Percutaneous ablation of lung tumors is a minimally invasive therapy for patients with primary or metastatic cancer Not surgical candidates Standard therapy fails...

Prior to the procedure, the potential side effects are explained to the patient including possible post-ablation syndrome, in which an inflammatory response may result in fever, malaise, and anorexia which may persist for several days (29)....

1. 门诊准备 2. 入院准备 - entails（必需） taking a history bleeding diathesis anticoagulants and antiplatelet agents Medical comorbidities screened for the presence of cardiac devices，because the energy from RFA may potentially interfere...

研究的设计和分析 Primary endpoints Duration of patient follow-up (date of ablation to last known chest CT or PET/CT) Primary and secondary technical success rate Time to first recurrence/local control rate All-cause and cancer specific mort...

62% (33/53) of tumors 3 cm succes sfully treated in one session - Compares favorably with RFA literature (23-40% success rate in tumors over 3 cm) - Tumors over 4 cm typically excluded in RFA literature (our study had 36 tumors 4 cm) Data...

Nonenhanced and contrast-enhanced chest CT routine at 1-, 3-, and 6-months - 3- and 6-month studies occasionally replaced with FDG PET/CT 1-month follow up at Tumor Ablation Clinic - Discuss imaging results/assess and treat delayed complic...

None Mild Moderate Severe Life- Th r eaten i ng Death Pneumothorax 73 (68%) 14 (13%) 16 (15%) 4 (4%) 0 1(1%) Hospital Admission 78 (72%) 14 (13%) 9 (8%) 6 (6%) 1(1%) 2 (2%) BPF 105 (97%) 0 0 1(1%) 1(1%) 1(1%) Pain 85 (78%) 19 (18%) 3 (3%)...

Primary technical success Complete lack of enhancement in the ablation zone at 1 month follow up Thin (5 mm), symmetric rim of enhancement considered benign Nodular enhancement ( 15 HU) at the ablation site considered residual tumor and te...

Generator selection, power, and number of applicators determined by tumor size and location...

Transfer to VIR recovery 2 hour post-procedure chest radiography No pneumothorax (PTX) or evidence of complication on physical exam discharge home Moderate to large PTX aspiration with 5 Fr catheter If PTX remained 8 Fr pigtail pleural cat...