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Updated: Jul 24, 2025

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Stereotactic ablation: A game changer?

Reto Bale1, Gregor Laimer1, Peter Schullian1

  • 1Interventional Oncology/Stereotaxy and Robotics, Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.

Journal of Medical Imaging and Radiation Oncology
|July 4, 2023
PubMed
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Stereotactic ablation offers a minimally invasive approach for liver cancer, achieving oncologic outcomes comparable to surgery. This advanced technique expands treatment options for primary and metastatic liver tumors.

Area of Science:

  • Oncology
  • Minimally Invasive Surgery
  • Medical Imaging

Background:

  • Thermal ablation is an alternative to surgery for liver cancer.
  • Conventional methods have limitations in achieving surgical oncologic outcomes.
  • Stereotactic ablation offers a novel approach to thermal ablation for liver tumors.

Purpose of the Study:

  • To describe a stereotactic ablation workflow for liver tumors.
  • To discuss the results of stereotactic radiofrequency ablation (SRFA) and stereotactic microwave ablation (SMWA).
  • To highlight the advantages and clinical data supporting stereotactic ablation techniques.

Main Methods:

  • Utilizes an optical navigation system and specialized aiming tool.
  • Involves advanced 3D planning and precise probe placement.
Keywords:
image fusionliver tumourmicrowave ablationradiofrequency ablationstereotaxy

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  • Incorporates intraoperative image fusion for verification of needle positions and ablation margins.
  • Main Results:

    • Stereotactic ablation provides oncologic results comparable to surgery.
    • It offers the benefits of a minimally invasive procedure.
    • The technique expands the number of locally treatable liver cancers.

    Conclusions:

    • Stereotactic ablation is a promising method for treating primary and secondary liver tumors.
    • This approach combines minimally invasive benefits with surgical-level oncologic outcomes.
    • It has the potential to become a cornerstone in liver cancer treatment.