title: Liver Ablation: Best Practice.
abstract: Tumor ablation in the liver has evolved to become a well-accepted tool in the management of increasing complex oncologic patients. At present, percutaneous ablation is considered first-line therapy for very early and early hepatocellular carcinoma and second-line therapy for colorectal carcinoma liver metastasis. Because thermal ablation is a treatment option for other primary and secondary liver tumors, an understanding of the underlying tumor biology is important when weighing the potential benefits of ablation. This article reviews ablation modalities, indications, patient selection, and imaging surveillance, and emphasizes technique-specific considerations for the performance of percutaneous ablation.
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA. Electronic address: swells@uwhealh.org.
authors: Shane A
authors: SA
authors: Wells
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA.
authors: J Louis
authors: JL
authors: Hinshaw
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA.
authors: Meghan G
authors: MG
authors: Lubner
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA.
authors: Timothy J
authors: TJ
authors: Ziemlewicz
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA; Department of Biomedical Engineering, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA.
authors: Christopher L
authors: CL
authors: Brace
authors: Department of Radiology, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA; Department of Biomedical Engineering, University of Wisconsin, 600 Highland Avenue, CSC, Madison, WI 53792, USA.
authors: Fred T
authors: FT
authors: Lee
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000556:secondary / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D015179:Colorectal Neoplasms / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D018579:Patient Selection
keywords: Colorectal cancer; HCC; Hepatocellular carcinoma; Microwave; Neuroendocrine cancer; Radiofrequency; Tumor ablation