Laser ablation of liver tumors:An ancillary technique,or an alternative to radiofrequency and microwave?
Laser ablation of liver tumors: An ancillary technique, or an alternative to radiofrequency and microwave?作者机构：Section of Interventional UltrasoundSt Anna Hospital44100 FerraraItaly
出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)
年 卷 期：2017年第9卷第3期
页 面：91-96页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 1009[医学-特种医学] 10[医学]
主 题：Radiofrequency ablation Liver neoplasm Laser ablation Microwave ablation Hepatocellular carcinoma Liver metastases
摘 要：Radiofrequency ablation(RFA) is currently the most popular and used ablation modality for the treatment ofnon surgical patients with primary and secondary liver tumors, but in the last years microwave ablation(MWA) is being technically improved and widely rediscovered for clinical use. Laser thermal ablation(LTA) is by far less investigated and used than RFA and MWA, but the available data on its effectiveness and safety are quite good and comparable to those of RFA and MWA. All the three hyperthermia-based ablative techniques, when performed by skilled operators, can successfully treat all liver tumors eligible for thermal ablation, and to date in most centers of interventional oncology or interventional radiology the choice of the technique usually depends on the physician s preference and experience, or technical availability. However, RFA, MWA, and LTA have peculiar advantages and limitations that can make each of them more suitable than the other ones to treat patients and tumors with different characteristics. When all the three thermal ablation techniques are available, the choice among RFA, MWA, and LTA should be guided by their advantages and disadvantages, number, size, and location of the liver nodules, and cost-saving considerations, in order to give patients the best treatment option.
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