Ahmed Muneeb, Solbiati Luigi, Brace Christopher L, Breen David J, Callstrom Matthew R, Charboneau J William, Chen Min-Hua, Choi Byung Ihn, de Baère Thierry, Dodd Gerald D, Dupuy Damian E, Gervais Debra A, Gianfelice David, Gillams Alice R, Lee Fred T, Leen Edward, Lencioni Riccardo, Littrup Peter J, Livraghi Tito, Lu David S, McGahan John P, Meloni Maria Franca, Nikolic Boris, Pereira Philippe L, Liang Ping, Rhim Hyunchul, Rose Steven C, Salem Riad, Sofocleous Constantinos T, Solomon Stephen B, Soulen Michael C, Tanaka Masatoshi, Vogl Thomas J, Wood Bradford J, Goldberg S Nahum
Department of Radiology, Beth Israel Deaconess Medical Center 1 Deaconess Rd, WCC-308B, Boston, MA 02215 (M.A.); Department of Radiology, Ospedale Generale, Busto Arsizio, Italy (L.S.); Departments of Radiology, Biomedical Engineering, and Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, Wis (C.L.B.); Department of Radiology, Southampton University Hospitals, Southampton, England (D.J.B.); Department of Radiology, Mayo Clinic, Rochester, Minn (M.R.C., J.W.C.); Department of Ultrasound, School of Oncology, Peking University, Beijing, China (M.H.C.); Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea (B.I.C.); Department of Imaging, Institut de Cancérologie Gustave Roussy, Villejuif, France (T.d.B.); Department of Radiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colo (G.D.D.); Department of Diagnostic Radiology, Rhode Island Hospital, Providence, RI (D.E.D.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (D.A.G.); Medical Imaging, University Health Network, Laval, Quebec, Canada (D.G.); Imaging Department, the London Clinic, London, England (A.R.G.); Department of Radiology, University of Wisconsin Hospital and Clinics, Madison, Wis (F.T.L.); Department of Radiology, Royal Infirmary, Glasgow, Scotland (E.L.); Department of Diagnostic Imaging and Intervention, Cisanello Hospital, Pisa University Hospital and School of Medicine, University of Pisa, Pisa, Italy (R.L.); Department of Radiology, Karmonos Cancer Institute, Wayne State University, Detroit, Mich (P.J.L.); Busto Arsizio, Italy (T.L.); Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, Calif (D.S.L.); Department of Radiology, Ambulatory Care Center, UC Davis Medical Center, Sacramento, Calif (J.P.M.); Department of Radiology, Ospedale Valduce, Como, Italy (M.F.M.); Department of Radiology, Albert Einstein Medical Center, Phil
Radiology. 2014 Oct;273(1):241-60. doi: 10.1148/radiol.14132958. Epub 2014 Jun 13.
Image-guided tumor ablation has become a well-established hallmark of local cancer therapy. The breadth of options available in this growing field increases the need for standardization of terminology and reporting criteria to facilitate effective communication of ideas and appropriate comparison among treatments that use different technologies, such as chemical (eg, ethanol or acetic acid) ablation, thermal therapies (eg, radiofrequency, laser, microwave, focused ultrasound, and cryoablation) and newer ablative modalities such as irreversible electroporation. This updated consensus document provides a framework that will facilitate the clearest communication among investigators regarding ablative technologies. An appropriate vehicle is proposed for reporting the various aspects of image-guided ablation therapy including classification of therapies, procedure terms, descriptors of imaging guidance, and terminology for imaging and pathologic findings. Methods are addressed for standardizing reporting of technique, follow-up, complications, and clinical results. As noted in the original document from 2003, adherence to the recommendations will improve the precision of communications in this field, leading to more accurate comparison of technologies and results, and ultimately to improved patient outcomes. Online supplemental material is available for this article .
影像引导下的肿瘤消融已成为局部癌症治疗中一项公认的标志。在这个不断发展的领域中，可用的选择范围不断扩大，这就增加了对术语和报告标准进行标准化的需求，以便于有效地交流想法，并对使用不同技术的治疗方法进行适当比较，这些技术包括化学消融（如乙醇或乙酸）、热疗法（如射频、激光、微波、聚焦超声和冷冻消融）以及诸如不可逆电穿孔等更新的消融方式。这份更新后的共识文件提供了一个框架，将有助于研究人员就消融技术进行最清晰的交流。本文提出了一种合适的载体，用于报告影像引导下消融治疗的各个方面，包括治疗分类、操作术语、影像引导描述符以及影像和病理结果的术语。文中还讨论了对技术、随访、并发症和临床结果报告进行标准化的方法。正如2003年原始文件中所指出的，遵循这些建议将提高该领域交流的精确性，从而更准确地比较技术和结果，并最终改善患者的治疗效果。本文提供在线补充材料。
