1 Department of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, Nashville, TN.
2 Department of Interventional Oncology/Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
AJR Am J Roentgenol. 2017 Oct;209(4):740-751. doi: 10.2214/AJR.17.18368. Epub 2017 Jun 28.
Image-guided thermal ablation is a minimally invasive treatment option for patients with primary and secondary pulmonary malignancies. Modalities include radiofrequency ablation, microwave ablation, and cryoablation.
Although no large randomized studies exist comparing ablation to surgery or radiotherapy, numerous studies have reported safety and efficacy for the treatment of both primary and metastatic disease in select patients. Future studies will refine patient selection, procedural technique, and assessment for local recurrence and will evaluate long-term survival.
影像引导下的热消融是治疗原发性和继发性肺部恶性肿瘤患者的一种微创治疗选择。方法包括射频消融、微波消融和冷冻消融。
虽然目前尚无比较消融与手术或放疗的大型随机研究,但许多研究已经报告了在选择的患者中治疗原发性和转移性疾病的安全性和有效性。未来的研究将完善患者选择、操作技术以及局部复发的评估,并评估长期生存情况。