IRCAD (Institute for Research on Cancer of the Digestive System), Strasbourg, France.
IHU-Strasbourg (Institute Hopitalo-Universitaire), Strasbourg, France.
J Laparoendosc Adv Surg Tech A. 2020 Sep;30(9):980-986. doi: 10.1089/lap.2020.0485. Epub 2020 Jul 13.
Ablation therapies are one of the main local treatments for solid organ tumors. After applying any ablation therapy, few days should be waited to perform an imaging study and analyze the result. In this work, we analyzed the correlation between elastography monitoring after procedure and the result of ablation. The objective of this study is to determine tissue changes in short term after the application of ablation systems using different diagnostic imaging methods. Descriptive study in an swine model. Different types of ablation therapies (radiofrequency ablation, microwave ablation [MWA], and LASER ablation [LA]) were applied in the liver and kidneys. We compared their results by medical image monitoring (ultrasound, computed tomography, elastography) and macroscopic analysis. All the animals survived the procedures. No major intraoperative complications were reported. We determined the characteristics of each procedure. MWA session was faster than the other types of ablation therapies. Regarding ablation area diameters, the largest was achieved with MWA and the smallest with LA. Macroscopically, we observed a central ablation zone, a peripheral ablation zone, and surrounding normal tissue. It was correlated with elastography images. Monitoring of the results of ablation therapies shortly after their application is possible through imaging studies. It allows determining the size of the ablation zone, its characteristics, ruling out complications, and its early results. Elastography could efficiently support this goal.
消融疗法是实体器官肿瘤的主要局部治疗方法之一。在应用任何消融疗法后,应等待数天进行影像学研究并分析结果。在这项工作中,我们分析了术后弹性成像监测与消融效果之间的相关性。本研究的目的是使用不同的诊断成像方法确定消融系统应用后短期组织变化。这是一项在猪模型中进行的描述性研究。在肝脏和肾脏中应用了不同类型的消融疗法(射频消融、微波消融[MWA]和激光消融[LA])。我们通过医学图像监测(超声、计算机断层扫描、弹性成像)和宏观分析来比较它们的结果。所有动物均在手术过程中存活下来,没有报告重大术中并发症。我们确定了每种程序的特点。MWA 疗程比其他类型的消融疗法更快。就消融区域直径而言,MWA 实现的最大,LA 实现的最小。宏观上,我们观察到一个中心消融区、一个外围消融区和周围正常组织。这与弹性成像图像相关。通过影像学研究可以在消融疗法应用后不久监测其效果。它可以确定消融区域的大小、其特征、排除并发症及其早期结果。弹性成像可以有效地支持这一目标。