Multimodality fusion imaging in abdominal and pelvic malignancies: current applications and future perspectives

Paparo, Francesco; Piccardo, Arnoldo; Bacigalupo, Lorenzo; Piccazzo, Riccardo; Rollandi, Ludovica; Pregliasco, Athena Galletto; Filauro, Marco; DeCensi, Andrea; Rollandi, Gian Andrea

doi:10.1007/s00261-015-0435-7

Cited by 10 publications

(10 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This technique, which is already described during use in the abdomen [107][108][109][110], is still under investigation in neck applications, but appears possibly one of the most relevant recent technical advancements for increasing the success rate and reducing the complications of image-guided ablations in the neck.…”

Section: Clinical Resultsmentioning

confidence: 99%

Image-guided thermal ablation of benign thyroid nodules

et al. 2016

View full text Add to dashboard Cite

Benign thyroid nodules are a common disease in the general population. Most often, they are completely asymptomatic and discovered occasionally during routine ultrasound examinations, and do not require any treatment. When thyroid nodules become symptomatic, surgical excision is still considered standard treatment. In the last few years, several experiences in the treatment of benign thyroid nodules through image-guided percutaneous thermal ablation have been reported with encouraging results, so that currently, these treatments are often proposed as first-choice options for patients with symptomatic benign thyroid nodules. In this paper, we discuss the present literature on the topic, focusing on different techniques available for image-guided percutaneous ablation, particularly radiofrequency (RFA), laser (LA), microwave (MWA), and high-intensity-focus ultrasound (HIFU). Little evidence about the efficacy of MWA and HIFU is now available. According to the literature, good results have been obtained with RFA and LA. Regarding RFA, volume reduction after ablative treatment has been found to range from 47 to 84 % at 3-6 months, and from 62 to 93 % at 1 year; LA also seems to be effective in achieving shrinkage of thyroid nodules, with volume reduction from 37 to 81 % at 3-6 months, and from 13 to 82 % at 1-year follow-up. Moreover, applications of advanced image-guidance modality, such as contrast-enhanced ultrasound and virtual navigation with fusion imaging, are discussed.Keywords Laser Á Radiofrequency Á Microwave Á Highintensity focused ultrasound Á Thyroid nodule SOMMARIO I noduli benigni della tiroide sono una evenienza comune nella popolazione generale. Più spesso vengono scoperti occasionalmente durante un esame ecografico fatto per altri motivi, sono asintomatici e non richiedono alcun trattamento. Qualora i noduli diventino sintomatici, l'escissione chirurgica è ancora considerato il trattamento standard. Tuttavia, negli ultimi anni, è cresciuta l'esperienza circa il trattamento di tali noduli tramite ablazione percutanea sotto guida ecografica tanto che, attualmente, questo viene spesso proposto come trattamento di scelta. Lo scopo del nostro lavoro è fare una revisione della letteratura riguardante l'argomento, con un particolare focus sulle differenti tecniche attualmente a disposizione, in particolare radiofrequenza (RFA), laser (LA), microonde (MWA) e high-intensity-focus ultrasound (HIFU). Al momento ci sono ancora poche evidenze sull'efficacia di MWA e HIFU. Secondo quanto riportato in letteratura, buoni risultati sono stati ottenuti con RFA e LA. Riguardo la radiofrequenza, la riduzione volumetrica dopo la procedura ablativa va da 47 a 84 % a 3-6 mesi e da 62 a 93 % a 1 anno; anche il laser sembra essere efficace nel causare la riduzione del nodulo, con percentuali che vanno da 37 a 81 % a 3-6-mesi a da 13 a 82 % a 1 anno di follow-up Abbiamo poi discusso brevemente le

show abstract

Section: Clinical Resultsmentioning

confidence: 99%

Image-guided thermal ablation of benign thyroid nodules

et al. 2016

View full text Add to dashboard Cite

show abstract

“…As reported by Paparo et al, medicine is fast evolving toward personalized patients' care [1]. In particular, the evolution of comprehension of tumor behavior and response to therapy according to molecular profile will lead in the future to a higher necessity of tumor sampling for molecular profiling in oncologic patients, in order to better assess the prognosis and to establish the optimal therapeutic strategy.…”

Section: Paparo Et Al Recently Published Onmentioning

confidence: 96%

“…The application of CEUS in percutaneous ablation of abdominal tumors has been reported to increase the clinical success and also to reduce the cost per patient for a complete treatment [2]. Furthermore, virtual navigation and fusion imaging has been reported to expand the feasibility of percutaneous biopsies and ablation even in cases of abdominal lesions undetectable with conventional ultrasound, or with CEUS [1,3]. Thus, thanks to these two innovations, nowadays percutaneous procedures are effectively feasible in a larger population of patients.…”

Section: Paparo Et Al Recently Published Onmentioning

confidence: 97%

“…Abdominal Imaging a very interesting paper regarding multimodality fusion imaging in abdominal and pelvic malignancies [1]. In their paper, the authors describe in detail the different techniques for virtual navigation and fusion imaging and their applications for both diagnostic and interventional purposes.…”

Section: Paparo Et Al Recently Published Onmentioning

confidence: 99%

“…Thus, one of the main issues that limited the diffusion of fusion imaging to the everyday clinical practice has always been the perception of complexity of the procedure of image fusion and the concerns related to the time consumption of this method. However, recently some methods for automatic registration have been implemented [1,9]. The possibility of achieving automatically a precise fusion among multiple different imaging modalities, thanks to the automatic recognition of internal anatomical structures, such as the vessels, holds the potential of largely reducing the complexity of the fusion procedure and the time required to achieve a precise fusion, and also reducing the variability related to the experience of the operator [9].…”

Section: Paparo Et Al Recently Published Onmentioning

confidence: 99%

See 2 more Smart Citations