title: Image-guided tumor ablation: standardization of terminology and reporting criteria--a 10-year update.
abstract: Image-guided tumor ablation has become a well-established hallmark of local cancer therapy. The breadth of options available in this growing field increases the need for standardization of terminology and reporting criteria to facilitate effective communication of ideas and appropriate comparison among treatments that use different technologies, such as chemical (eg, ethanol or acetic acid) ablation, thermal therapies (eg, radiofrequency, laser, microwave, focused ultrasound, and cryoablation) and newer ablative modalities such as irreversible electroporation. This updated consensus document provides a framework that will facilitate the clearest communication among investigators regarding ablative technologies. An appropriate vehicle is proposed for reporting the various aspects of image-guided ablation therapy including classification of therapies, procedure terms, descriptors of imaging guidance, and terminology for imaging and pathologic findings. Methods are addressed for standardizing reporting of technique, follow-up, complications, and clinical results. As noted in the original document from 2003, adherence to the recommendations will improve the precision of communications in this field, leading to more accurate comparison of technologies and results, and ultimately to improved patient outcomes.
authors.affiliation: Department of Radiology, Beth Israel Deaconess Medical Center 1 Deaconess Rd, WCC-308B, Boston, MA 02215. Electronic address: mahmed@bidmc.harvard.edu.
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authors.affiliation: Department of Radiology, Ospedale Generale, Busto Arsizio, Italy.
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authors.affiliation: Departments of Radiology, Biomedical Engineering, and Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
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authors.lastname: Brace
authors.affiliation: Department of Radiology, Southampton University Hospitals, Southampton, England.
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authors.affiliation: Department of Radiology, Mayo Clinic, Rochester, Minnesota.
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authors.affiliation: Department of Radiology, Mayo Clinic, Rochester, Minnesota.
authors.forename: J William
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authors.affiliation: Department of Ultrasound, School of Oncology, Peking University, Beijing, China.
authors.forename: Min-Hua
authors.initials: MH
authors.lastname: Chen
authors.affiliation: Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
authors.forename: Byung Ihn
authors.initials: BI
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authors.affiliation: Department of Imaging, Institut de Cancérologie Gustave Roussy, Villejuif, France.
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authors.lastname: de Baère
authors.affiliation: Department of Radiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
authors.forename: Gerald D
authors.initials: GD
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authors.affiliation: Department of Diagnostic Radiology, Rhode Island Hospital, Providence, Rhode Island.
authors.forename: Damian E
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authors.affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
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authors.affiliation: Medical Imaging, University Health Network, Laval, Quebec, Canada.
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authors.affiliation: Imaging Department, the London Clinic, London, England.
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authors.initials: AR
authors.lastname: Gillams
authors.affiliation: Department of Radiology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.
authors.forename: Fred T
authors.initials: FT
authors.lastname: Lee
authors.affiliation: Department of Radiology, Royal Infirmary, Glasgow, Scotland.
authors.forename: Edward
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authors.affiliation: Department of Diagnostic Imaging and Intervention, Cisanello Hospital, Pisa University Hospital and School of Medicine, University of Pisa, Pisa, Italy.
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authors.lastname: Lencioni
authors.affiliation: Department of Radiology, Karmonos Cancer Institute, Wayne State University, Detroit, Michigan.
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authors.affiliation: Busto Arsizio, Italy.
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authors.affiliation: Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California.
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authors.initials: DS
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authors.affiliation: Department of Radiology, Ambulatory Care Center, UC Davis Medical Center, Sacramento, California.
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authors.affiliation: Department of Radiology, Ospedale Valduce, Como, Italy.
authors.forename: Maria Franca
authors.initials: MF
authors.lastname: Meloni
authors.affiliation: Department of Radiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania.
authors.forename: Boris
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authors.lastname: Nikolic
authors.affiliation: Clinic of Radiology, Minimally-Invasive Therapies and Nuclear Medicine, Academic Hospital Ruprecht-Karls-University Heidelberg, Heilbronn, Germany.
authors.forename: Philippe L
authors.initials: PL
authors.lastname: Pereira
authors.affiliation: Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China.
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authors.affiliation: Department of Diagnostic Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
authors.forename: Hyunchul
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authors.lastname: Rhim
authors.affiliation: Department of Radiology, University of California, San Diego, San Diego, California.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Rose
authors.affiliation: Department of Radiology, Northwestern University, Chicago, Illinois.
authors.forename: Riad
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authors.affiliation: Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
authors.forename: Constantinos T
authors.initials: CT
authors.lastname: Sofocleous
authors.affiliation: Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Solomon
authors.affiliation: Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Soulen
authors.affiliation: Department of Hepatology, Yokokura Hospital, Miyama, Japan.
authors.forename: Masatoshi
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authors.lastname: Tanaka
authors.affiliation: Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Johann Wolfgang Goethe-University, Frankfurt, Germany.
authors.forename: Thomas J
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authors.lastname: Vogl
authors.affiliation: Radiology and Imaging Science, National Institutes of Health, Bethesda, Maryland.
authors.forename: Bradford J
authors.initials: BJ
authors.lastname: Wood
authors.affiliation: Department of Radiology, Image-Guided Therapy and Interventional Oncology Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
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authors.initials: SN
authors.lastname: Goldberg
mesh_terms: D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D009369:Neoplasms / Q000601:surgery*; D015642:Radiology, Interventional / Q000379:methods*