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放射科医生对放射科肿瘤消融的看法。

A Radiologist's View of Tumor Ablation in the Radiology Suite.

作者信息

Bhagavatula Sharath K, Lane Jason, Shyn Paul

机构信息

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Department of Anesthesiology, Vanderbilt University Medical Center, 1301 Medical Center Drive, 4648 TVC, Nashville, TN 37232, USA.

出版信息

Anesthesiol Clin. 2017 Dec;35(4):617-626. doi: 10.1016/j.anclin.2017.07.007.

DOI:10.1016/j.anclin.2017.07.007
PMID:29101952
Abstract

Image-guided percutaneous, minimally invasive ablation techniques offer a wide variety of new modalities to treat tumors in some of the most medically complicated patients coming to our hospitals. The use of computed tomography, PET, ultrasound imaging, and MRI to guide radiofrequency ablation, microwave ablation, and cryoablation techniques now makes it possible to treat patients on a short stay or outpatient basis with very good immediate outcomes. This rapid expansion of new tumor ablation techniques often presents challenges for the non-operating room anesthesia team. Collaboration and communication between the radiologist and anesthesiologist are key to safety and excellent patient outcomes.

摘要

图像引导下的经皮微创消融技术为治疗我院接收的一些病情最为复杂的患者的肿瘤提供了多种新方法。利用计算机断层扫描、正电子发射断层显像、超声成像和磁共振成像来引导射频消融、微波消融和冷冻消融技术,现在已能够让患者短期住院或门诊治疗,并获得非常好的即刻疗效。新肿瘤消融技术的这种迅速发展常常给非手术室麻醉团队带来挑战。放射科医生与麻醉医生之间的协作与沟通是保障安全及实现出色患者治疗效果的关键。

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