A valuable guideline for thermal ablation of primary and metastatic lung tumors

Solbiati, Luigi

doi:10.4103/jcrt.jcrt_223_18

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…Recently, local thermal ablation, a precise and minimally invasive technique, has been increasingly applied to treat primary or metastatic lung tumors [12]. Percutaneous CT-guided microwave ablation (MWA), a local thermal ablation technique, has been increasingly performed alone or in combination with other therapies for the treatment of early and advanced primary non-small cell lung cancers [13][14][15][16][17][18]. Moreover, preliminary implementation of MWA as an alternative approach for treating solitary GGOs has raised expectations regarding the management of multiple GGOs [19].…”

mentioning

confidence: 99%

A feasibility and safety study of computed tomography-guided percutaneous microwave ablation: a novel therapy for multiple synchronous ground-glass opacities of the lung

Huang

Yang

et al. 2020

International Journal of Hyperthermia

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confidence: 99%

A feasibility and safety study of computed tomography-guided percutaneous microwave ablation: a novel therapy for multiple synchronous ground-glass opacities of the lung

Huang

Yang

et al. 2020

International Journal of Hyperthermia

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“…5,26,26 The safety of repeated ablation for local recurrence and its effects on survival are major concerns for "ablationists." 29 With the popular application of chest CT screening, lung lesions with ground-glass opacity (GGO) are detected incidentally at an increasing rate. Small lung lesions with GGO are usually followed up with periodic CT.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Image‐guided percutaneous microwave ablation of early‐stage non–small cell lung cancer

2020

Asia-Pac J Clncl Oncology

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Although surgical lobectomy with systematic mediastinal lymph node evaluation is considered as the "gold standard" for management of early stage non-small cell lung cancer (NSCLC), image-guided percutaneous thermal ablation has been increasingly used for medically inoperable patients. Radiofrequency ablation (RFA) is a researchbased technique that has the most studies for medically inoperable early-stage NSCLC. Other thermal ablation techniques used to treat pulmonary tumors include microwave ablation (MWA), cryoablation and laser ablation. MWA has several advantages over RFA including reduced procedural time, reduced heat-sink effect, large ablation zones, decreased susceptibility to tissue impedance, and simultaneous use of multiple antennae. This review article highlights the most relevant updates of MWA for the treatment of early-stage NSCLC, including mechanism of action, clinical outcomes, potential complications, the existing technique problems and future directions.

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“…However, approximately 80% of patients have already lost the opportunity for surgical treatment at the time of diagnosis. Even in stage I non-small cell lung cancer, up to onefourth of patients are unable to undergo surgical treatment, possibly due to advanced age, solitary lung, poor cardiopulmonary function, comorbidities, or refusal of surgery (2,3).…”

Section: Introductionmentioning

confidence: 99%

Computed tomography guided electromagnetic navigation system in percutaneous laser ablation for treating primary lung cancer: a case report

Liu,

Zhang,

et al. 2024

Front. Oncol.

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BackgroundThe majority of patients of lung cancer have already lost the chance of surgery at the time of diagnosis. Percutaneous local thermal ablation is a precise minimally invasive technique and a viable alternative to surgical treatment. Compared with radiofrequency ablation and microwave ablation, percutaneous laser ablation for the treatment of lung tumors is less commonly used and reported, especially for primary lung cancer.Case presentationA 63-year-old male patient with mixed pulmonary nodules selected computed tomography-guided electromagnetic navigation system for percutaneous biopsy and laser ablation therapy. The puncture point was determined through Computed tomography scanning, along with the placement of the electromagnetic navigation system locators. After rapid on-site evaluation and pathological examination of the puncture tissue specimen, the diagnosis of lung adenocarcinoma was confirmed. A 980-nanometer wavelength semiconductor laser fiber was inserted into the appropriate position guided by the electromagnetic navigation system. Subsequently, a power of 7 watt was applied to ablate the tumor for 30 seconds, then pause for 60 seconds before repeating the procedure. Positron emission tomography-Computed tomography examination was performed 1 month after operation, suggesting complete response of the tumor.ConclusionHere, we present a case of percutaneous laser ablation treatment for primary lung cancer guided by computed tomography-electromagnetic navigation system. As a more precise, shorter duration, impedance-independent, safe and effective minimally invasive thermal ablation method, it is expected to gain wider application and become a novel alternative for surgical treatment.

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A valuable guideline for thermal ablation of primary and metastatic lung tumors

Cited by 8 publications

References 7 publications

A feasibility and safety study of computed tomography-guided percutaneous microwave ablation: a novel therapy for multiple synchronous ground-glass opacities of the lung

A feasibility and safety study of computed tomography-guided percutaneous microwave ablation: a novel therapy for multiple synchronous ground-glass opacities of the lung

Image‐guided percutaneous microwave ablation of early‐stage non–small cell lung cancer

Computed tomography guided electromagnetic navigation system in percutaneous laser ablation for treating primary lung cancer: a case report

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