Dempsey Philip J, Ridge Carole A, Solomon Stephen B
From the *Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland; and †Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Cancer J. 2016 Nov/Dec;22(6):393-400. doi: 10.1097/PPO.0000000000000229.
Image-guided lung intervention in the oncologic patient includes transthoracic needle biopsy, thermal ablation, fiducial placement, and tunneled pleural catheter placement and is made possible by technical advancements in computed tomography, fluoroscopy, and ultrasound technology, as well as the proliferation of available thermal ablation modalities such as radiofrequency, microwave, and cryoablation. With increasingly earlier cancer diagnoses being made and a greater patient demand for minimally invasive therapies, interventional oncology has many options to offer the patient with thoracic malignancies. The indications, technique, outcomes, and complications of these diagnostic and therapeutic procedures are described in detail in this review article.
肿瘤患者的影像引导下肺部介入包括经胸针吸活检、热消融、基准点放置和隧道式胸膜导管放置，计算机断层扫描、荧光透视和超声技术的技术进步，以及射频、微波和冷冻消融等可用热消融方式的增多使这些成为可能。随着癌症诊断越来越早，患者对微创治疗的需求也越来越大，介入肿瘤学为患有胸部恶性肿瘤的患者提供了多种选择。这篇综述文章详细描述了这些诊断和治疗程序的适应症、技术、结果和并发症。
