[1]杨 波,刘念龙,沈晓康,等.MRI引导肺癌射频消融治疗的临床应用[J].介入放射学杂志,2021,30(11):1133-1136.
 YANG Bo,LIU Nian-long,SHEN Xiao-kang,et al.Clinical application of MRI-guided radiofrequency ablation for lung cancer[J].journal interventional radiology,2021,30(11):1133-1136.
点击复制

MRI引导肺癌射频消融治疗的临床应用()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年11
页码:
1133-1136
栏目:
非血管介入
出版日期:
2021-11-25

文章信息/Info

Title:
Clinical application of MRI-guided radiofrequency ablation for lung cancer
作者:
杨 波 刘念龙 沈晓康 郭 震 周士波 赵玉年 康 铮 陈仕林 沈文荣
Author(s):
YANG BoLIU Nian-longSHEN Xiao-kang GUO Zhen ZHOU Shi-bo ZHAO Yv-nian KANG Zheng CHEN Shi-lin SHEN Wen-rong
Department of CT,Jiangsu cancer Hospital, Jiangsu Institute of Cancer Prevention and treatment, The Affiliated Cancer Hospital of Nanjing Medical University; SHEN Xiao-kang, CHEN Shi-lin,Department of thoracic surgery,Jiangsu cancer Hospital, Jiangsu Institute of Cancer Prevention and treatment, The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009, China
关键词:
【关键词】 磁共振引导 肺癌 射频消融
文献标志码:
A
摘要:
【摘要】 目的 探讨MRI在肺癌射频消融(RFA)治疗过程中定位及引导的安全性和可行性。方法 26例患者应用MRI引导进行肺癌病灶定位并完成RFA治疗,观察定位的准确性及成功率,分析治疗对生存期的影响,同时观察MRI引导RFA治疗的不良反应发生率等安全性指标,进一步评价MRI在引导RFA治疗中的价值及可行性。结果 26例肺癌患者全部定位成功, 13例出现并发症,其中气胸8例、胸水8例,合并肺炎、皮下组织积气及术中咳血各1例。所有病灶1~4年局部控制率分别为87.2%、69.9%、48.1%、24.8%;1~5年生存率分别为86.5%、66.2%、66.2%、66.2%、22.1%。结论 MRI引导肺癌RFA定位准确、操作安全、无辐射损伤,大部分患者的局部肿瘤控制效果较好,生存期延长,是一种临床操作安全可靠的局部肺肿瘤治疗方法。

参考文献/References:

[1] Hiraki T, Gobara H, Fujiwara H, et al. Lung cancer ablation: complications[J]. Semin Intervent Radiol, 2013, 30: 169-175.
[2] Weiss J, Hoffmann R, Rempp H, et al. Feasibility, efficacy, and safety of percutaneous MR-guided ablation of small(≤12 mm) hepatic malignancies[J]. J Magn Reson Imaging, 2019, 49: 374-381.
[3] Dupuy DE. Image-guided thermal ablation of lung malignancies[J]. Radiology, 2011, 260: 633-655.
[4] Beland MD, Wasser EJ, Mayo-Smith WW, et al. Primary non-small cell lung cancer: review of frequency, location, and time of recurrence after radiofrequency ablation[J]. Radiology, 2010, 254: 301-307.
[5] Hirsch W,Sorge I,Krohmer S,et al. MRI of the lungs in children[J]. Eur J Radiol, 2008, 68:278-288.
[6] Hirsch FW, Sorge I, Vogel-Claussen J, et al. The current status and further prospects for lung magnetic resonance imaging in pediatric radiology[J]. Pediatr Radiol, 2020, 50: 734-749.
[7] 陈 锦,林征宇,林清锋,等. MRI引导下肺转移癌微波消融治疗6例[J]. 介入放射学杂志, 2019, 28:1056-1061.
[8] de Baere T, Tselikas L, Catena V, et al. Percutaneous thermal ablation of primary lung cancer[J]. Diagn Interv Imaging, 2016, 97: 1019-1024.
[9] Yang Q,Qi H,Zhang R,et a1. Risk factors for local progression after percutaneous radiofrequency ablation of lung tumors: evaluation based on a review of 147 tumors[J]. J Vase Interv Radial, 2017, 28:481-489.
[10] Rosen JE,Keshava HB,Yao X,et al. The natural history of operable non-small cell lung cancer in the national cancer database[J]. Ann Thorac Surg, 2016, 101:1850-1855.
[11] Louie AV, Palma DA, Dahele M, et al. Management of early-stage non-small cell lung cancer using stereotactic ablative radiotherapy: controversies, insights, and changing horizons[J]. Radiother Oncol, 2015, 114: 138-147.
[12] Picchi SG, Lassandro G, Bianco A, et al. RFA of primary and metastatic lung tumors: long-term results[J]. Med Oncol, 2020, 37: 35.
[13] 罗 君,邵国良,郑家平,等. CT引导下射频消融治疗33例肺癌的回顾性分析[J]. 介入放射学杂志, 2015, 24:530-533.
[14] Kashima M,Yamakado K,Takaki H,et al. Complications after 1000 lung radiofrequency ablation sessions in 420 patients: a single center’s experiences[J]. Am J Roentgenol, 2011, 197:W576-W580.

相似文献/References:

[1]史诗洁,詹迎江,童林军,等.西艾克介入性治疗肝癌、肺癌的临床研究[J].介入放射学杂志,1998,(01):29.
[2]段天红.肺癌介入术中给药法的改进[J].介入放射学杂志,1998,(04):243.
[3]刘子江,袁建华,俞文强,等.肺癌支气管动脉灌注化疗引起食管支气管瘘[J].介入放射学杂志,1995,(01):15.
[4]杜建伟,方立德,倪锋,等.肺癌肺动脉介入治疗[J].介入放射学杂志,2000,(01):25.
[5]张 庆,庄治国,许建荣,等.0.4T全开放式和1.5T MR引导下乳腺病灶徒手穿刺定位法的临床应用 [J].介入放射学杂志,2018,27(04):334.
 ZHANG Qing,ZHUANG Zhiguo,XU Jianrong,et al.Clinical application of 1.5T and 0.4T MRI- guided needle localization of breast lesions with bare- handed puncture technique[J].journal interventional radiology,2018,27(11):334.
[6]汪继武,陈耀康,张 均,等.同轴凝血退针法在CT引导下经皮肺穿刺活检中的应用[J].介入放射学杂志,2020,29(05):468.
 WANG Jiwu,CHEN Yaokang,ZHANG Jun,et al.Application of coaxial thrombin needle withdrawal technique in CT-guided percutaneous lung biopsy[J].journal interventional radiology,2020,29(11):468.
[7]黄坤林,刘玉金.紫杉醇- 顺铂方案经导管动脉灌注化疗治疗不可切除非小细胞肺癌的临床应用[J].介入放射学杂志,2020,29(06):612.
 HUANG Kunlin,LIU Yujin..The clinical application of transcatheter arterial infusion chemotherapy with TP regimen in treating unresectable non- small cell lung cancer[J].journal interventional radiology,2020,29(11):612.
[8]彭金钊,李晓光.肺癌热消融术后支气管胸膜瘘的研究现状与进展[J].介入放射学杂志,2020,29(12):1276.
 PENG Jinzhao,LI Xiaoguang..Bronchopleural fistula after thermal ablation of lung cancer: its research status and progress[J].journal interventional radiology,2020,29(11):1276.
[9]刘 超,朱丽萍,张克宁,等.1.0T开放式磁共振引导经皮同轴胰腺病变穿刺活检的初步应用[J].介入放射学杂志,2019,28(11):1081.
 LIU Chao,ZHU Liping,ZHANG Kening,et al.Preliminary application of 1.0T open MR- guided percutaneous coaxial needle biopsy of pancreatic lesions[J].journal interventional radiology,2019,28(11):1081.
[10]王晴文,李言琦,张 琛,等.1.0T磁共振引导下肺结节微波消融围手术期护理[J].介入放射学杂志,2019,28(11):1110.
 WANG Qingwen,LI Yanqi,ZHANG Chen,et al.1.0T open MRI-guided microwave ablation for pulmonary nodules: experience of perioperative nursing care[J].journal interventional radiology,2019,28(11):1110.

备注/Memo

备注/Memo:
(收稿日期:2020-08-28)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-11-22