Article ; Online: The What, the Why, and the How of Liver Ablations: A Practical Guide for the Medical Oncologist.
2021 Volume 99, Issue 11, Page(s) 722–731
Abstract: Interventional oncology plays a major role within modern oncological patient management. Image-guided thermal ablation has been recognized as a successful local therapeutic option in patients with primary and secondary malignant liver diseases, as also ... ...
| Abstract | Interventional oncology plays a major role within modern oncological patient management. Image-guided thermal ablation has been recognized as a successful local therapeutic option in patients with primary and secondary malignant liver diseases, as also recalled by the recent European Society of Medical Oncology (ESMO) guidelines on colorectal metastases. As image-guided treatments may be as effective as surgery in selected patients with liver lesions, the clinical oncologist should be familiar with the indications, risks, and technical aspects of liver ablation in order to provide their patients with the best outcomes. This article provides a broad overview of the most commonly used ablation techniques and highlights the most relevant technical aspects such as the ideal setting in the operating theatre; which image-guided methods are available, including the growing application of fusion imaging; or contrast-enhanced ultrasound for guiding/monitoring the procedure. A further aim is to expand the knowledge among medical oncologists about liver ablation procedures and to provide insights into the future perspectives of percutaneous minimally invasive procedures in the liver. |
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| MeSH term(s) | Combined Modality Therapy/methods ; Cryosurgery/methods ; Electroporation/methods ; High-Intensity Focused Ultrasound Ablation/methods ; Humans ; Hyperthermia, Induced/methods ; Liver Neoplasms/surgery ; Oncologists ; Radiofrequency Ablation/methods ; Surgery, Computer-Assisted/methods ; Surgical Oncology/methods ; Treatment Outcome |
| Language | English |
| Publishing date | 2021-08-27 |
| Publishing country | Switzerland |
| Document type | Journal Article ; Practice Guideline ; Review |
| ZDB-ID | 250101-6 |
| ISSN | 1423-0232 ; 0030-2414 |
| ISSN (online) | 1423-0232 |
| ISSN | 0030-2414 |
| DOI | 10.1159/000518358 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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