Department of Interventional Radiology, Gustave Roussy-Cancer Center, Villejuif, France.
Br J Radiol. 2022 Sep 1;95(1138):20220345. doi: 10.1259/bjr.20220345. Epub 2022 Aug 3.
Patient selection for image-guided thermal ablation of liver metastases has to be taken in a multidisciplinary tumor board given the extreme complexity of cancer metastatic disease, and the numerous treatment options offered to oligometastatic patient today.The role of image-guided thermal ablation increases over years in the treatment of liver metastases. In order to fulfill the expected outcomes which are to have a local control rate equivalent to surgery, interventional oncologist have to take every measure that will help when treating most challenging metastases including image guidance, anesthesia, respiration monitoring, ablation technique, confirmation software that can favor positive outcomes, and in some way to render challenging metastases easy to treat.
对于肝脏转移瘤的影像引导热消融治疗，必须在多学科肿瘤委员会中进行患者选择，因为癌症转移疾病的极端复杂性，以及今天寡转移患者提供的众多治疗选择。影像引导热消融在肝脏转移瘤的治疗中的作用多年来一直在增加。为了达到局部控制率等同于手术的预期结果，介入肿瘤学家在治疗最具挑战性的转移瘤时，必须采取一切有助于提高疗效的措施，包括影像引导、麻醉、呼吸监测、消融技术、能够提高治疗效果的确认软件，以及以某种方式使具有挑战性的转移瘤变得易于治疗。
