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Chart for renal tumor microwave ablation from human study
A Noventa1, G Herpe1, G Vesselle1
1Department of Radiology, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
Diagnostic and Interventional Imaging
|June 20, 2018
Summary
Microwave ablation (MWA) charts for renal tumors were defined using time and power settings. These new charts provide more accurate ablation zone dimensions than the manufacturer's data.
Area of Science:
- Urology
- Oncology
- Radiology
Background:
- Renal tumors often require minimally invasive treatments.
- Microwave ablation (MWA) is an effective thermal ablation technique for renal cell carcinoma.
- Standardized MWA charts are crucial for predictable treatment outcomes.
Purpose of the Study:
- To establish precise microwave ablation (MWA) charts for human renal tumors based on varying time and power settings.
- To compare the generated MWA charts with those provided by the HS AMICA manufacturer.
Main Methods:
- 54 patients with renal cancers underwent MWA using the HS AMICA system.
- Ablation zone dimensions were measured via CT scans one month post-procedure.
- Dimensions were correlated with MWA power (40W or 60W) and exposure time (5, 10, 15 min).
Main Results:
- Ablation volume increased linearly with time at 40W (30% per 5 min).
- At 60W, a significantly greater volume increase (112%) was observed.
- MWA produced larger ablation zones than manufacturer charts, particularly in antero-posterior diameter (P<0.05).
Conclusions:
- MWA with the AMICA generator yields reproducible ablation areas for specific time and power settings in renal tumors.
- The developed MWA charts are recommended over manufacturer data, which is based on porcine liver and shows significant discrepancies.
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