title: Current readings: Percutaneous ablation for pulmonary metastatic disease.
abstract: Percutaneous image-guided ablation is a technique for maintaining local control of metastatic lung lesions that may, in selected patients, confer a survival benefit over no treatment or systemic therapy alone. Although the currently accepted treatment for oligometastatic pulmonary disease is surgical resection, the existing body of literature, including the recent investigations reviewed within this article, supports a role for percutaneous ablation as an important and relatively safe therapeutic option for nonsurgical and in carefully selected surgical patients, conferring survival benefits competitive with surgical metastasectomy. Continued clinical investigations are needed to further understand the nuances of thermal technologies and applications to treat lung primary and secondary pulmonary malignancy, directly compare available therapeutic options and further define the role of percutaneous image-guided ablation in the treatment of pulmonary metastatic disease.
authors.affiliation: Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Quirk
authors.affiliation: Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Kelsey L
authors.initials: KL
authors.lastname: Pomykala
authors.affiliation: Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, California. Electronic address: rsuh@mednet.ucla.edu.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Suh
mesh_terms: D055011:Ablation Techniques / Q000009:adverse effects / Q000401:mortality; D017115:Catheter Ablation; D003452:Cryosurgery; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D059146:Metastasectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D008872:Microwaves; D012307:Risk Factors; D016896:Treatment Outcome
keywords: cryoablation; lung ablation; lung metastasis; microwave ablation; pulmonary metastasis; radiofrequency ablation