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Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013

OBJECTIVES: Previous attempts at meta-analysis and systematic review have not provided clear recommendations for the clinical application of thermal ablation in metastatic colorectal cancer. Many authors believe that the probability of gathering randomised controlled trial (RCT) data is low. Our aim...

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Autores principales: Gillams, Alice, Goldberg, Nahum, Ahmed, Muneeb, Bale, Reto, Breen, David, Callstrom, Matthew, Chen, Min Hua, Choi, Byung Ihn, de Baere, Thierry, Dupuy, Damian, Gangi, Afshin, Gervais, Debra, Helmberger, Thomas, Jung, Ernst-Michael, Lee, Fred, Lencioni, Riccardo, Liang, Ping, Livraghi, Tito, Lu, David, Meloni, Franca, Pereira, Philippe, Piscaglia, Fabio, Rhim, Hyunchul, Salem, Riad, Sofocleous, Constantinos, Solomon, Stephen B., Soulen, Michael, Tanaka, Masatoshi, Vogl, Thomas, Wood, Brad, Solbiati, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636513/
https://www.ncbi.nlm.nih.gov/pubmed/25994193
http://dx.doi.org/10.1007/s00330-015-3779-z
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author Gillams, Alice
Goldberg, Nahum
Ahmed, Muneeb
Bale, Reto
Breen, David
Callstrom, Matthew
Chen, Min Hua
Choi, Byung Ihn
de Baere, Thierry
Dupuy, Damian
Gangi, Afshin
Gervais, Debra
Helmberger, Thomas
Jung, Ernst-Michael
Lee, Fred
Lencioni, Riccardo
Liang, Ping
Livraghi, Tito
Lu, David
Meloni, Franca
Pereira, Philippe
Piscaglia, Fabio
Rhim, Hyunchul
Salem, Riad
Sofocleous, Constantinos
Solomon, Stephen B.
Soulen, Michael
Tanaka, Masatoshi
Vogl, Thomas
Wood, Brad
Solbiati, Luigi
author_facet Gillams, Alice
Goldberg, Nahum
Ahmed, Muneeb
Bale, Reto
Breen, David
Callstrom, Matthew
Chen, Min Hua
Choi, Byung Ihn
de Baere, Thierry
Dupuy, Damian
Gangi, Afshin
Gervais, Debra
Helmberger, Thomas
Jung, Ernst-Michael
Lee, Fred
Lencioni, Riccardo
Liang, Ping
Livraghi, Tito
Lu, David
Meloni, Franca
Pereira, Philippe
Piscaglia, Fabio
Rhim, Hyunchul
Salem, Riad
Sofocleous, Constantinos
Solomon, Stephen B.
Soulen, Michael
Tanaka, Masatoshi
Vogl, Thomas
Wood, Brad
Solbiati, Luigi
author_sort Gillams, Alice
collection PubMed
description OBJECTIVES: Previous attempts at meta-analysis and systematic review have not provided clear recommendations for the clinical application of thermal ablation in metastatic colorectal cancer. Many authors believe that the probability of gathering randomised controlled trial (RCT) data is low. Our aim is to provide a consensus document making recommendations on the appropriate application of thermal ablation in patients with colorectal liver metastases. METHODS: This consensus paper was discussed by an expert panel at The Interventional Oncology Sans Frontières 2013. A literature review was presented. Tumour characteristics, ablation technique and different clinical applications were considered and the level of consensus was documented. RESULTS: Specific recommendations are made with regard to metastasis size, number, and location and ablation technique. Mean 31 % 5-year survival post-ablation in selected patients has resulted in acceptance of this therapy for those with technically inoperable but limited liver disease and those with limited liver reserve or co-morbidities that render them inoperable. CONCLUSIONS: In the absence of RCT data, it is our aim that this consensus document will facilitate judicious selection of the patients most likely to benefit from thermal ablation and provide a unified interventional oncological perspective for the use of this technology. KEY POINTS: • Best results require due consideration of tumour size, number, volume and location. • Ablation technology, imaging guidance and intra-procedural imaging assessment must be optimised. • Accepted applications include inoperable disease due to tumour distribution or inadequate liver reserve. • Other current indications include concurrent co-morbidity, patient choice and the test-of-time approach. • Future applications may include resectable disease, e.g. for small solitary tumours.
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spelling pubmed-46365132015-11-10 Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013 Gillams, Alice Goldberg, Nahum Ahmed, Muneeb Bale, Reto Breen, David Callstrom, Matthew Chen, Min Hua Choi, Byung Ihn de Baere, Thierry Dupuy, Damian Gangi, Afshin Gervais, Debra Helmberger, Thomas Jung, Ernst-Michael Lee, Fred Lencioni, Riccardo Liang, Ping Livraghi, Tito Lu, David Meloni, Franca Pereira, Philippe Piscaglia, Fabio Rhim, Hyunchul Salem, Riad Sofocleous, Constantinos Solomon, Stephen B. Soulen, Michael Tanaka, Masatoshi Vogl, Thomas Wood, Brad Solbiati, Luigi Eur Radiol Interventional OBJECTIVES: Previous attempts at meta-analysis and systematic review have not provided clear recommendations for the clinical application of thermal ablation in metastatic colorectal cancer. Many authors believe that the probability of gathering randomised controlled trial (RCT) data is low. Our aim is to provide a consensus document making recommendations on the appropriate application of thermal ablation in patients with colorectal liver metastases. METHODS: This consensus paper was discussed by an expert panel at The Interventional Oncology Sans Frontières 2013. A literature review was presented. Tumour characteristics, ablation technique and different clinical applications were considered and the level of consensus was documented. RESULTS: Specific recommendations are made with regard to metastasis size, number, and location and ablation technique. Mean 31 % 5-year survival post-ablation in selected patients has resulted in acceptance of this therapy for those with technically inoperable but limited liver disease and those with limited liver reserve or co-morbidities that render them inoperable. CONCLUSIONS: In the absence of RCT data, it is our aim that this consensus document will facilitate judicious selection of the patients most likely to benefit from thermal ablation and provide a unified interventional oncological perspective for the use of this technology. KEY POINTS: • Best results require due consideration of tumour size, number, volume and location. • Ablation technology, imaging guidance and intra-procedural imaging assessment must be optimised. • Accepted applications include inoperable disease due to tumour distribution or inadequate liver reserve. • Other current indications include concurrent co-morbidity, patient choice and the test-of-time approach. • Future applications may include resectable disease, e.g. for small solitary tumours. Springer Berlin Heidelberg 2015-05-22 2015 /pmc/articles/PMC4636513/ /pubmed/25994193 http://dx.doi.org/10.1007/s00330-015-3779-z Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Interventional
Gillams, Alice
Goldberg, Nahum
Ahmed, Muneeb
Bale, Reto
Breen, David
Callstrom, Matthew
Chen, Min Hua
Choi, Byung Ihn
de Baere, Thierry
Dupuy, Damian
Gangi, Afshin
Gervais, Debra
Helmberger, Thomas
Jung, Ernst-Michael
Lee, Fred
Lencioni, Riccardo
Liang, Ping
Livraghi, Tito
Lu, David
Meloni, Franca
Pereira, Philippe
Piscaglia, Fabio
Rhim, Hyunchul
Salem, Riad
Sofocleous, Constantinos
Solomon, Stephen B.
Soulen, Michael
Tanaka, Masatoshi
Vogl, Thomas
Wood, Brad
Solbiati, Luigi
Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title_full Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title_fullStr Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title_full_unstemmed Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title_short Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
title_sort thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, the interventional oncology sans frontières meeting 2013
topic Interventional
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636513/
https://www.ncbi.nlm.nih.gov/pubmed/25994193
http://dx.doi.org/10.1007/s00330-015-3779-z
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