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Updated: Nov 5, 2025

Thermal Ablation for the Treatment of Abdominal Tumors
Published on: March 7, 2011
Combined Biopsy and Imaging-Guided Microwave Ablation by Using a Coaxial Guiding Needle
Yi-Wei Wu1, Gabriel Chan1, Ivan Kuang Hsin Huang1
1Tan Tock Seng Hospital, SG.
Abstract:
This article demonstrates the technique of using a coaxial guiding needle to perform combined percutaneous biopsy and microwave ablation via a single tract. From May 2019 to July 2020, 14 patients underwent combined biopsy and microwave ablation by using a coaxial guiding cannula. Tumors were in the kidney of six patients (43%), the liver of six patients (43%), and the lung in two patients (14%). The diagnostic yield of biopsy was 86% (12/14). Ablation technical success rate was 100%. In conclusion, using a coaxial guiding needle in microwave ablation and biopsy is safe and effective.
Insights
This study shows that a coaxial guiding needle allows safe and effective combined percutaneous biopsy and microwave ablation in a single procedure. This technique achieved a high diagnostic yield and 100% ablation success rate in 14 patients.
Area of Science:
- Interventional Radiology
- Oncology
- Surgical Techniques
Background:
- Percutaneous biopsy and ablation are crucial for tumor diagnosis and treatment.
- Minimizing invasive procedures reduces patient morbidity and healthcare costs.
Purpose of the Study:
- To demonstrate the efficacy and safety of a novel technique combining percutaneous biopsy and microwave ablation using a single coaxial guiding needle.
- To evaluate the diagnostic yield and technical success rate of this combined approach.
Main Methods:
- A coaxial guiding needle was utilized to perform combined percutaneous biopsy and microwave ablation in 14 patients.
- Procedures were performed between May 2019 and July 2020.
- Tumor locations included kidney, liver, and lung.
Main Results:
- The diagnostic yield for biopsy was 86% (12 out of 14 patients).
- The technical success rate for microwave ablation was 100%.
- The procedure was performed via a single tract, reducing invasiveness.
Conclusions:
- The use of a coaxial guiding needle for combined percutaneous biopsy and microwave ablation is a safe and effective technique.
- This approach offers a high diagnostic yield and excellent ablation success rates.
- This method represents a valuable advancement in minimally invasive tumor treatment.

