Image-Guided Percutaneous Ablation for Primary and Metastatic Tumors
Arian Mansur,
Tushar Garg,
Apurva Shrigiriwar,
Vahid Etezadi,
Christos Georgiades,
Peiman Habibollahi,
Timothy C. Huber,
Juan C. Camacho,
Sherif G. Nour,
Alan Alper Sag,
John David Prologo,
Nariman Nezami
Affiliations
Arian Mansur
Harvard Medical School, Boston, MA 02115, USA
Tushar Garg
Division of Vascular and Interventional Radiology, Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Apurva Shrigiriwar
Division of Gastroenterology and Hepatology, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Vahid Etezadi
Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Christos Georgiades
Division of Vascular and Interventional Radiology, Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Peiman Habibollahi
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Timothy C. Huber
Vascular and Interventional Radiology, Dotter Department of Interventional Radiology, Oregon Health and Science University, Portland, OR 97239, USA
Juan C. Camacho
Department of Clinical Sciences, College of Medicine, Florida State University, Tallahassee, FL 32306, USA
Sherif G. Nour
Department of Radiology and Medical Imaging, Florida State University College of Medicine, Gainesville, FL 32610, USA
Alan Alper Sag
Division of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA
John David Prologo
Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA
Nariman Nezami
Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Image-guided percutaneous ablation methods have been further developed during the recent two decades and have transformed the minimally invasive and precision features of treatment options targeting primary and metastatic tumors. They work by percutaneously introducing applicators to precisely destroy a tumor and offer much lower risks than conventional methods. There are usually shorter recovery periods, less bleeding, and more preservation of organ parenchyma, expanding the treatment options of patients with cancer who may not be eligible for resection. Image-guided ablation techniques are currently utilized for the treatment of primary and metastatic tumors in various organs including the liver, pancreas, kidneys, thyroid and parathyroid, prostate, lung, bone, and soft tissue. This article provides a brief review of the various imaging modalities and available ablation techniques and discusses their applications and associated complications in various organs.
