SBRT Stereotactic Body Radiotherapy 体部立体定向放疗 http://www.morsecyberknife.com/procedure-cyberberknife.htm Accuray Cyberknife XRay based SBRT Trilogy-Cone Beam-CTbased SBRT...
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...
Alla Y. Zemlyak, MD Comparison of survival after sublobar resections and ablative therapies for stage I NSCLC Primary end points overall survival, cancer-specific survival, and cancer-free survival N=25 SLR N=12 RFA N=27 Cryo N= CECT, FDG...
RF Ablation of Medically Inoperable Stage I NSCLC Simon et al, Radiology 2007...
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...
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RF Ablation Results: Comparative Therapies High-risk stage 1 and 2 NSCLC Modalit...
Post-ablation Care Through Discharge Post-procedural nurse and physician assessm...