image-guided radiofrequency (RF) ablation.
The most common pattern of recurrence was local, which suggests that more aggressive initial RF ablation and adjuvant radiation may offer improvement in outcomes. Continued follow-up imaging is needed because new recurrences were seen throughout the 2 years following treatment.
在所有复发类型中，局部复发占比28%，是通过加强首次射频消融或配合辅助放疗，加强CT随访，因为新复发通常贯穿2年时间
Michael D Beland Primary Non-Small Cell Lung Cancer: Review of Frequency, Location, and Time of Recurrence After Radiofrequency Ablation Radiology 254 (1), 301-7 2010（free）