Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases

Purpose To evaluate the clinical value of CT-guided radiofrequency ablation (RFA) in the diagnosis and treatment of pulmonary metastases under optical and electromagnetic navigation.Methods Data on CT-guided radiofrequency ablation treatment of 93 metastatic lung lesions in 70 patients were retrospe...

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Main Authors: Zenan Chen, Liangliang Meng, Yueyong Xiao, Jing Zhang, Xiaobo Zhang, Yingtian Wei, Xiaofeng He, Xin Zhang, Xiao Zhang
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Hyperthermia
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Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2023.2300333
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author Zenan Chen
Liangliang Meng
Yueyong Xiao
Jing Zhang
Xiaobo Zhang
Yingtian Wei
Xiaofeng He
Xin Zhang
Xiao Zhang
author_facet Zenan Chen
Liangliang Meng
Yueyong Xiao
Jing Zhang
Xiaobo Zhang
Yingtian Wei
Xiaofeng He
Xin Zhang
Xiao Zhang
author_sort Zenan Chen
collection DOAJ
description Purpose To evaluate the clinical value of CT-guided radiofrequency ablation (RFA) in the diagnosis and treatment of pulmonary metastases under optical and electromagnetic navigation.Methods Data on CT-guided radiofrequency ablation treatment of 93 metastatic lung lesions in 70 patients were retrospectively analyzed. There were 46 males and 24 females with a median age of 60.0 years (16–85 years). All lesions were ≤3cm in diameter. 57 patients were treated with 17 G radiofrequency ablation needle puncture directly ablated the lesion without biopsy, and 13 patients were treated with 16 G coaxial needle biopsy followed by radiofrequency ablation. There were 25 cases in the optical navigation group, 25 in the electromagnetic navigation group, and 20 in the non-navigation group. The navigation group was performed by primary interventionalists with less than 5 years of experience, and the non-navigation group was performed by interventionalists with more than 5 years of experience.Result All operations were successfully performed. There was no statistically significant difference in the overall distribution of follow-up results among the optical, electromagnetic, and no navigation groups. Complete ablation was achieved in 84 lesions (90.3%). 7 lesions showed incomplete ablation and were completely inactivated after repeat ablation. 2 lesions progressed locally, and one of them still had an increasing trend after repeat ablation. No serious complications occurred after the operation.Conclusions Treatment with optical and electromagnetic navigation systems by less experienced operators has similar outcomes to traditional treatments without navigational systems performed by more experienced operators.
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spelling doaj-art-9dc9e1bee7624b6a92f05730004921e42025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2023.2300333Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastasesZenan Chen0Liangliang Meng1Yueyong Xiao2Jing Zhang3Xiaobo Zhang4Yingtian Wei5Xiaofeng He6Xin Zhang7Xiao Zhang8PLA Medical School, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Radiology, the First Medical Center, Chinese PLA General Hospital, Beijing, ChinaPurpose To evaluate the clinical value of CT-guided radiofrequency ablation (RFA) in the diagnosis and treatment of pulmonary metastases under optical and electromagnetic navigation.Methods Data on CT-guided radiofrequency ablation treatment of 93 metastatic lung lesions in 70 patients were retrospectively analyzed. There were 46 males and 24 females with a median age of 60.0 years (16–85 years). All lesions were ≤3cm in diameter. 57 patients were treated with 17 G radiofrequency ablation needle puncture directly ablated the lesion without biopsy, and 13 patients were treated with 16 G coaxial needle biopsy followed by radiofrequency ablation. There were 25 cases in the optical navigation group, 25 in the electromagnetic navigation group, and 20 in the non-navigation group. The navigation group was performed by primary interventionalists with less than 5 years of experience, and the non-navigation group was performed by interventionalists with more than 5 years of experience.Result All operations were successfully performed. There was no statistically significant difference in the overall distribution of follow-up results among the optical, electromagnetic, and no navigation groups. Complete ablation was achieved in 84 lesions (90.3%). 7 lesions showed incomplete ablation and were completely inactivated after repeat ablation. 2 lesions progressed locally, and one of them still had an increasing trend after repeat ablation. No serious complications occurred after the operation.Conclusions Treatment with optical and electromagnetic navigation systems by less experienced operators has similar outcomes to traditional treatments without navigational systems performed by more experienced operators.https://www.tandfonline.com/doi/10.1080/02656736.2023.2300333Optical navigationelectromagnetic navigationlung metastasescomputed tomographyradiofrequency ablation
spellingShingle Zenan Chen
Liangliang Meng
Yueyong Xiao
Jing Zhang
Xiaobo Zhang
Yingtian Wei
Xiaofeng He
Xin Zhang
Xiao Zhang
Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
International Journal of Hyperthermia
Optical navigation
electromagnetic navigation
lung metastases
computed tomography
radiofrequency ablation
title Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
title_full Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
title_fullStr Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
title_full_unstemmed Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
title_short Clinical application of optical and electromagnetic navigation system in CT-guided radiofrequency ablation of lung metastases
title_sort clinical application of optical and electromagnetic navigation system in ct guided radiofrequency ablation of lung metastases
topic Optical navigation
electromagnetic navigation
lung metastases
computed tomography
radiofrequency ablation
url https://www.tandfonline.com/doi/10.1080/02656736.2023.2300333
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