MRI-Guided Cryoablation of In-Transit Metastases from Cutaneous Melanoma: A Brief Report on a Preliminary Experience

Rauch, Aymeric; Cazzato, Roberto Luigi; Garnon, Julien; Shaygi, Behnam; Tsoumakidou, Georgia; Caudrelier, Jean; Koch, Guillaume; Lipsker, Dan; Gangi, Afshin

doi:10.1007/s00270-017-1645-x

Cited by 11 publications

(2 citation statements)

References 8 publications

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“…The newest cone-beam CT units have incorporated artificial intelligence capabilities including deep learning algorithms that allow guidance of bone access cannulas without requiring fluoroscopy, markedly reducing radiation dose. 31 MRI guidance has also emerged, allowing target identification in soft tissue lesions while avoiding ionizing radiation, 32 , 33 although its usage is limited by costs and availability.…”

Section: Imaging Guidancementioning

confidence: 99%

Cementoplasty to cryoablation: review and current status

Tan,

Yan,

Sheikh

et al. 2023

BJR|Open

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Recent advances in percutaneous image-guided techniques have empowered interventional radiologists with diverse treatment options for the management of musculoskeletal lesions. Of note, there is growing utility for cementoplasty procedures, with indications ranging from stabilisation of bone metastases to treatment of painful vertebral compression fractures. Likewise, cryoablation has emerged as a viable adjunct in the treatment of both primary and secondary bone and soft tissue neoplasms. These treatment options have been progressively incorporated into the multi-disciplinary approach to holistic care of patients, alongside conventional radiotherapy, systemic therapy, surgery and analgesia. This review article serves to outline the indications, technical considerations, latest developments and evidence for the burgeoning role of cementoplasty and cryoablation in the musculoskeletal system, with an emphasis on pain palliation and tumour control.

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Section: Imaging Guidancementioning

confidence: 99%

Cementoplasty to cryoablation: review and current status

Tan,

Yan,

Sheikh

et al. 2023

BJR|Open

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“…The locoregional treatment is especially of interest if surgery is limited because of the cosmetic and functional outcome. MRI guided cryoablation of in-transit metastases from melanoma lead to effective local tumor control in small patient cohorts [49]. Thus, thermal ablation may be an attractive, well-tolerated alternative to surgical resection.…”

Section: Available Literaturementioning

confidence: 99%

Locoregional ablative treatment of melanoma metastases

Putzer

Schullian

Bale

2019

International Journal of Hyperthermia

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Standard treatment of melanoma has been evolving rapidly over the last decade, with novel treatment approaches improving therapeutic outcome not only in early-stage disease but also in advanced stage metastatic patients. Despite the improvement of systemic therapy outcomes, the current treatment guidelines reflect the fact that locoregional treatment approaches can be beneficial in patients suffering from oligometastatic disease. Minimally invasive ablation techniques have been established as a therapeutic cornerstone in the management of liver tumors, representing a local curative, relatively low-risk procedure. Depending on the size and location of metastatic disease, and on the applied ablation and guidance technique, ablative treatment approaches are effective to treat metastases in solid organs such as the liver or lungs, effectively covering the entire tumor with the ablation zone including a safety margin (A0 ablation in analogy to R0 resection). However, only retrospective data and case reports on locoregional treatment of melanoma metastases are available up to now, and prospective evaluation of this therapeutic approach is warranted to evaluate the beneficial role in the treatment of metastatic melanoma patients.

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