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肿瘤消融治疗中的消融方案及辅助程序:日本专家共识

Ablation protocols and ancillary procedures in tumor ablation therapy: consensus from Japanese experts.

作者信息

Miyazaki Masaya, Iguchi Toshihiro, Takaki Haruyuki, Yamanaka Takashi, Tamura Yoshitaka, Tokue Hiroyuki, Sato Yozo, Ikeda Osamu, Shimizu Tadashi, Yamakado Koichiro

机构信息

Department of Interventional Radiology and Clinical Ultrasound Center, Gunma University Hospital, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Kita-ku, Okayama, 700-8558, Japan.

出版信息

Jpn J Radiol. 2016 Sep;34(9):647-56. doi: 10.1007/s11604-016-0569-8. Epub 2016 Jul 23.

DOI:10.1007/s11604-016-0569-8
PMID:27450190
Abstract

PURPOSE

A panel of Japanese experts on tumor ablation therapy gathered to reach a general consensus on topics surrounding ablation therapy.

MATERIALS AND METHODS

Questionnaires relating to ablation protocols for radiofrequency ablation (RFA) and cryoablation, as well as ancillary procedures required for safe and secure ablation therapy, were sent to seven institutions. Experts from these institutions discussed each topic based on the evidence and the questionnaire data, and a consensus was reached at an annual meeting of the Japan Image-guided Ablation Group in Maebashi, Japan, in October 2015.

RESULTS

A consensus was reached on each of six topics, including "management of antiplatelet and anticoagulation drug therapy"; "pain control in the perioperative period"; "arterial embolization combined with ablation therapy"; "protection of non-target organs"; "RFA and cryoablation protocols"; and "ablative margins."

CONCLUSIONS

The consensus achieved here will serve as the framework for tumor ablation therapies in Japan.

摘要

目的

一组日本肿瘤消融治疗专家齐聚一堂,就围绕消融治疗的相关话题达成总体共识。

材料与方法

向七家机构发送了有关射频消融(RFA)和冷冻消融的消融方案,以及安全可靠的消融治疗所需辅助程序的调查问卷。这些机构的专家根据证据和调查问卷数据对每个话题进行了讨论,并于2015年10月在日本前桥市召开的日本影像引导消融小组年会上达成了共识。

结果

就六个话题中的每一个都达成了共识,包括“抗血小板和抗凝药物治疗的管理”;“围手术期疼痛控制”;“动脉栓塞联合消融治疗”;“非靶器官保护”;“RFA和冷冻消融方案”;以及“消融边缘”。

结论

此处达成的共识将作为日本肿瘤消融治疗的框架。

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