Radiofrequency ablation: technique and clinical applications.

Radiofrequency ablation is the most commonly used percutaneous ablation technique and well-documented in the literature on focal therapies. It has become the image-guided ablation method of choice because of its efficacy, safety, and ease of use. Radiofrequency ablation has shown promise in treating selected solid tumors, particularly those involving the liver, kidneys, lungs, and the musculoskeletal system. It is a minimally invasive technique often used in inoperable patients with other comorbidities. Radiofrequency ablation requires a minimal hospital stay or can be performed on an outpatient basis. The aim of this article is to review radiofrequency ablation techniques and their clinical applications.

[1]  A. Jemal,et al.  Cancer Statistics, 2009 , 2009, CA: a cancer journal for clinicians.

[2]  A. Venkatesan,et al.  Percutaneous Radiofrequency Thermal Ablation of Primary and Metastatic Hepatic Tumors: Current Concepts and Review of the Literature , 2006, Seminars in interventional radiology.

[3]  V. Rangarajan,et al.  Therapeutic response to radiofrequency ablation of neoplastic lesions: FDG PET/CT findings. , 2011, Radiographics : a review publication of the Radiological Society of North America, Inc.

[4]  Petros Martirosian,et al.  Morphological, contrast-enhanced and spin labeling perfusion imaging for monitoring of relapse after RF ablation of renal cell carcinomas , 2005, European Radiology.

[5]  R. Leveillee,et al.  Results of radiofrequency kidney tumor ablation: renal function preservation and oncologic efficacy , 2010, World Journal of Urology.

[6]  W. R. Lees,et al.  Radiofrequency ablation of colorectal liver metastases , 2005, Abdominal Imaging.

[7]  J. Leyendecker,et al.  Long-term outcomes after percutaneous radiofrequency ablation for renal cell carcinoma. , 2011, Urology.

[8]  H. Date,et al.  Percutaneous radiofrequency ablation for clinical stage I non-small cell lung cancer: results in 20 nonsurgical candidates. , 2007, The Journal of thoracic and cardiovascular surgery.

[9]  R. Papanna,et al.  Selective reduction in complicated monochorionic pregnancies: radiofrequency ablation vs. bipolar cord coagulation , 2010, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[10]  A. Yamamoto,et al.  Frequency and Risk Factors of Various Complications After Computed Tomography–Guided Radiofrequency Ablation of Lung Tumors , 2007, CardioVascular and Interventional Radiology.

[11]  M. Reiser,et al.  Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. , 2010, European journal of radiology.

[12]  A. Rosenberg,et al.  Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure. , 1992, Radiology.

[13]  V. Kalioras,et al.  Radiofrequency ablation of osseous metastases for the palliation of pain , 2008, Skeletal Radiology.

[14]  D. Gervais,et al.  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. , 2005, AJR. American journal of roentgenology.

[15]  G. Gazelle,et al.  Hepatocellular carcinoma: radio-frequency ablation of medium and large lesions. , 2000, Radiology.

[16]  J. Luketich,et al.  Radiofrequency ablation for the treatment of stage I non-small cell lung cancer in high-risk patients. , 2007, The Journal of thoracic and cardiovascular surgery.

[17]  S. Goldberg,et al.  Colonic perforation and abscess following radiofrequency ablation treatment of hepatoma. , 2002, European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology.

[18]  M. Yu,et al.  Epidemiology of hepatocellular carcinoma. , 2000, Canadian journal of gastroenterology = Journal canadien de gastroenterologie.

[19]  R. Lencioni,et al.  Radiofrequency ablation of pulmonary tumors. , 2010, European journal of radiology.

[20]  Shinpei Sato,et al.  Percutaneous radiofrequency ablation for hepatocellular carcinoma , 2005, Cancer.

[21]  J. Machan,et al.  Adrenal neoplasms: Effectiveness and safety of CT-guided ablation of 23 tumors in 22 patients. , 2012, European journal of radiology.

[22]  Jeffrey D Blume,et al.  Percutaneous radiofrequency ablation of painful osseous metastases , 2010, Cancer.

[23]  W. Lees,et al.  Radio-frequency ablation of colorectal liver metastases in 167 patients , 2004, European Radiology.

[24]  A. Gillams Tumour ablation: current role in the kidney, lung and bone , 2009, Cancer imaging : the official publication of the International Cancer Imaging Society.

[25]  B. Skogseid,et al.  Radiofrequency ablation of neuroendocrine liver metastases , 2005, Abdominal Imaging.

[26]  Wang Qi,et al.  Percutaneous Radiofrequency Ablation for Hepatocellular Carcinoma in Elderly Patients , 2009 .

[27]  Cheol Min Park,et al.  Major complications after radio-frequency thermal ablation of hepatic tumors: spectrum of imaging findings. , 2003, Radiographics : a review publication of the Radiological Society of North America, Inc.

[28]  H. Rhim,et al.  Percutaneous radiofrequency ablation with artificial ascites for hepatocellular carcinoma in the hepatic dome: initial experience. , 2008, AJR. American journal of roentgenology.

[29]  E. Berber,et al.  Predictors of survival after radiofrequency thermal ablation of colorectal cancer metastases to the liver: a prospective study. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[30]  J. Tschopp,et al.  Risk factors for early mortality and major complications following pneumonectomy for non-small cell carcinoma of the lung. , 2002, Chest.

[31]  Carlo Bartolozzi,et al.  Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. , 2005, Radiology.

[32]  G. Gazelle,et al.  Percutaneous radio-frequency ablation of liver metastases from breast cancer: initial experience in 24 patients. , 2001, Radiology.

[33]  P. Pereira,et al.  Navigator respiratory‐triggered diffusion‐weighted imaging in the follow‐up after hepatic radiofrequency ablation—initial results , 2009, Journal of magnetic resonance imaging : JMRI.

[34]  L. Rajdev,et al.  Neoadjuvant and adjuvant therapy of non-small cell lung cancer. , 2002, Surgical oncology.

[35]  H. Rhim,et al.  Percutaneous radiofrequency ablation of hepatocellular carcinoma abutting the diaphragm and gastrointestinal tracts with the use of artificial ascites: safety and technical efficacy in 143 patients , 2009, European Radiology.

[36]  A. Jacob,et al.  Pulmonary radiofrequency ablation--an international study survey. , 2004, Anticancer research.

[37]  Carlo Bartolozzi,et al.  Response to radiofrequency ablation of pulmonary tumours: a prospective, intention-to-treat, multicentre clinical trial (the RAPTURE study). , 2008, The Lancet. Oncology.

[38]  Radiofrequency ablation for hepatocellular carcinoma: a survival analysis of 117 patients , 2010, ANZ journal of surgery.

[39]  C. Bokemeyer,et al.  A systematic review on the clinical benefit and role of radiofrequency ablation as treatment of colorectal liver metastases. , 2009, European journal of cancer.

[40]  M. Gebhardt,et al.  Osteoid osteoma: percutaneous treatment with radiofrequency energy. , 2003, Radiology.

[41]  D L Morton,et al.  Radiofrequency ablation: a minimally invasive technique with multiple applications. , 1999, The cancer journal from Scientific American.

[42]  William W Mayo-Smith,et al.  Clinical applications of radio-frequency tumor ablation in the thorax. , 2002, Radiographics : a review publication of the Radiological Society of North America, Inc.

[43]  S Nahum Goldberg,et al.  Radiofrequency thermal ablation of abdominal tumors: lessons learned from complications. , 2004, Radiographics : a review publication of the Radiological Society of North America, Inc.

[44]  P. Prasoon,et al.  Radiofrequency Ablation Versus Surgical Resection for Hepatocellular Carcinoma in Childs A Cirrhotics—a Retrospective Study of 1,061 Cases , 2011, Journal of Gastrointestinal Surgery.

[45]  A R Gillams,et al.  The use of radiofrequency in cancer , 2005, British Journal of Cancer.

[46]  William W Mayo-Smith,et al.  Hepatic radiofrequency ablation. , 2002, Archives of surgery.

[47]  I. Kamel,et al.  Assessment of tumor response on MR imaging after locoregional therapy. , 2006, Techniques in vascular and interventional radiology.

[48]  Fdg Pet Therapeutic Response to Radiofrequency Ablation of Neoplastic Lesions , 2011 .

[49]  Gaurav Khatri,et al.  Subtraction imaging: applications for nonvascular abdominal MRI. , 2007, AJR. American journal of roentgenology.