中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 10
Oct.  2018
Turn off MathJax
Article Contents

Expert consensus on the imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors

DOI: 10.3969/j.issn.1001-5256.2018.10.009
Research funding:

 

  • Published Date: 2018-10-20
  • Imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors is a therapeutic technique, the performance of which is guided by medical imaging technology, and in the process of alternate conversion between cryoablation and thermal ablation, through accurate control of lesion area temperature and quantitative planning of ablation process, the in situ tumor cells and their circulatory system are thoroughly destroyed, and the active tumor antigens are simultaneously released at a maximum extent, thereby controlling the recurrence and metastasis of malignant hepatic tumors. In order to standardize the operative technique of multimode ablation therapy for malignant hepatic tumors, to enable hospitals at different levels have the ability to carry out the implementation of this therapy and to ensure medical safety and clinical efficacy, the Society of Interventional Therapy of China Anti-cancer Association and the Solid Tumor Theranostics Committee of Shanghai Anti-cancer Association have together organized domestic experts of multiple disciplines, who have been involved in the field of oncotherapy, to make a professional and serious discussion on the subject of“imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors”, focusing on its indications, contraindications and techniques, and the final expert consensus is presented here.

     

  • loading
  • [1]YANG Y.Cancer immunotherapy:Harnessing the immune system to battle cancer[J].J Clin Invest, 2015, 125 (9) :3335-3337.
    [2]LO SS, MOFFATT-BRUCE SD, DAWSON LA, et al.The role of local therapy in the management of lung and liver oligometastases[J].Nat Rev Clin Oncol, 2011, 8 (7) :405-416.
    [3]BREEN DJ, LENCIONI R.Image-guided ablation of primary liver and renal tumours[J].Nat Rev Clin Oncol, 2015, 12 (3) :175-186.
    [4]AHMED M, SOLBIATI L, BRACE CL, et al.Image-guided tumor ablation:Standardization of terminology and reporting criteria:a 10-year update[J].Radiology, 2014, 273:241-260.
    [5]LIVRAGHI T, SOLBIATI L, MELONI MF, et al.Treatment of focal liver tumors with percutaneous radio-frequency ablation:Complications encountered in a multicenter study[J].Radiology, 2003, 226 (2) :441-451.
    [6]YASHIRO H, NAKATSUKA S, INOUE M.et al.Factors affecting local progression after percutaneous cryoablation of lung tumors[J].J Vasc Interv Radiol, 2013, 24 (6) :813-821.
    [7]Expert Committee of National Industrial Technology Innovation Strategic Alliance for Minimally Invasive Treatment of Tumor&Expert Guidance Committee for Ablation Therapy, Society of Interventional Physicians, Chinese Medical Doctor Association;Society of Interventional Physicians, Beijing Medical Doctor Association.Expert consensus on standardized clinical application of image-guided thermal ablation of liver tumor[J].J Clin Hepatol, 2017, 33 (10) :1864-1869. (in Chinese) 国家肿瘤微创治疗产业技术创新战略联盟专家委员会, 中国医师协会介入医师分会消融治疗专家工作指导委员会, 北京医师协会介入医师分会.影像引导肝脏肿瘤热消融治疗技术临床规范化应用专家共识[J].临床肝胆病杂志, 2017, 33 (10) :1864-1869.
    [8] Expert Group of Technology Management Standard for Tumor Ablation Treatment of National Health Planning Commission.Management specification for tumor ablation technology (2017 Edition) [J].Natl Med J China, 2017, 97 (31) :2416-2417. (in Chinese) 国家卫计委肿瘤消融治疗技术管理规范专家组.肿瘤消融治疗技术管理规范 (2017年版) [J].中华医学杂志, 2017, 97 (31) :2416-2417.
    [9]LIU W, GUO H, DU X, et al.Cortical vessel imaging and visualization for image guided depth electrode[J].Comput Med Imaging Graph, 2013, 37 (2) :123-130.
    [10]ABI-JAOUDEH N, GLOSSOP N, DAKE M, et al.Electromagnetic navigation for thoracic aortic stent-graft deployment:a pilot study in swine[J].J Vasc Interv Radiol, 2010, 21 (6) :888-895.
    [11]LITTRUP PJ, AOUN HD, ADAM B, et al.Percutaneous cryoablation of hepatic tumors:Long-term experience of a large US series[J].Abdom Radiol (NY) , 2016, 41 (4) :767-780.
    [12]CAZZATO RL, GARNON J, RAMAMURTHY N, et al.Percutaneous image-guided cryoablation:current applications and results in the oncologic field[J].Med Oncol, 2016, 33 (12) :140.
    [13]Professional Committee of Liver Cancer of China Anti-Cancer Association, Clinical Oncology Collaboration Committee of China Anti-Cancer Association, Liver Cancer Group of Hepatology Society of Chinese Medical Association.Expert consensus on radiofrequency ablation for hepatocellular carcinoma[J].J Clin Hepatol, 2011, 27 (3) :236-238. (in Chinese) 中国抗癌协会肝癌专业委员会, 中国抗癌协会临床肿瘤学协作委员会, 中华医学会肝病学分会肝癌学组.肝癌射频消融治疗规范的专家共识[J].临床肝胆病杂志, 2011, 27 (3) :236-238.
    [14]SUN JQ, ZHANG AL, XU LX.Evaluation of alternate cooling and heating for tumor treatment[J].Int J Heat Mass Transf, 2008, 51 (23) :5478-5485.
    [15]SHEN Y, LIU P, ZHANG A, et al.Study on tumor microvasculature damage induced by alternate cooling and heating[J].Ann Biomed Eng, 2008, 36 (8) :1409-1419.
    [16]SHEN Y, ZHANG A, XU LX.A study on mechanical damage of tumor microvasculature induced by alternate cooling and heating[J].J Thermal Sci Eng Appl, 2009, 1 (3) :031002.
    [17]LIANG P, YU J, YU XL, et al.Percutaneous cooled-tip microwave ablation under ultrasound guidance for primary liver cancer:a multicentre analysis of 1363 treatment-naive lesions in 1007 patients in China[J].Gut, 2012, 61 (7) :1100-1101.
    [18]FACCIORUSSO A, DI MASO M, MUSCATIELLO N.Microwave ablation versus radiofrequency ablation for the treatment of hepatocellular carcinoma:A systematic review and meta-analysis[J].Int J Hyperthermia, 2016, 32:339-344.
    [19]DONG J, LIU P, XU LX.Immunologic response induced by synergistic effect of alternating cooling and heating of breast cancer[J].Int J Hyperthermia, 2009, 25 (1) :25-33.
    [20]ZHU J, ZHANG Y, ZHANG A, et al.Cryo-thermal therapy elicits potent anti-tumor immunity by inducing extracellular Hsp70-dependent MDSC differentiation[J].Sci Rep, 2016, 6:27136.
    [21]HE K, LIU P, XU LX.The cryo-thermal therapy eradicated melanoma in mice by eliciting CD4+T-cell-mediated antitumor memory immune response[J].Cell Death Dis, 2017, 8 (3) :e2703.
    [22]LIU K, HE K, XUE T, et al.The cryo-thermal therapy-induced IL-6-rich acute pro-inflammatory response promoted DCs phenotypic maturation as the prerequisite to CD4+T cell differentiation[J].Int J Hyperthermia, 2018, 34 (3) :261-272.
    [23]XUE T, LIU P, ZHOU Y, et al.Interleukin-6 induced“acute”phenotypic microenvironment promotes Th1 anti-tumor immunity in cryo-thermal therapy revealed by shotgun and parallel reaction monitoring proteomics[J].Theranostics, 2016, 6:773-794.
    [24]BAI JF, LIU P, XU LX.Recent advances in thermal treatment techniques and thermally induced immune responses against cancer[J].IEEE Trans Biomed Eng, 2014, 61:1497-1505.
    [25]Interventional Group, Radiology Branch of Chinese Medical Association.Expert consensus on operative guidelines for percutaneous radiofrequency ablation of liver tumors[J].Chin J Radiol, 2012, 46 (7) :581-585. (in Chinese) 中华医学会放射学分会介入学组.经皮肝脏肿瘤射频消融治疗操作规范专家共识[J].中华放射学杂志, 2012, 46 (7) :581-585.
    [26]YANG HX, GUO Z, SI TG, et al.The neutrophil-to-lymphocyte ratio in peripheral blood in patients with hepatocellular carcinoma before argon-helium cryoablation:its influence on the prognosis[J].J Intervent Radiol, 2017, 26 (1) :30-34. (in Chinese) 杨红彩, 郭志, 司同国, 等.氩氦冷冻消融术前外周血中性粒细胞与淋巴细胞比值对原发性肝癌患者预后的影响[J].介入放射学杂志, 2017, 26 (1) :30-34.
    [27]LI Z, NI CF, LI W, et al.Application of electromagnetic navigation system in performing the ablation of hepatic cancers adjacent to diaphragm[J].J Intervent Radiol, 2016, 25 (11) :969-972. (in Chinese) 李智, 倪才方, 李炜, 等.基于电磁导航的影像引导系统在膈顶部肝癌消融中的应用[J].介入放射学杂志, 2016, 25 (11) :969-972.
    [28]Summary of the project promotion meeting of the national key R&Dprogram"Research on Clinical Solutions for Imaging-guided Multimodal Ablation of Solid Tumors"and the focusing diagnosis and treatment committee of Shanghai anti-cancer association[J].J Intervent Radiol, 2016, 25 (11) :1026. (in Chinese) 国家重点研发计划“影像引导多模态消融治疗实体肿瘤临床解决方案研究”项目推介会暨上海市抗癌协会实体肿瘤聚焦诊疗专业委员会成立大会纪要[J].介入放射学杂志, 2016, 25 (11) :1026.
    [29]XU XL, ZHU ZY, JING X.The immune state in patients with hepatocellular carcinoma before and after radiofrequency ablation treatment:recent progress in research[J].J Intervent Radiol, 2017, 26 (1) :87-91. (in Chinese) 徐晓林, 朱争艳, 经翔.肝细胞癌患者射频消融前后的免疫状态研究进展[J].介入放射学杂志, 2017, 26 (1) :87-91.
    [30]JIANG AN, YANG W.The electrodes of radiofrequency ablation used for the treatment of hepatic tumors:research progress[J].JIntervent Radiol, 2017, 26 (5) :466-470. (in Cninese) 姜安娜, 杨薇.肝肿瘤射频消融电极针研究进展[J].介入放射学杂志, 2017, 26 (5) :466-470.
    [31]YANG GW, ZHANG W, QIAN S, et al.The effect of thermal damage on the cell proliferation and invasive metastasis of HCC:an experimental study in vitro[J].J Intervent Radiol, 2017, 26 (5) :436-442. (in Chinese) 杨国威, 张巍, 钱晟, 等.热损伤对肝细胞肝癌细胞增殖及侵袭转移特性影响的实验研究[J].介入放射学杂志, 2017, 26 (5) :436-442.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2485) PDF downloads(574) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return