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[肝脏肿瘤消融:从介入前成像到介入后评估]

[Ablation of liver tumors : From pre-interventional imaging to post-interventional assessment].

作者信息

Meine Timo C, Ringe Kristina I

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.

出版信息

Radiologie (Heidelb). 2024 Jun;64(6):503-514. doi: 10.1007/s00117-024-01308-x. Epub 2024 May 23.

DOI:10.1007/s00117-024-01308-x
PMID:38780657
Abstract

The aim of this article is to provide an overview on the most frequently applied image-guided, percutaneous, local ablative techniques for treatment of primary and secondary liver tumors. The technical procedures of microwave ablation (MWA) and radiofrequency ablation (RFA) are presented. The pre-interventional diagnostics, indications and feasibility are also discussed, taking the current national guidelines into consideration. Finally, treatment outcomes and recommendations on post-interventional imaging following local tumor ablation are presented.

摘要

本文旨在概述治疗原发性和继发性肝肿瘤最常用的影像引导下经皮局部消融技术。介绍了微波消融(MWA)和射频消融(RFA)的技术操作步骤。还结合当前国家指南讨论了介入前诊断、适应证及可行性。最后,介绍了局部肿瘤消融后的治疗效果及介入后成像的建议。

相似文献

1
[Ablation of liver tumors : From pre-interventional imaging to post-interventional assessment].[肝脏肿瘤消融:从介入前成像到介入后评估]
Radiologie (Heidelb). 2024 Jun;64(6):503-514. doi: 10.1007/s00117-024-01308-x. Epub 2024 May 23.
2
Current use of percutaneous image-guided tumor ablation for the therapy of liver tumors: lessons learned from the registry of the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) 2018-2022.目前经皮影像引导肿瘤消融在肝脏肿瘤治疗中的应用:来自德国介入放射学和微创治疗学会(DeGIR)2018-2022 年注册研究的经验教训。
Eur Radiol. 2024 May;34(5):3322-3330. doi: 10.1007/s00330-023-10412-w. Epub 2023 Nov 8.
3
Comparison of Microwave and Radiofrequency Ablation for the Treatment of Small- and Medium-Sized Hepatocellular Carcinomas in a Prospective Randomized Trial.前瞻性随机试验比较微波与射频消融治疗小肝癌及中肝癌的疗效。
Rofo. 2024 May;196(5):482-490. doi: 10.1055/a-2203-2733. Epub 2023 Dec 8.
4
Computer-assisted needle trajectory planning and mathematical modeling for liver tumor thermal ablation: A review.计算机辅助肝肿瘤热消融针道规划和数学建模:综述。
Math Biosci Eng. 2019 May 29;16(5):4846-4872. doi: 10.3934/mbe.2019244.
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SAGES/AHPBA guidelines for the use of microwave and radiofrequency liver ablation for the surgical treatment of hepatocellular carcinoma or colorectal liver metastases less than 5 cm.SAGES/AHPBA关于使用微波和射频肝消融术治疗直径小于5厘米的肝细胞癌或结直肠癌肝转移瘤的手术治疗指南。
Surg Endosc. 2023 Dec;37(12):8991-9000. doi: 10.1007/s00464-023-10468-1. Epub 2023 Nov 13.
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Microwave Ablation (MWA): Basics, Technique and Results in Primary and Metastatic Liver Neoplasms - Review Article.微波消融(MWA):原发性和转移性肝脏肿瘤的基础、技术及结果——综述文章
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Percutaneous ultrasound guided radiofrequency and microwave ablation in the treatment of hepatic metastases. A monocentric initial experience.经皮超声引导下射频和微波消融治疗肝转移瘤:单中心初步经验
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Radiofrequency Ablation and Microwave Ablation in Liver Tumors: An Update.射频消融与微波消融在肝脏肿瘤治疗中的应用进展
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Clin Hemorheol Microcirc. 2019;73(1):73-83. doi: 10.3233/CH-199224.

本文引用的文献

1
Radiofrequency Ablation, Cryoablation, and Microwave Ablation for the Treatment of Small Renal Masses: Efficacy and Complications.射频消融、冷冻消融和微波消融治疗小肾肿瘤:疗效与并发症
Diagnostics (Basel). 2023 Jan 20;13(3):388. doi: 10.3390/diagnostics13030388.
2
Metastatic colorectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.转移性结直肠癌:ESMO 诊断、治疗及随访临床实践指南
Ann Oncol. 2023 Jan;34(1):10-32. doi: 10.1016/j.annonc.2022.10.003. Epub 2022 Oct 25.
3
Percutaneous Radiofrequency Ablation for Recurrent Intrahepatic Cholangiocarcinoma After Curative Resection: Multivariable Analysis of Factors Predicting Survival Outcomes.
经皮射频消融治疗根治性切除术后复发性肝内胆管细胞癌:预测生存结局的多变量分析。
AJR Am J Roentgenol. 2021 Aug;217(2):426-432. doi: 10.2214/AJR.20.23461. Epub 2021 Jun 2.
4
Image-guided percutaneous ablation for the treatment of lung malignancies: current state of the art.影像引导下经皮消融治疗肺恶性肿瘤:当前技术现状
Insights Imaging. 2021 Apr 29;12(1):57. doi: 10.1186/s13244-021-00997-5.
5
[State of the art in the diagnostics of hepatocellular carcinoma and current treatment options].[肝细胞癌诊断的现状及当前治疗选择]
Radiologe. 2021 Feb;61(2):213-226. doi: 10.1007/s00117-020-00798-9.
6
CIRSE Standards of Practice on Thermal Ablation of Liver Tumours.经导管射频消融治疗肝脏肿瘤的 CIRSE 实践标准。
Cardiovasc Intervent Radiol. 2020 Jul;43(7):951-962. doi: 10.1007/s00270-020-02471-z. Epub 2020 May 7.
7
The efficacy of transarterial chemoembolization combined with microwave ablation for unresectable hepatocellular carcinoma: a systematic review and meta-analysis.经动脉化疗栓塞联合微波消融治疗不可切除肝细胞癌的疗效:系统评价和荟萃分析。
Int J Hyperthermia. 2019;36(1):1288-1296. doi: 10.1080/02656736.2019.1692148.
8
Thermal Ablation for Intrahepatic Cholangiocarcinoma in Cirrhosis: Safety and Efficacy in Non-Surgical Patients.肝硬化肝内胆管细胞癌的热消融治疗:非手术患者的安全性和疗效。
J Vasc Interv Radiol. 2020 May;31(5):710-719. doi: 10.1016/j.jvir.2019.06.014. Epub 2019 Nov 1.
9
Cirse Quality Assurance Document and Standards for Classification of Complications: The Cirse Classification System.Cirse并发症分类的质量保证文件和标准:Cirse分类系统。
Cardiovasc Intervent Radiol. 2017 Aug;40(8):1141-1146. doi: 10.1007/s00270-017-1703-4. Epub 2017 Jun 5.
10
Thermoablation of Bone Tumors.骨肿瘤的热消融
Rofo. 2016 Jun;188(6):539-50. doi: 10.1055/s-0042-100477. Epub 2016 Mar 16.