Tumour ablation: technical aspects

Cancer Imaging. 2009 Oct 2;9 Spec No A(Special issue A):S63-7. doi: 10.1102/1470-7330.2009.9026.

Abstract

Image-guided percutaneous radiofrequency ablation (RFA) is a minimally invasive, relatively low-risk procedure for tumour treatment. Local recurrence and survival rates depend on the rate of complete ablation of the entire tumour including a sufficient margin of surrounding healthy tissue. Currently a variety of different RFA devices are available. The interventionalist must be able to predict the configuration and extent of the resulting ablation necrosis. Accurate planning and execution of RFA according to the size and geometry of the tumour is essential. In order to minimize complications, individualized treatment strategies may be necessary for tumours close to vital structures. This review examines the state-of-the art of different device technologies, approaches, and treatment strategies for percutaneous RFA of liver tumours.

Publication types

  • Review

MeSH terms

  • Carcinoma / secondary
  • Carcinoma / surgery
  • Carcinoma, Hepatocellular / secondary
  • Carcinoma, Hepatocellular / surgery
  • Catheter Ablation / adverse effects
  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods*
  • Electrodes
  • Equipment Design
  • Humans
  • Intraoperative Complications / etiology
  • Intraoperative Complications / prevention & control
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Patient Selection
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control