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Stereotactic ablation: A game changer?
Bale, Reto; Laimer, Gregor; Schullian, Peter; Alzaga, Amilcar.
Afiliación
  • Bale R; Interventional Oncology/Stereotaxy and Robotics, Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
  • Laimer G; Interventional Oncology/Stereotaxy and Robotics, Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
  • Schullian P; Interventional Oncology/Stereotaxy and Robotics, Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
  • Alzaga A; Siemens Healthineers, Erlangen, Germany.
J Med Imaging Radiat Oncol ; 67(8): 886-894, 2023 Dec.
Article en En | MEDLINE | ID: mdl-37401185
For both primary and metastatic liver cancer, thermal ablation represents an interesting alternative to surgery. However, except for a small fraction of patients, conventional ultrasound- and CT-guided single-probe approaches have not achieved oncologic outcomes comparable with surgery. In this overview, we describe our stereotactic ablation workflow and discuss the short- and long-term results of stereotactic radiofrequency ablation (SRFA) and stereotactic microwave ablation (SMWA) for the treatment of primary and secondary liver tumours. The advantages of this method are discussed together with a summary of the existing stereotactic techniques for thermal ablation and the clinical data that support them. Stereotactic ablation is based on an optical navigation system and a specialized aiming tool. The workflow includes advanced three-dimensional planning, precise needle/probe placements according to the plan and intraoperative image fusion to check the needle positions and the ablation margins. Stereotactic ablation offers all the advantages of a minimally invasive procedure while producing oncological results comparable with surgery. The number of locally treatable liver cancers may be significantly expanded with these cutting-edge instruments and methods. We firmly believe that it can become a cornerstone in the treatment of liver cancers.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Primarias Secundarias / Ablación por Catéter / Cirugía Asistida por Computador / Ablación por Radiofrecuencia / Neoplasias Hepáticas Idioma: En Revista: J Med Imaging Radiat Oncol Asunto de la revista: DIAGNOSTICO POR IMAGEM / NEOPLASIAS / RADIOLOGIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Primarias Secundarias / Ablación por Catéter / Cirugía Asistida por Computador / Ablación por Radiofrecuencia / Neoplasias Hepáticas Idioma: En Revista: J Med Imaging Radiat Oncol Asunto de la revista: DIAGNOSTICO POR IMAGEM / NEOPLASIAS / RADIOLOGIA Año: 2023 Tipo del documento: Article