Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Radiofrequency Ablation

  • Chapter
Percutaneous Tumor Ablation in Medical Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The heating effect of alternating radiofrequency (RF) in biological tissue was first described by the French physiologist Jaques D’Arsonval (1851–1940) in the late nineteenth century. From that time on RF gained an important role in many fields of medical treatment. A wide variety of surgical RF instruments were developed, mostly combining tissue dissection and haemostasis by coagulation. In the early 1990s the percutaneous use of needle like probes for interstitial thermal ablation of tumour tissue was reported for the first time (McGahan et al. 1990; Rossi et al. 1990). Since then enormous development of percutaneous RF technology has taken place.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abraham J, Fojo T, Wood BJ (2000) Radiofrequency ablation of metastatic lesions in adrenocortical cancer. Ann Intern Med 133(4):312–313

    PubMed  CAS  Google Scholar 

  • Ahrar K, Matin S, Wood CG et al (2005) Percutaneous radiofrequency ablation of renal tumors: technique complications and outcomes. J Vasc Interv Radiol 16(5):679–688

    PubMed  Google Scholar 

  • Brieger J, Pereira PL, Trubenbach J et al (2003) In vivo efficiency of four commercial monopolar radiofrequency ablation systems: a comparative experimental study in pig liver. Invest Radiol 38(10):609–616

    Article  PubMed  Google Scholar 

  • Burdio F, Guemes A, Burdio JM et al (2003) Bipolar salineenhanced electrode for radiofrequency ablation: results of experimental study of in vivo porcine liver. Radiology 229(2):447–456

    Article  PubMed  Google Scholar 

  • Choi H, Loyer EM, DuBrow RA et al (2001) Radio-frequency ablation of liver tumors: assessment of therapeutic response and complications. Radiographics 21 [SpecNo]:S41–S54

    PubMed  Google Scholar 

  • Choi D, Lim HK, Kim MJ et al (2005) Liver abscess after percutaneous radiofrequency ablation for hepatocellular carcinomas: frequency and risk factors. AJR Am J Roentgenol 184(6):1860–1867

    PubMed  Google Scholar 

  • Choi D, Lim HK, Rhim H et al (2007) Percutaneous radiofrequency ablation for recurrent hepatocellular carcinoma after hepatectomy: long-term results and prognostic factors. Ann Surg Oncol 14(8):2319–2329

    Article  PubMed  Google Scholar 

  • Chuang CH, Chen CY, Tsai HM (2005) Hepatic infarction and hepatic artery pseudoaneurysm with peritoneal bleeding after radiofrequency ablation for hepatoma. Clin Gastroenterol Hepatol 3(11):A23

    Article  PubMed  Google Scholar 

  • Clasen S, Schmidt D, Boss A et al (2006) Multipolar radiofrequency ablation with internally cooled electrodes: experimental study in ex vivo bovine liver with mathematic modeling. Radiology 238(3):881–890

    Article  PubMed  Google Scholar 

  • Clasen S, Schmidt D, Dietz K et al (2007) Bipolar radiofrequency ablation using internally cooled electrodes in ex vivo bovine liver: prediction of coagulation volume from applied energy. Invest Radiol 42(1):29–36

    Article  PubMed  Google Scholar 

  • Curley SA, Izzo F, Delrio P et al (1999) Radiofrequency ablation of unresectable primary and metastatic hepatic malignancies: results in 123 patients. Ann Surg 230(1):1–8

    Article  PubMed  CAS  Google Scholar 

  • de Baere T, Bessoud B, Dromain C et al (2002) Percutaneous radiofrequency ablation of hepatic tumors during temporary venous occlusion. AJR Am J Roentgenol 178(1):53–59

    PubMed  Google Scholar 

  • de Baere T, Risse O, Kuoch V et al (2003) Adverse events during radiofrequency treatment of 582 hepatic tumors. AJR Am J Roentgenol 181(3):695–700

    PubMed  Google Scholar 

  • Decker GA, Gores GJ, Roberts LR (2003) Tumor seeding complicating radiofrequency ablation of hepatocellular carcinoma. J Hepatol 38(5):692

    Article  PubMed  Google Scholar 

  • Dodd GD 3rd, Frank MS, Aribandi M et al (2001) Radiofrequency thermal ablation: computer analysis of the size of the thermal injury created by overlapping ablations. AJR Am J Roentgenol 177(4):777–782

    PubMed  Google Scholar 

  • Elias D, Santoro R, Ouellet JF et al (2004) Simultaneous percutaneous right portal vein embolization and left liver tumor radiofrequency ablation prior to a major right hepatic resection for bilateral colorectal metastases. Hepatogastroenterology 51(60):1788–1791

    PubMed  Google Scholar 

  • Elias D, Di Pietroantonio D, Gachot B et al (2006) Liver abscess after radiofrequency ablation of tumors in patients with a biliary tract procedure. Gastroenterol Clin Biol 30(6–7):823–827

    Article  PubMed  Google Scholar 

  • Espinoza S, Briggs P, Duret JS et al (2005) Radiofrequency ablation of needle tract seeding in hepatocellular carcinoma. J Vasc Interv Radiol 16(5):743–746

    PubMed  Google Scholar 

  • Frericks B, Ritz JP, Roggan A et al (2005) Multipolar radiofrequency ablation of hepatic tumors: initial experience. Radiology 237(3):1056–1062

    Article  PubMed  Google Scholar 

  • Gervais DA, Arellano RS, McGovern FJ et al (2005a) Radiofrequency ablation of renal cell carcinoma: part 2. Lessons learned with ablation of 100 tumors. AJR Am J Roentgenol 185(1):72–80

    PubMed  Google Scholar 

  • Gervais DA, McGovern FJ, Arellano RS et al (2005b) Radiofrequency ablation of renal cell carcinoma: part 1. Indications results and role in patient management over a 6-year period and ablation of 100 tumors. AJR Am J Roentgenol 185(1):64–71

    PubMed  Google Scholar 

  • Goldberg SN (2001) Radiofrequency tumor ablation: principles and techniques. Eur J Ultrasound 13(2):129–147

    Article  PubMed  CAS  Google Scholar 

  • Goldberg SN, Gazelle GS (2001) Radiofrequency tissue ablation: physical principles and techniques for increasing coagulation necrosis. Hepatogastroenterology 48(38):359–367

    PubMed  CAS  Google Scholar 

  • Goldberg SN, Stein MC, Gazelle GS et al (1999) Percutaneous radiofrequency tissue ablation: optimization of pulsedradiofrequency technique to increase coagulation necrosis. J Vasc Interv Radiol 10(7):907–916

    Article  PubMed  CAS  Google Scholar 

  • Kettenbach J, Kostler W, Rucklinger E et al (2003) Percutaneous saline-enhanced radiofrequency ablation of unresectable hepatic tumors: initial experience in 26 patients. AJR Am J Roentgenol 180(6):1537–1545

    PubMed  Google Scholar 

  • Konety BR (2006) Percutaneous radiofrequency ablation of renal tumors: technique complications and outcomes. In: Ahrar K, Matin S, Wood CG et al The Department of Diagnostic Radiology. The University of Texas, MD Anderson Cancer Center, Houston, Tex. Urol Oncol 24(1):85–86

    Google Scholar 

  • Kuvshinoff BW, Ota DM (2002) Radiofrequency ablation of liver tumors: influence of technique and tumor size. Surgery 132(4):605–611; discussion 611–612

    Article  PubMed  Google Scholar 

  • Kvitting JP, Sandstrom P, Thorelius L et al (2006) Radiofrequency ablation of a liver metastasis complicated by extensive liver necrosis and sepsis caused by gas gangrene. Surgery 139(1):123–125

    Article  PubMed  Google Scholar 

  • Lau WY, Leung TW, Yu SC et al (2003) Percutaneous local ablative therapy for hepatocellular carcinoma: a review and look into the future. Ann Surg 237(2):171–179

    Article  PubMed  CAS  Google Scholar 

  • Lee FT Jr, Haemmerich D, Wright AS et al (2003) Multiple probe radiofrequency ablation: pilot study in an animal model. J Vasc Interv Radiol 14(11):1437–1442

    PubMed  Google Scholar 

  • Lee JM, Han JK, Kim SH et al (2003) A comparative experimental study of the in-vitro efficiency of hypertonic saline-enhanced hepatic bipolar and monopolar radiofrequency ablation. Korean J Radiol 4(3):163–169

    PubMed  Google Scholar 

  • Lencioni R, Cioni D, Crocetti L et al (2005) Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. Radiology 234(3):961–967

    Article  PubMed  Google Scholar 

  • Liu C, Frilling A, Dereskewitz C et al (2003) Tumor seeding after fine needle aspiration biopsy and percutaneous radiofrequency thermal ablation of hepatocellular carcinoma. Dig Surg 20(5):460–463

    Article  Google Scholar 

  • Liu J, Chen X, Xu LX (1999) New thermal wave aspects on burn evaluation of skin subjected to instantaneous heating. IEEE Trans Biomed Eng 46(4):420–428

    Article  PubMed  CAS  Google Scholar 

  • Livraghi T, Solbiati L, Meloni MF et al (2003) Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology 226(2):441–451

    Article  PubMed  Google Scholar 

  • Llovet JM, Vilana R, Bru C et al (2001) Increased risk of tumor seeding after percutaneous radiofrequency ablation for single hepatocellular carcinoma. Hepatology 33(5):1124–1129

    Article  PubMed  CAS  Google Scholar 

  • Lu DS, Raman SS, Limanond P et al (2003) Influence of large peritumoral vessels on outcome of radiofrequency ablation of liver tumors. J Vasc Interv Radiol 14(10):1267–1274

    PubMed  Google Scholar 

  • Lu DS, Yu NC, Raman SS et al (2005) Radiofrequency ablation of hepatocellular carcinoma: treatment success as defined by histologic examination of the explanted liver. Radiology 234(3):954–960

    Article  PubMed  Google Scholar 

  • Lubienski A, Dux M, Lubienski K et al (2005) Radiofrequency thermal ablation: increase in lesion diameter with continuous acetic acid infusion. Cardiovasc Intervent Radiol 28(6):789–794

    Article  PubMed  Google Scholar 

  • McGahan JP, Browning PD, Brock JM et al (1990) Hepatic ablation using radiofrequency electrocautery. Invest Radiol 25(3):267–270

    Article  PubMed  CAS  Google Scholar 

  • Meloni MF, Goldberg SN, Moser V et al (2002) Colonic perforation and abscess following radiofrequency ablation treatment of hepatoma. Eur J Ultrasound 15(1–2):73–76

    Article  PubMed  Google Scholar 

  • Merkle EM, Goldberg SN, Boll DT et al (1999) Effects of superparamagnetic iron oxide on radio-frequency-induced temperature distribution: in vitro measurements in polyacrylamide phantoms and in vivo results in a rabbit liver model. Radiology 212(2):459–466

    PubMed  CAS  Google Scholar 

  • Mulier S, Mulier P, Ni Y et al (2002) Complications of radiofrequency coagulation of liver tumours. Br J Surg 89(10):1206–1222

    Article  PubMed  CAS  Google Scholar 

  • Neeman Z, Wood BJ (2002) Radiofrequency ablation beyond the liver. Tech Vasc Interv Radiol 5(3):156–163

    Article  PubMed  Google Scholar 

  • Ni Y, Miao Y, Mulier S et al (2000) A novel cooled-wet electrode for radiofrequency ablation. Eur Radiol 10(5):852–854

    Article  PubMed  CAS  Google Scholar 

  • Ogan K, Jacomides L, Dolmatch BL et al (2002) Percutaneous radiofrequency ablation of renal tumors: technique limitations and morbidity. Urology 60(6):954–958

    Article  PubMed  Google Scholar 

  • Pacak K, Fojo T, Goldstein DS et al (2001) Radiofrequency ablation: a novel approach for treatment of metastatic pheochromocytoma. J Natl Cancer Inst 93(8):648–649

    Article  PubMed  CAS  Google Scholar 

  • Patterson EJ, Scudamore CH, Owen DA et al (1998) Radiofrequency ablation of porcine liver in vivo: effects of blood flow and treatment time on lesion size. Ann Surg 227(4):559–565

    Article  PubMed  CAS  Google Scholar 

  • Pereira PL, Trubenbach J, Schmidt D (2003) Radiofrequency ablation: basic principles techniques and challenges. Rofo 175(1):20–27

    PubMed  CAS  Google Scholar 

  • Pereira PL, Trubenbach J, Schenk M et al (2004) Radiofrequency ablation: in vivo comparison of four commercially available devices in pig livers. Radiology 232(2):482–490

    Article  PubMed  Google Scholar 

  • Poon RT, Fan ST, Lo CM et al (2002) Long-term survival and pattern of recurrence after resection of small hepatocellular carcinoma in patients with preserved liver function: implications for a strategy of salvage transplantation. Ann Surg 235(3):373–382

    Article  PubMed  Google Scholar 

  • Poon RT, Ng KK, Lam CM et al (2004a) Effectiveness of radiofrequency ablation for hepatocellular carcinomas larger than 3 cm in diameter. Arch Surg 139(3):281–287

    Article  PubMed  Google Scholar 

  • Poon RT, Ng KK, Lam CM et al (2004b) Learning curve for radiofrequency ablation of liver tumors: prospective analysis of initial 100 patients in a tertiary institution. Ann Surg 239(4):441–449

    Article  PubMed  Google Scholar 

  • Raman SS, Lu DS, Vodopich DJ et al (2000) Creation of radiofrequency lesions in a porcine model: correlation with sonography CT and histopathology. AJR Am J Roentgenol 175(5):1253–1258

    PubMed  CAS  Google Scholar 

  • Rhim H (2005) Complications of radiofrequency ablation in hepatocellular carcinoma. Abdom Imaging 30(4):409–418

    Article  PubMed  CAS  Google Scholar 

  • Rhim H, Yoon KH, Lee JM et al (2003) Major complications after radio-frequency thermal ablation of hepatic tumors: spectrum of imaging findings. Radiographics 23(1):123–134; discussion 134–136

    Article  PubMed  Google Scholar 

  • Rhim H, Dodd GD 3rd, Chintapalli KN et al (2004) Radiofrequency thermal ablation of abdominal tumors: lessons learned from complications. Radiographics 24(1):41–52

    Article  PubMed  Google Scholar 

  • Rossi S, Fornari F, Pathies C et al (1990) Thermal lesions induced by 480 KHz localized current field in guinea pig and pig liver. Tumori 76(1):54–57

    PubMed  CAS  Google Scholar 

  • Scott DM, Young WN, Watumull LM et al (2000) Development of an in vivo tumor-mimic model for learning radiofrequency ablation. J Gastrointest Surg 4(6):620–625

    Article  Google Scholar 

  • Shibata T, Yamamoto Y, Yamamoto N et al (2003) Cholangitis and liver abscess after percutaneous ablation therapy for liver tumors: incidence and risk factors. J Vasc Interv Radiol 14(12):1535–1542

    PubMed  Google Scholar 

  • Solbiati L, Ierace T, Tonolini M et al (2004) Guidance and monitoring of radiofrequency liver tumor ablation with contrast-enhanced ultrasound. Eur J Radiol Suppl 51: S19–S23

    Article  Google Scholar 

  • Suh R, Reckamp K, Zeidler M et al (2005) Radiofrequency ablation in lung cancer: promising results in safety and efficacy. Oncology (Williston Park) 19[11 Suppl. 4]:12–21

    PubMed  Google Scholar 

  • Tacke J, Mahnken A, Roggan A et al (2004) Multipolar radiofrequency ablation: first clinical results. Rofo 176(3):324–329

    PubMed  CAS  Google Scholar 

  • Wood BJ, Ramkaransingh JR, Fojo T et al (2002) Percutaneous tumor ablation with radiofrequency. Cancer 94(2):443–451

    Article  PubMed  Google Scholar 

  • Yamakado K, Nakatsuka A, Akeboshi M et al (2003) Percutaneous radiofrequency ablation of liver neoplasms adjacent to the gastrointestinal tract after balloon catheter interposition. J Vasc Interv Radiol 14(9 Pt 1):1183–1186

    PubMed  Google Scholar 

  • Yamakado K, Hase S, Matsuoka T et al (2007) Radiofrequency ablation for the treatment of unresectable lung metastases in patients with colorectal cancer: a multicenter study in Japan. J Vasc Interv Radiol 18(3):393–398

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Klinikum Bogenhausen, Academic Teaching Hospital of the Technical University Munich, Engelschalkinger Str. 77, 81925, Munich, Germany

    Thomas K. Helmberger MD (Professor)

Authors
  1. Thomas K. Helmberger MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institute for Diagnostic and Interventional Radiology University Hospital, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany

    Thomas J. Vogl MD (Professor) & Martin G. Mack MD (PD) (Professor) &  (PD)

  2. Department of Diagnostic and Interventional Radiology and Nuclear Medicine Klinikum Bogenhausen, Academic Teaching, Hospital of the Technical University Munich, Engelschalkingerstrasse 77, 81925, Munich, Germany

    Thomas K. Helmberger MD (Professor) (Professor)

  3. Department of Clinical Radiology University Hospitals — Grosshadern and Innenstadt, Ludwig-Maximilians-University of Munich, Marchioninistrasse 15, 81377, Munich, Germany

    Maximilian F. Reiser MD (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Helmberger, T.K. (2008). Radiofrequency Ablation. In: Vogl, T.J., Helmberger, T.K., Mack, M.G., Reiser, M.F. (eds) Percutaneous Tumor Ablation in Medical Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68250-9_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68250-9_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22518-8

  • Online ISBN: 978-3-540-68250-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation