ABLATION THERAPIES
Presentation
In recent years, minimally-invasive treatment of liver tumors such as thermal ablation (RFA, MWA) has emerged as a first-line curative treatment approach for patients with small hepatocellular carcinoma (HCC) lesions. The diagnosis, identification, and treatment of such tumors is indeed challenging. The key objectives of percutaneous ablation are complete coverage of the tumor with ablation necrosis. Insufficient coverage of ablation necrosis is related to local tumor progression, which is also associated with poor survival prognosis. During this course, you will be guided to understand and identify the main indications, therapy modalities, prognostic factors, and management of complications when performing ablative therapies.
Objectives
- To learn the principles of ablation therapies in the treatment for liver malignancies treatment
- To identify current ablation technologies, guidance systems, clinical indications, and guidelines for the ablative treatment of liver tumors.
Tumoral Ablation Therapies
Ablation of liver tumors is a minimally-invasive locally destructive treatment alternative to surgical resection.
Ablation System
Locoregional therapies represent an important tool in the treatment of liver metastases that are currently used to palliate symptoms, control disease, and in some cancers, have been shown to
Liver MW Techniques and Results
Microwave technologies may improve thermal ablative performances, covering a larger liver ablation volume which is ideal for large liver tumors.
Liver Ablation, Which Approach: Percutaneous, Open or Laparoscopic
A laparoscopic approach may aid to improve visualization, and overall performance while using ablative therapies.
Which clinical scenario is best-suited for liver tumor ablation by laparoscopic approach ?
Ablation of liver tumors has been an evolving field, in some cases the lesions where hepatic resection is not an option the laparoscopic approach is widely accepted for treating hepatic lesions which are in difficult
Liver Ablation on HCC
Hepatocellular carcinoma (HCC) is one of the most common and often one of the most difficult liver cancers to treat, especially when of multicentric origin.
Follow Up After Tumour Ablation
Proper monitoring of treatment response and potential complications depend on medical imaging and physician skills.
Management of Complications
Although ablation therapy has been accepted as a promising and safe technique for the treatment of unresectable hepatic tumors, complications are present.
Experience with Angio-CT for Interventional Oncology
Interventional oncology therapies include a wide range of options in which imaging is a crucial factor for success.