Society of Interventional Radiology Multidisciplinary Position Statement on Percutaneous Ablation of Non-small Cell Lung Cancer and Metastatic Disease to the Lungs: Endorsed by the Canadian Association for Interventional Radiology, the Cardiovascular and Interventional Radiological Society of Europe, and the Society of Interventional Oncology

Scott J Genshaft; Robert D Suh; Fereidoun Abtin; Mark O Baerlocher; Albert J Chang; Sean R Dariushnia; A Michael Devane; Salomao Faintuch; Elizabeth A Himes; Aaron Lisberg; Siddharth Padia; Sheena Patel; Alda L Tam; Jane Yanagawa

doi:10.1016/j.jvir.2021.04.024

Society of Interventional Radiology Multidisciplinary Position Statement on Percutaneous Ablation of Non-small Cell Lung Cancer and Metastatic Disease to the Lungs: Endorsed by the Canadian Association for Interventional Radiology, the Cardiovascular and Interventional Radiological Society of Europe, and the Society of Interventional Oncology

J Vasc Interv Radiol. 2021 Aug;32(8):1241.e1-1241.e12. doi: 10.1016/j.jvir.2021.04.024.

Authors

Affiliations

¹ Department of Radiologic Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA. Electronic address: sgenshaft@mednet.ucla.edu.
² Department of Radiology, David Geffen School of Medicine, University of California, Los Angeles, CA.
³ Department of Radiology, Thoracic and Interventional Section, David Geffen School of Medicine, University of California, Los Angeles, CA.
⁴ Department of Radiology, Royal Victoria Hospital, Ontario, Canada.
⁵ Department of Radiation Oncology, David Geffen School of Medicine, University of California, Los Angeles, CA.
⁶ Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, Atlanta, GA.
⁷ Department of Radiology, Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC.
⁸ Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
⁹ Society of Interventional Radiology, Fairfax, VA.
¹⁰ Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA.
¹¹ Department of Radiology, Section of Interventional Radiology, David Geffen School of Medicine, University of California, Los Angeles, CA.
¹² Department of Interventional Radiology, MD Anderson Cancer Center, Houston, TX.
¹³ Division of Thoracic Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA.

PMID: 34332724
DOI: 10.1016/j.jvir.2021.04.024

Abstract

Purpose: To state the Society of Interventional Radiology's position on the use of image-guided thermal ablation for the treatment of early stage non-small cell lung cancer, recurrent lung cancer, and metastatic disease to the lung.

Materials and methods: A multidisciplinary writing group, with expertise in treating lung cancer, conducted a comprehensive literature search to identify studies on the topic of interest. Recommendations were drafted and graded according to the updated SIR evidence grading system. A modified Delphi technique was used to achieve consensus agreement on the recommendation statements.

Results: A total of 63 studies, including existing systematic reviews and meta-analysis, retrospective cohort studies, and single-arm trials were identified. The expert writing group developed and agreed on 7 recommendations on the use of image-guided thermal ablation in the lung.

Conclusion: SIR considers image-guided thermal ablation to be an acceptable treatment option for patients with inoperable Stage I NSCLC, those with recurrent NSCLC, as well as patients with metastatic lung disease.

MeSH terms

Canada
Carcinoma, Non-Small-Cell Lung* / diagnostic imaging
Carcinoma, Non-Small-Cell Lung* / surgery
Catheter Ablation*
Humans
Lung
Lung Neoplasms* / diagnostic imaging
Lung Neoplasms* / surgery
Neoplasm Recurrence, Local
Radiology, Interventional
Retrospective Studies

Grants and funding

K08 CA245249/CA/NCI NIH HHS/United States