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Tumor Ablation pp 104–120Cite as

Computed Tomography Imaging for Tumor Ablation

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Abstract

Computed tomography (CT) affords the best visualization of all organs in the body, simultaneously depicting air, soft tissue, and bones on the same scan. This ability makes CT an ideal imaging modality for tissue ablation, as it enables the physician to target any type of organ accurately and to avoid inadvertently puncturing others along the needle path. However, in the past, as the duration of image acquisition and reconstruction was long with CT, this time-consuming aspect appeared inconvenient for tissue ablation. Recent improvements in computerized data management have transformed CT into almost a real-time imaging technique, and even more recently, the advent of multislice CT has made imaging of a volume in a single acquisition feasible, thereby improving the scope of CT guidance for tissue ablation. CT can now be used throughout tissue ablation for guidance, monitoring, and follow-up.

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References

  1. Sheafor DH, Paulson EK, Kliewer MA, DeLong DM, Nelson RC. Comparison of sonographic and CT guidance techniques: does CT fluoroscopy decrease procedure time? AJR 2000;174:939–942.

    Article  PubMed  CAS  Google Scholar 

  2. Kirchner J, Kickuth R, Laufer U, Schilling EM, Adams S, Liermann D. CT fluoroscopy-assisted puncture of thoracic and abdominal masses: a randomized trial. Clin Radiol 2002;57:188–192.

    Article  PubMed  Google Scholar 

  3. Teeuwisse WM, Geleijns J, Broerse JJ, Obermann WR, van Persijn van Meerten EL. Patient and staff dose during CT guided biopsy, drainage and coagulation. Br J Radiol 2001;74:720–726.

    Article  PubMed  CAS  Google Scholar 

  4. Takayasu K, Muramatsu Y, Asai S, Kobayashi T. CT fluoroscopy-assisted needle puncture and ethanol injection for hepatocellular carcinoma: a preliminary study. AJR 1999;173:1219–1224.

    Article  PubMed  CAS  Google Scholar 

  5. Kato R, Katada K, Anno H, Suzuki S, Ida Y, Koga S. Radiation dosimetry at CT fluoroscopy: physician’s hand dose and development of needle holders. Radiology 1996;201:576–578.

    Article  PubMed  CAS  Google Scholar 

  6. Paulson EK, Sheafor DH, Enterline DS, et al. CT fluoroscopy-guided interventional procedures: techniques and radiation dose to radiologists. Radiology 2001;220:161–167.

    Article  PubMed  CAS  Google Scholar 

  7. Yueh N, Halvorsen RA Jr, Letourneau JG, Crass JR. Gantry tilt technique for CT-guided biopsy and drainage. J Comput Assist Tomogr 1989;13:182–184.

    Article  PubMed  CAS  Google Scholar 

  8. Kirchner J, Kickuth R, Walz MV, et al. CTF-guided puncture of an unenhanced isodense liver lesion during continuous intravenous injection of contrast medium. Cardiovasc Intervent Radiol 1999;22:528–530.

    Article  PubMed  CAS  Google Scholar 

  9. Schweiger GD, Brown BP, Pelsang RE, Dhadha RS, Barloon TJ, Wang G. CT fluoroscopy: technique and utility in guiding biopsies of transiently enhancing hepatic masses. Abdom Imaging 2000;25:81–85.

    Article  PubMed  CAS  Google Scholar 

  10. Jacobi V, Thalhammer A, Kirchner J. Value of a laser guidance system for CT interventions: a phantom study. Eur Radiol 1999;9:137–140.

    Article  PubMed  CAS  Google Scholar 

  11. Holzknecht N, Helmberger T, Schoepf UJ, et al. [Evaluation of an electromagnetic virtual target system (CT-guide) for CT-guided interventions]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 2001;173:612–618.

    Article  PubMed  CAS  Google Scholar 

  12. Pereles FS, Baker M, Baldwin R, Krupinski E, Unger EC. Accuracy of CT biopsy: laser guidance versus conventional freehand techniques. Acad Radiol 1998;5:766–770.

    Article  PubMed  CAS  Google Scholar 

  13. Goodacre BW, Savage C, Zwischenberger JB, Wittich GR, vanSonnenberg E. Salinoma window technique for mediastinal lymph node biopsy. Ann Thorac Surg 2002;74:276–277.

    Article  PubMed  Google Scholar 

  14. Langen HJ, Klose KC, Keulers P, Adam G, Jochims M, Gunther RW. Artificial widening of the mediastinum to gain access for extrapleural biopsy: clinical results. Radiology 1995;196:703–706.

    Article  PubMed  CAS  Google Scholar 

  15. Karampekios S, Hatjidakis A A, Drositis J, et al. Artificial paravertebral widening for percutaneous CT-guided adrenal biopsy. J Comput Assist Tomogr 1998;22:308–310.

    Article  PubMed  CAS  Google Scholar 

  16. Shah H, Harris VJ, Konig CW, et al. Saline injection into the perirectal space to assist transgluteal drainage of deep pelvic abscesses. J Vase Interv Radiol 1997;8:119–121.

    Article  CAS  Google Scholar 

  17. Shibata T, Iimuro Y, Yamamoto Y, et al. CT-guided transthoracic percutaneous ethanol injection for hepatocellular carcinoma not detectable with US. Radiology 2002;223:115–120.

    Article  PubMed  Google Scholar 

  18. Elias D, de Baere T, Goharin A, Lasser P, Roche A. Transpleurodiaphragmatic radiofrequency thermoablation of a liver metastasis. J Am Coll Surg 2000;191:683–685.

    Article  PubMed  CAS  Google Scholar 

  19. Antoch G, Kuehl H, Vogt F, Debatin J, Stattaus J. Value of CT volume imaging for optimal placement of radiofrequency ablation probes in liver lesions. J Vase Interv Radiol 2002;13:1155–1161.

    Article  Google Scholar 

  20. Dodd GD III, Frank MS, Aribandi M, Chopra S, Chintapalli KN. Radiofrequency thermal ablation: computer analysis of the size of the thermal injury created by overlapping ablations. AJR 2001;177:777–782.

    Article  PubMed  Google Scholar 

  21. Livraghi T, Goldberg SN, Lazzaroni S, et al. Hepatocellular carcinoma: radio-frequency ablation of medium and large lesions. Radiology 2000;214:761–768.

    Article  PubMed  CAS  Google Scholar 

  22. Gangi A, Dietemann JL, Gasser B, et al. Interstitial laser photocoagulation of osteoid osteomas with use of CT guidance. Radiology 1997;203:843–848.

    Article  PubMed  CAS  Google Scholar 

  23. Rosenthal DI. Percutaneous radiofrequency treatment of osteoid osteomas. Semin Musculoskelet Radiol 1997;1:265–272.

    Article  PubMed  Google Scholar 

  24. Rosenthal DI, Hornicek FJ, Wolfe MW, Jennings LC, Gebhardt MC, Mankin HJ. Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg [Am] 1998;80:815–821.

    PubMed  CAS  Google Scholar 

  25. Callstrom MR, Charboneau JW, Goetz MP, et al. Painful metastases involving bone: feasibility of percutaneous CT-and US-guided radio-frequency ablation. Radiology 2002;224:87–97.

    Article  PubMed  Google Scholar 

  26. Haramati LB, Aviram G. What constitutes effective management of pneumothorax after CT-guided needle biopsy of the lung? Chest 2002;121:1013–1015.

    Article  PubMed  Google Scholar 

  27. Saji H, Nakamura H, Tsuchida T, et al. The incidence and the risk of pneumothorax and chest tube placement after percutaneous CT-guided lung biopsy: the angle of the needle trajectory is a novel predictor. Chest 2002;121:1521–1526.

    Article  PubMed  Google Scholar 

  28. Vaughn C, Mychaskiw G, II, Sewell P, et al. Massive hemorrhage during radiofrequency ablation of a pulmonary neoplasm. Anesth Analg 2002;94:1149–1151.

    Article  PubMed  Google Scholar 

  29. Cha CH, Lee FT Jr, Gurney JM, et al. CT versus sonography for monitoring radiofrequency ablation in a porcine liver. AJR 2000;175:705–711.

    Article  PubMed  CAS  Google Scholar 

  30. McLoughlin RF, Saliken JF, McKinnon G, Wiseman D, Temple W. CT of the liver after cry other apy of hepatic metastases: imaging findings. AJR 1995;165:329–332.

    Article  PubMed  CAS  Google Scholar 

  31. Raman SS, Lu DS, Vodopich DJ, Sayre J, Lassman C. Creation of radiofrequency lesions in a porcine model: correlation with sonography, CT, and histopathology. AJR 2000;175:1253–1258.

    Article  PubMed  CAS  Google Scholar 

  32. Crowley JD, Shelton J, Iverson AJ, Burton MP, Dalrymple NC, Bishoff JT. Laparoscopic and computed tomography-guided percutaneous radiofrequency ablation of renal tissue: acute and chronic effects in an animal model. Urology 2001;57:976–980.

    Article  PubMed  CAS  Google Scholar 

  33. Hamuro M, Kaminou T, Nakamura K, et al. Percutaneous ethanol injection under CT fluoroscopy for hypervascular hepatocellular carcinoma following transcatheter arterial embolization. Hepatogastroenterology 2002;49:752–757.

    PubMed  Google Scholar 

  34. Ueda K, Ohkawara T, Minami M, et al. [Non-real-time computed tomography-guided percutaneous ethanol injection therapy for hepatocellular carcinoma undetectable by ultrasonography]. Gan To Kagaku Ryoho 1998;25:1254–1258.

    PubMed  CAS  Google Scholar 

  35. Farres M, de Baere T, Lagrange C, et al. Percutaneous mitoxantrone injection for primary and secondary liver tumors: preliminary results. Cardiovasc Intervent Radiol 1998;21:399–403.

    Article  PubMed  CAS  Google Scholar 

  36. Dromain C, de Baere T, Elias D, et al. Hepatic tumors treated with percutaneous radiofrequency ablation: CT and MR imaging follow-up. Radiology 2002;223:255–262.

    Article  PubMed  Google Scholar 

  37. Ebara M, Kita K, Sigiura YM, et al. Therapeutic effect of percutaneous ethanol injection on small hepatocellular carcinoma: evaluation with CT. Radiology 1995;195:371–377.

    Article  PubMed  CAS  Google Scholar 

  38. Miller AB, Hoogstraten B, Staquet M, Winkler A. Reporting results of cancer treatment. Cancer 1981;47:207–214.

    Article  PubMed  CAS  Google Scholar 

  39. Padhani AR, Ollivier L, Shibata T, et al. The RECIST (Response Evaluation Criteria in Solid Tumors) criteria: implications for diagnostic radiologists. Br J Radiol 2001;74:983–986.

    Article  PubMed  CAS  Google Scholar 

  40. Goldberg SN, Gazelle GS, Compton CC, Mueller PR, Tanabe KK. Treatment of intrahepatic malignancy with radiofrequency ablation: radio-logic-pathologic correlation. Cancer 2000;88:2452–2463.

    Article  PubMed  CAS  Google Scholar 

  41. Morimoto M, Sugimori K, Shirato K, et al. Treatment of hepatocellular carcinoma with radiofrequency ablation: radiologic-histologic correlation during follow-up periods. Hepatology 2002;35:1467–1475.

    Article  PubMed  Google Scholar 

  42. Solbiati L, Livraghi T, Goldberg SN, et al. Percutaneous radiofrequency ablation of hepatic metastases from colorectal cancer: long-term results in 117 patients. Radiology 2001;221:159–166.

    Article  PubMed  CAS  Google Scholar 

  43. Kuszyk BS, Boitnott JK, Choti MA, et al. Local tumor recurrence following hepatic cryoablation: radiologic-histopathologic correlation in a rabbit model. Radiology 2000;217:477–486.

    Article  PubMed  CAS  Google Scholar 

  44. Rowland I, Rivens I, Chen L, et al. MRI study of hepatic tumours following high intensity focused ultrasound. Br J Radiol 1997;70:144–153.

    Article  PubMed  CAS  Google Scholar 

  45. Tsuda M, Majima K, Yamada T, Saitou H, Ishibashi T, Takahashi S. Hepatocellular carcinoma after radiofrequency ablation therapy: dynamic CT evaluation of treatment. Clin Imaging 2001;25:409–415.

    Article  PubMed  CAS  Google Scholar 

  46. Ito K, Honjo K, Fujita T, Awaya H, Matsumoto T, Matsunaga N. Enhanced MR imaging of the liver after ethanol treatment of hepatocellular carcinoma: evaluation of areas of hyperperfusion adjacent to the tumor. AJR 1995;164:1413–1417.

    Article  PubMed  CAS  Google Scholar 

  47. Sironi S, De Cobelli F, Livraghi T, et al. Small hepatocellular carcinoma treated with percutaneous ethanol injection: unenhanced and gadolinium-enhanced MR imaging follow-up. Radiology 1994;192:407-412.

    Article  PubMed  CAS  Google Scholar 

  48. Amin Z, Donald JJ, Masters A, et al. Hepatic metastases: interstitial laser photocoagulation with real-time US monitoring and dynamic evaluation of treatment. Radiology 1993;187:339–347.

    Article  PubMed  CAS  Google Scholar 

  49. Vogl T, Muller P, Hammersting R, et al. Malignant liver tumors treated with MR imaging-guided laser-induced technique: technique and prospective results. Radiology 1995;196:257–265.

    Article  PubMed  CAS  Google Scholar 

  50. Chopra S, Dodd GD III, Chintapalli KN, Leyendecker JR, Karahan OI, Rhim H. Tumor recurrence after radiofrequency thermal ablation of hepatic tumors: spectrum of findings on dual-phase contrast-enhanced CT. AJR 2001;177:381–387.

    Article  PubMed  CAS  Google Scholar 

  51. de Baere T, Elias D, Dromain C, et al. Radio-frequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year. AJR 2000;175:1619–1625.

    Article  PubMed  Google Scholar 

  52. Solbiati L, Goldberg S, Ierace T, Dellanoce M, Livraghi T, Gazelle S. Radio-frequency ablation of hepatic metastases: post procedural assessment with US microbubble contrast agent—early experience. Radiology 1999;211:643–649.

    Article  PubMed  CAS  Google Scholar 

  53. Curley SA, Izzo F, Ellis LM, Vauthey JN, Vallone P. Radiofrequency ablation of hepatocellular cancer in 110 patients with cirrhosis. Ann Surg 2000;232:381–391.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  54. Cioni D, Lencioni R, Rossi S, et al. Radiofrequency thermal ablation of hepatocellular carcinoma: using contrast-enhanced harmonic power Doppler sonography to assess treatment outcome. AJR 2001;177:783–788.

    Article  PubMed  CAS  Google Scholar 

  55. Meloni MF, Goldberg SN, Livraghi T, et al. Hepatocellular carcinoma treated with radiofrequency ablation: comparison of pulse inversion contrast-enhanced harmonic sonography, contrast-enhanced power Doppler sonography, and helical CT. AJR 2001;177:375–380.

    Article  PubMed  CAS  Google Scholar 

  56. Wood TF, Rose DM, Chung M, Allegra DP, Foshag LJ, Bilchik AJ. Radiofrequency ablation of 231 unresectable hepatic tumors: indications, limitations, and complications. Ann Surg Oncol 2000;7:593–600.

    Article  PubMed  CAS  Google Scholar 

  57. Zagoria RJ, Chen MY, Shen P, Levine EA. Complications from radiofrequency ablation of liver metastases. Am Surg 2002;68:204–209.

    PubMed  Google Scholar 

  58. Bilchik AJ, Wood TF, Allegra D, et al. Cryosurgical ablation and radiofrequency ablation for unresectable hepatic malignant neoplasms: a proposed algorithm. Arch Surg 2000;135:657–662; discussion 662–664.

    Article  PubMed  CAS  Google Scholar 

  59. de Baere T, Kuoch V, Smayra T, et al. Radio-frequency ablation of renal cell carcinoma: preliminary experience. J Urol 2002;167:1961–1964.

    Article  PubMed  Google Scholar 

  60. Gervais D, O’Neill M, Arellano R, McGovern R, McDougal W, Mueller P. Peritumoral CT changes associated with radiofrequency ablation of focal renal lesions: description, incidence, and significance (abst). Radiology 2001;221 (P):180.

    Google Scholar 

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Authors and Affiliations

  1. Institut Gustave Roussy, Villejuif, France

    Thierry de Baère MD (Staff Radiologist)

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  1. Thierry de Baère MD
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Editors and Affiliations

  1. Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, 02115, USA

    Eric vanSonnenberg MD (Chief of Radiology, Interventional Radiologist) (Chief of Radiology, Interventional Radiologist)

  2. Brigham and Women’s Hospital Children’s Hospital, Boston, MA, 02115, USA

    Eric vanSonnenberg MD (Chief of Radiology, Interventional Radiologist) (Chief of Radiology, Interventional Radiologist)

  3. Boston, MA, 02115, USA

    William N. McMullen (Interventional Oncology Consultant) (Interventional Oncology Consultant)

  4. Department of Radiology, Ospedale Civile Busto Arsizio, 21052, Busto Arsizio, Italy

    Luigi Solbiati MD (Chairman) (Chairman)

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© 2005 Springer Science+Business Media, Inc.

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de Baère, T. (2005). Computed Tomography Imaging for Tumor Ablation. In: vanSonnenberg, E., McMullen, W.N., Solbiati, L., Livraghi, T., Müeller, P.R., Silverman, S.G. (eds) Tumor Ablation. Springer, New York, NY. https://doi.org/10.1007/0-387-28674-8_9

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  • DOI: https://doi.org/10.1007/0-387-28674-8_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-95539-1

  • Online ISBN: 978-0-387-28674-7

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