Is microwave ablation more effective than radiofrequency ablation in achieving local control for primary pulmonary malignancy

Published on Mar 30, 2019in Interactive Cardiovascular and Thoracic Surgery1.675
· DOI :10.1093/ICVTS/IVZ044
Maria Tsakok7
Estimated H-index: 7
(University of Oxford),
Daniel M. Jones6
Estimated H-index: 6
(University of Oxford)
+ 1 AuthorsFergus V. Gleeson58
Estimated H-index: 58
(University of Oxford)
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Abstract
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References9
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#1Chiara FloridiH-Index: 20
#2Alessandro Radaelli (Philips)H-Index: 18
Last. Bradford J. Wood (NIH: National Institutes of Health)H-Index: 86
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A standardized cone beam computed tomography (CBCT) protocol may impact optimal ablation probe(s) positioning during ultrasound-guided microwave ablation (MWA). To evaluate this hypothesis, 15 patients underwent ultrasound-guided percutaneous MWA of 15 liver lesions (10 hepatocellular carcinomas, 5 metastasis ranging 11–41 mm) with the ultrasound guidance assisted by a dedicated CBCT protocol. Pre-procedural enhanced CBCT (ceCBCT) was performed after intravenous contrast administration to visual...
18 CitationsSource
#1Monica MacchiH-Index: 3
Last. Gianpaolo Carrafiello (University of Milan)H-Index: 35
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The LUMIRA trial evaluated the effectiveness of radiofrequency (RFA) and microwave ablation (MWA) in lung tumours ablation and defining more precisely their fields of application. It is a controlled prospective multi-centre random trial with 1:1 randomization. Fifty-two patients in stage IV disease (15 females and 37 males, mean age 69 y.o., range 40–87) were included. We randomized the patients in two different subgroups: MWA group and RFA group. For each group, we evaluated the technical and c...
38 CitationsSource
#1Lou Zhong (Nantong University)H-Index: 5
#2Siyuan Sun (Nantong University)H-Index: 3
Last. Qingsheng You (Nantong University)H-Index: 2
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Background: Lung Cancer is a primary tumor with poor prognosis. For early stage lung cancer, treatment options include surgical resection and microwave techniques. Percutaneous ablative techniques emerged as best therapeutic options for nonsurgical patients. Methods: The aim of this study was to retrospectively analyze the clinical effect of CT-guided microwave ablation (MWA) treatment for patients with lung cancer who were not eligible for surgical resection. MWA was used to treat the tumor les...
22 CitationsSource
#1Aimin Zheng (SDU: Shandong University)H-Index: 8
#2Xin Ye (SDU: Shandong University)H-Index: 9
Last. Yonghao Gai (SDU: Shandong University)H-Index: 2
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Abstract Purpose To retrospectively evaluate local efficacy and survival after microwave (MW) ablation of lung tumors and identify predictors of prognosis. Materials and Methods Data from 183 consecutive patients (67 women; mean age, 61.5 y ± 13.4) with lung tumors who had undergone 203 lung MW ablation sessions from January 2011 to May 2013 were assessed. The χ 2 test, independent-samples t test, Kaplan–Meier analysis, and Cox regression model analysis were used to estimate survival rates and e...
20 CitationsSource
#1Damian E. Dupuy (Brown University)H-Index: 63
#2Hiran C. Fernando (BU: Boston University)H-Index: 54
Last. Joe B. Putnam (VUMC: Vanderbilt University Medical Center)H-Index: 79
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BACKGROUND This study evaluated the 2-year overall survival rate, adverse event rate, local control rate, and impact on pulmonary function tests for medically inoperable patients with stage IA non–small cell lung cancer (NSCLC) undergoing computed tomography (CT)–guided radiofrequency ablation (RFA) in a prospective, multicenter trial. METHODS Fifty-four patients (25 men and 29 women) with a median age of 76 years (range, 60-89 years) were enrolled from 16 US centers; 51 patients were eligible f...
110 CitationsSource
#1Terrance T. Healey (Brown University)H-Index: 11
#2Bradford T. March (Brown University)H-Index: 2
Last. Damian E. Dupuy (Brown University)H-Index: 63
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Abstract Purpose To determine the long-term safety and efficacy of microwave (MW) ablation in the treatment of lung tumors at a single academic medical center. Materials and Methods Retrospective review was performed of 108 patients (42 female; mean age, 72.5 y ± 10.3 [standard deviation]) who underwent computed tomography (CT)–guided percutaneous MW ablation for a single lung malignancy. Eighty-two were primary non–small-cell lung cancers and 24 were metastatic tumors (9 colorectal carcinoma, 2...
52 CitationsSource
#1Nan Bi (UM: University of Michigan)H-Index: 14
#2Kerby Shedden (UM: University of Michigan)H-Index: 60
Last. Feng-Ming Spring Kong (UM: University of Michigan)H-Index: 24
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Purpose To performed a systematic review and pooled analysis to compare clinical outcomes of stereotactic body radiation therapy (SBRT) and radiofrequency ablation (RFA) for the treatment of medically inoperable stage I non-small cell lung cancer. Methods and Materials A comprehensive literature search for published trials from 2001 to 2012 was undertaken. Pooled analyses were performed to obtain overall survival (OS) and local tumor control rates (LCRs) and adverse events. Regression analysis w...
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#1Riccardo Lencioni (UniPi: University of Pisa)H-Index: 74
#2Laura Crocetti (UniPi: University of Pisa)H-Index: 29
Last. Alfredo Mussi (UniPi: University of Pisa)H-Index: 55
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Summary Background Radiofrequency ablation is an accepted treatment for non-surgical patients with liver cancer. The purpose of this study was to identify the feasibility, safety, and effectiveness of percutaneous radiofrequency ablation of malignant lung tumours. Methods Between July 1, 2001, and Dec 10, 2005, a series of 106 patients with 183 lung tumours that were 3·5 cm in diameter or smaller (mean 1·7 cm [SD 1·3]) were enrolled in a prospective, intention-to-treat, single-arm, multicentre c...
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#1Joel Dunning (Manchester Royal Infirmary)H-Index: 19
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SummaryCardiothoracic surgeons are faced with the dilemma that many clinical questions in their daily practice to do not have universally agreedanswers, but patients increasingly demand the ‘best practice’ from their doctors. In addition time pressures mean that clinicians are unable tokeep up with the full spectrum of published research and current resources that collate evidence for clinicians have few if any resources forcardiothoracic surgeons. We have adopted an approach pioneered in emerge...
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#1Scott Genshaft (UCLA: University of California, Los Angeles)H-Index: 10
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PURPOSE To provide guidance on quality improvement thresholds for outcomes and complications of image-guided thermal ablation for the treatment of early stage non-small cell lung cancer, recurrent lung cancer, and metastatic disease. MATERIALS AND METHODS A multidisciplinary writing group conducted a comprehensive literature search to identify studies on the topic of interest. Data was extracted from relevant studies and thresholds were derived from a calculation of two standard deviations from ...
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Although surgical lobectomy with systematic mediastinal lymph node evaluation is considered as the "gold standard" for management of early stage non-small cell lung cancer (NSCLC), image-guided percutaneous thermal ablation has been increasingly used for medically inoperable patients. Radiofrequency ablation (RFA) is a research-based technique that has the most studies for medically inoperable early-stage NSCLC. Other thermal ablation techniques used to treat pulmonary tumors include microwave a...
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The therapeutic application of heat is very effective in cancer treatment. Both hyperthermia, i.e., heating to 39–45 °C to induce sensitization to radiotherapy and chemotherapy, and thermal ablatio...
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Lung ablation is ever more recognized since its initial report and use almost two decades ago. With technological advancements in thermal modalities, particularly microwave ablation and cryoablation, better identification of the cohort of patients who best benefit from ablation, and understanding the role of imaging after ablation, image-guided thermal ablation for primary and secondary pulmonary malignancies is increasingly recognized and accepted as a cogent form of local therapy.
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