[Interventional Radiology in Oncology - Update 2021]
1Institut für Diagnostische und Interventionelle Radiologie des Universitätsklinikums Köln.
Interventional radiology offers minimally invasive treatments for cancer, including transarterial embolization for liver tumors and percutaneous thermal ablation for various cancers. Newer techniques like high intensity focused ultrasound and irreversible electroporation expand treatment options.
Area of Science:
- Oncology
- Interventional Radiology
- Minimally Invasive Cancer Treatment
Background:
- Interventional radiology is vital in oncology, providing minimally invasive treatment options.
- Common procedures include transarterial embolization and percutaneous thermal ablation for various malignancies.
Purpose of the Study:
- To review established and emerging interventional radiology techniques in oncology.
- To highlight their applications, benefits, and target tumor types.
Main Methods:
- Review of transarterial embolization (TACE, SIRT) for hepatic malignancies.
- Overview of percutaneous thermal ablation (RFA, MWA, cryoablation) for tumors.
- Introduction to novel methods: high intensity focused ultrasound (HIFU) and irreversible electroporation (IRE).
Main Results:
- Transarterial embolization is effective for palliative treatment of liver cancers, often under conscious sedation.
- Percutaneous thermal ablation offers curative local treatment for liver, renal, and pulmonary tumors.
- HIFU and IRE represent advanced, minimally invasive options for specific tumor types, including those near large vessels.
Conclusions:
- Interventional radiology provides diverse, effective, and minimally invasive treatment strategies in oncology.
- Technological advancements continue to expand the role and efficacy of these procedures.
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