Percutaneous cryoablation for renal cell carcinoma using ultrasound-guided targeting and computed tomography-guided ice-ball monitoring: radiation dose and short-term outcomes

Acta Radiologica
Dong Kyu KimSung Yoon Park

Abstract

Usefulness of ultrasound (US)-guided mass targeting and computed tomography (CT)-guided ice-ball monitoring in percutaneous cryoablation (PCA) for renal cell carcinoma (RCC) is still uncertain. To assess radiation dose and short-term outcomes of PCA for RCC using US-guided targeting and CT-guided ice-ball monitoring. Thirty-nine consecutive patients who underwent PCA for biopsy-proven RCC were included. Mass targeting was performed with US and ice-ball was monitored with CT guidance. Effective radiation dose of CT during PCA was recorded. Follow-up was conducted with contrast-enhanced CT or magnetic resonance imaging (MRI) (mean follow-up time = 10.1 ± 7.0 months). Local tumor progression was defined by the presence of focal enhancing areas at the ablation zone (CT, ≥ 20 HU; MRI, presence of focal enhancement on subtraction contrast-enhanced image). Technical success, major complication rate (e.g. Clavien-Dindo classification ≥ 3), and one-year local tumor progression-free survival (PFS) rate were analyzed. Mean effective radiation dose in association with PCA was 12.1 ± 4.5 mSv (range = 7.0-25.2 mSv). Technical success was achieved in 100%. Local tumor progression occurred in a single patient (2.6%, 1/39), and one-year local t...Continue Reading

References

Mar 4, 2000·AJR. American Journal of Roentgenology·E M RemerI S Gill
May 10, 2005·The Journal of Urology·Inderbir S GillAndrew C Novick
Apr 22, 2008·The Journal of Urology·Thomas D AtwellJ William Charboneau
May 22, 2009·AJR. American Journal of Roentgenology·Raul N UppotDebra A Gervais
Jul 16, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Brian C Allen, Erick M Remer
Apr 23, 2011·AJR. American Journal of Roentgenology·Shuai LengCynthia H McCollough
Jun 8, 2011·European Journal of Radiology·Byung Kwan ParkStuart G Silverman
Oct 21, 2011·Radiology·Aradhana M VenkatesanDebra A Gervais
Dec 5, 2012·Journal of Vascular and Interventional Radiology : JVIR·Sung Yoon ParkGhee Young Kwon
Mar 21, 2013·Investigative Radiology·Kamran AhrarR Jason Stafford
Oct 17, 2013·Journal of Endourology·Don C ArnoldD Duane Baldwin
Aug 12, 2014·European Urology·R Houston ThompsonBradley C Leibovich
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Muneeb AhmedUNKNOWN Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Muneeb Ahmed, UNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Jul 15, 2015·Cardiovascular and Interventional Radiology·James C McEachenGrant D Schmit
Aug 1, 2015·European Journal of Radiology·Vincent M LevesqueStuart G Silverman
Feb 26, 2016·Abdominal Radiology·Nirav PatelDavid J Breen
Aug 9, 2016·International Journal of Surgery·P J ZondervanM P Laguna
May 22, 2017·Clinical Radiology·T M Wah

❮ Previous
Next ❯

Methods Mentioned

BETA
PCA
biopsy

Software Mentioned

MedCalc

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.