title: Microwave ablation in primary and secondary liver tumours: technical and clinical approaches.
abstract: Thermal ablation is increasingly being utilised in the treatment of primary and metastatic liver tumours, both as curative therapy and as a bridge to transplantation. Recent advances in high-powered microwave ablation systems have allowed physicians to realise the theoretical heating advantages of microwave energy compared to other ablation modalities. As a result there is a growing body of literature detailing the effects of microwave energy on tissue heating, as well as its effect on clinical outcomes. This article will discuss the relevant physics, review current clinical outcomes and then describe the current techniques used to optimise patient care when using microwave ablation systems.
authors.affiliation: a Department of Radiology , Interventional Ultrasound, Institute of Care IGEA , Milan , Italy.
authors.forename: Maria Franca
authors.initials: MF
authors.lastname: Meloni
authors.affiliation: b Department of Radiology , University of Wisconsin , Madison , Wisconsin , USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Chiang
authors.affiliation: b Department of Radiology , University of Wisconsin , Madison , Wisconsin , USA.
authors.forename: Paul F
authors.initials: PF
authors.lastname: Laeseke
authors.affiliation: c Department of Internal Medicine , Caritas Krankenhas Bad Mergentheim , Bad Mergentheim , Germany.
authors.forename: Christoph F
authors.initials: CF
authors.lastname: Dietrich
authors.affiliation: d Department of Clinical Medicine and Surgery , University of Naples Federico II , Naples , Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Sannino
authors.affiliation: e Department of Electronics, Information and Bioengineering , Politecnico Milano , Milan , Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Solbiati
authors.affiliation: f Department of Radiology , San Paolo Hospital, University of Milan , Milan , Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Nocerino
authors.affiliation: b Department of Radiology , University of Wisconsin , Madison , Wisconsin , USA.
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Brace
authors.affiliation: b Department of Radiology , University of Wisconsin , Madison , Wisconsin , USA.
authors.forename: Fred T
authors.initials: FT
authors.lastname: Lee
mesh_terms: D055011:Ablation Techniques; D000818:Animals; D006801:Humans; D006979:Hyperthermia, Induced; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery / Q000628:therapy*; D008872:Microwaves / Q000627:therapeutic use*
keywords: Hepatocellular carcinoma; hydrodissection; liver metastasis; microwave ablation; percutaneous microwave ablation; thermal ablation