Bookmarks
KEY FACTS
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Definitions
- Ablation: Percutaneous direct local tumor destruction
- Energy-based ablation
- Radiofrequency ablation (RFA): Heat based
- Aerated lung limits energy deposition
- Cryoablation: Freezing/thawing cycle
- Can be done closer to pleura and vessels
- Microwave ablation: Heat-based cytotoxicity
- Less limited by aerated lung than RFA
- Risk of bronchopleural fistula along lung periphery
- Irreversible electroporation: Electrical disruption of integrity of cell membrane
- Radiofrequency ablation (RFA): Heat based
- Energy-based ablation
- Embolization: Transcatheter introduction of intravascular agent for devascularization/occlusion
- Artificial pneumothorax: Intentional creation of pneumothorax during ablation procedure
- Displaces ablation zone away from critical structures
- May be needed if tumor adjacent to large vascular structures (e.g., heart) or phrenic nerve
- Displaces ablation zone away from critical structures
- Ablation: Percutaneous direct local tumor destruction
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Things to Do
Things to Avoid
Postprocedure Imaging (Ablation)
OUTCOMES
Complications
Expected Outcomes
Selected References
- Cernic S et al: Percutaneous CT-guided renal cryoablation: technical aspects, safety, and long-term oncological outcomes in a single center. Medicina (Kaunas). 57(3):291, 2021
- Cazzato RL et al: Percutaneous image-guided cryoablation: current applications and results in the oncologic field. Med Oncol. 33(12):140, 2016
- Zhang YS et al: Percutaneous imaging-guided cryoablation for lung cancer. J Thorac Dis. 8(Suppl 9):S705-9, 2016
- Dupuy DE: Image-guided thermal ablation of lung malignancies. Radiology. 260(3):633-55, 2011
- Sofocleous CT et al: Ablation for the management of pulmonary malignancies. AJR Am J Roentgenol. 197(4):W581-9, 2011
- Vogl TJ et al: Radiofrequency, microwave and laser ablation of pulmonary neoplasms: clinical studies and technical considerations--review article. Eur J Radiol. 77(2):346-57, 2011
- Yamauchi Y et al: Percutaneous cryoablation of pulmonary metastases from colorectal cancer. PLoS One. 6(11):e27086, 2011
- Beland MD et al: Primary non-small cell lung cancer: review of frequency, location, and time of recurrence after radiofrequency ablation. Radiology. 254(1):301-7, 2010
- Pua BB et al: Ablation of pulmonary malignancy: current status. J Vasc Interv Radiol. 21(8 Suppl):S223-32, 2010
- Solomon SB et al: Protection of the mediastinum and chest wall with an artificial pneumothorax during lung ablations. J Vasc Interv Radiol. 19(4):610-5, 2008
- Bojarski JD et al: CT imaging findings of pulmonary neoplasms after treatment with radiofrequency ablation: results in 32 tumors. AJR Am J Roentgenol. 185(2):466-71, 2005
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Preprocedure
Procedure
Post Procedure
Outcomes
TERMINOLOGY
Definitions
- Ablation: Percutaneous direct local tumor destruction
- Energy-based ablation
- Radiofrequency ablation (RFA): Heat based
- Aerated lung limits energy deposition
- Cryoablation: Freezing/thawing cycle
- Can be done closer to pleura and vessels
- Microwave ablation: Heat-based cytotoxicity
- Less limited by aerated lung than RFA
- Risk of bronchopleural fistula along lung periphery
- Irreversible electroporation: Electrical disruption of integrity of cell membrane
- Radiofrequency ablation (RFA): Heat based
- Energy-based ablation
- Embolization: Transcatheter introduction of intravascular agent for devascularization/occlusion
- Artificial pneumothorax: Intentional creation of pneumothorax during ablation procedure
- Displaces ablation zone away from critical structures
- May be needed if tumor adjacent to large vascular structures (e.g., heart) or phrenic nerve
- Displaces ablation zone away from critical structures
- Ablation: Percutaneous direct local tumor destruction
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Things to Do
Things to Avoid
Postprocedure Imaging (Ablation)
OUTCOMES
Complications
Expected Outcomes
Selected References
- Cernic S et al: Percutaneous CT-guided renal cryoablation: technical aspects, safety, and long-term oncological outcomes in a single center. Medicina (Kaunas). 57(3):291, 2021
- Cazzato RL et al: Percutaneous image-guided cryoablation: current applications and results in the oncologic field. Med Oncol. 33(12):140, 2016
- Zhang YS et al: Percutaneous imaging-guided cryoablation for lung cancer. J Thorac Dis. 8(Suppl 9):S705-9, 2016
- Dupuy DE: Image-guided thermal ablation of lung malignancies. Radiology. 260(3):633-55, 2011
- Sofocleous CT et al: Ablation for the management of pulmonary malignancies. AJR Am J Roentgenol. 197(4):W581-9, 2011
- Vogl TJ et al: Radiofrequency, microwave and laser ablation of pulmonary neoplasms: clinical studies and technical considerations--review article. Eur J Radiol. 77(2):346-57, 2011
- Yamauchi Y et al: Percutaneous cryoablation of pulmonary metastases from colorectal cancer. PLoS One. 6(11):e27086, 2011
- Beland MD et al: Primary non-small cell lung cancer: review of frequency, location, and time of recurrence after radiofrequency ablation. Radiology. 254(1):301-7, 2010
- Pua BB et al: Ablation of pulmonary malignancy: current status. J Vasc Interv Radiol. 21(8 Suppl):S223-32, 2010
- Solomon SB et al: Protection of the mediastinum and chest wall with an artificial pneumothorax during lung ablations. J Vasc Interv Radiol. 19(4):610-5, 2008
- Bojarski JD et al: CT imaging findings of pulmonary neoplasms after treatment with radiofrequency ablation: results in 32 tumors. AJR Am J Roentgenol. 185(2):466-71, 2005
