eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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SCImago Journal & Country Rank

6/2019
vol. 11
 
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abstract:
Original paper

Critical review of multidisciplinary non-surgical local interventional ablation techniques in primary or secondary liver malignancies

Attila Kovács
1
,
Roberto Iezzi
2, 3
,
Francesco Cellini
4
,
Valentina Lancellotta
4
,
Peter Bischoff
1
,
Francesca Carchesio
2
,
Luca Tagliaferri
4
,
György Kovács
5
,
Maria Antonietta Gambacorta
4, 6

1.
Klinik für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Mediclin Robert Janker Klinik, Bonn, Germany
2.
Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC di Radiologia, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Roma, Italia
3.
Università Cattolica del Sacro Cuore, Istituto di Radiologia, Roma, Italia
4.
UOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
5.
Gemelli INTERACTS – Università Cattolica del Sacro Cuore, Rome, Italy
6.
Università Cattolica del Sacro Cuore, Rome Italy
J Contemp Brachytherapy 2019; 11, 6: 589–600
Online publish date: 2019/12/08
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Local non-surgical interventional percutaneous ablation represents nowadays an important part of the potential treatment strategies. Although surgical ablation represents the gold standard, in the past decade there was an expansion in the use of non-surgical ablative techniques: radiofrequency, microwave, laser, cryoablation, irreversible electroporation, and interventional radiotherapy (brachytherapy) in primary as well as secondary liver cancers. With the growing experience in the field, there was implemented a new pillar for cancer treatment, together with surgery, chemotherapy as well as radiotherapy, so-called interventional oncology (IO). To date, there are no published papers regarding a comparative interdisciplinary evaluation of all these non-surgical interventional local ablation therapies. Our paper offers a critical interdisciplinary overview of the treatments in both primary and secondary liver tumors, including from a cost-effective point of view. Furthermore, the present status of education in IO and a comparison of actual economic aspects of the treatments are also provided.
keywords:

liver percutaneous ablation, liver brachytherapy, interventional oncology treatment costs, education

 
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