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Semin intervent Radiol 2003; 20(4): 307-322
DOI: 10.1055/s-2004-828942
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Lung Radiofrequency Ablation

Sapna K. Jain, Caroline J. Simon, Damian E. Dupuy
  • Rhode Island Hospital, and Brown Medical School, Providence, Rhode Island
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Publication History

Publication Date:
20 July 2004 (online)

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ABSTRACT

Lung cancer is the leading cause of death among men and women in the United States. Utilizing the best current therapies results in an overall 5-year relative survival rate of 15% for all stages, necessitating the use of alternative therapies. Radiofrequency ablation (RFA) is an expanding modality for the local control of non-small cell lung cancer (NSCLC). The technique and application of RFA in pulmonary neoplasms will be discussed in addition to early clinical experience.

KEYWORDS

Radiofrequency ablation - pulmonary - non-small cell lung cancer

REFERENCES

  • 1 Parkin D M, Sasco A J. Lung cancer: worldwide variation in occurrence and proportion attributable to tobacco use.  Lung Cancer . 1993;  9 1-16
    PubMedGoogle Scholar
  • 2 American Cancer Society. Cancer Facts & Figures 2003. Atlanta, GA: American Cancer Society; 2003
  • 3 Mountain C F. Revisions in the international system for staging lung cancer.  Chest . 1997;  111 1710-1717
    CrossrefPubMedGoogle Scholar
  • 4 Van Rens M, de la Riviere A B, Elbers H RJ. et al . Prognostic assessment of 2,361 patients who underwent pulmonary resection for non-small cell lung cancer, stage I, II, and IIIA.  Chest . 2000;  117 374-379
    CrossrefPubMedGoogle Scholar
  • 5 Murai N, Koga K, Nagamachi S. et al . Radiotherapy in bone metastses, with special reference to its effect on relieving pain.  Gan No Rinsho . 1989;  35 1149-1152
    PubMedGoogle Scholar
  • 6 Highland A M, Mack P, Breen D J. Radiofrequency thermal ablation of a metastatic lung nodule.  Eur Radiol . 2002;  l4(suppl) S166-S170
    PubMedGoogle Scholar
  • 7 Rajdev L, Keller S M. Neoadjuvant and adjuvant therapy of non-small cell lung cancer.  Surg Oncol . 2002;  11 243-253
    CrossrefPubMedGoogle Scholar
  • 8 Rudd R. Chemotherapy in the treatment of non-small cell lung cancer.  Respiratory Disease in Practice . 1991;  7 12-14
    PubMedGoogle Scholar
  • 9 Macbeth F, Toy E, Coles B. et al .Palliative radiotherapy regimens for non-small cell lung cancer (Cochrane Review). In: The Cochrane Library, Issue 3, 2003 Oxford: Update software:www.update-software.com/cochrane/userGuide.pdf
    Google Scholar
  • 10 D'Amico T. Local control without resection.  J Thorac Cardiovasc Surg . 2003;  125 787-788
    CrossrefPubMedGoogle Scholar
  • 11 Ginsberg R J, Rubinstein L V. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group.  Ann Thorac Surg . 1995;  60 615-623
    CrossrefPubMedGoogle Scholar
  • 12 Morrison R, Deeley T J, Cleland W P. The treatment of carcinoma of the bronchus: a clinical trial to compare surgery and supervoltage radiotherapy.  Lancet . 1963;  i 683-684
    PubMedGoogle Scholar
  • 13 Rowell N P, Williams C J. Radical radiotherapy for stage I/II non-small cell lung cancer in patients not sufficiently fit for or declining surgery (medically inoperable) (Cochrane Review). In: The Cochrane Library, Issue 3, 2003 Oxford: update software:www.update-software.com/cochrane/userGuide.pdf
    Google Scholar
  • 14 Non-small Cell Lung Cancer Collaborative Group. Chemotherapy for non-small cell lung cancer (Cochrane Review). In: The Cochrane Library, Issue 3, 2003 Oxford: Update software:www.update-software.com/cochrane/userGuide.pdf
    Google Scholar
  • 15 Dupuy D E, Zagoria R J, Akerley W. et al . Percutaneous radiofrequency ablation of malignancies in the lung.  AJR . 2000;  174 57-59
    PubMedGoogle Scholar
  • 16 Goldberg S N, Dupuy D E. Image-guided radiofrequency tumor ablation: challenges and opportunities - part I.  J Vasc Interv Radiol . 2001;  12 1021-1032
    PubMedGoogle Scholar
  • 17 Dupuy D E, Goldberg S N. Image-guided radiofrequency tumor ablation: challenges and opportunities - part II.  J Vasc Interv Radiol . 2001;  12 1135-1148
    CrossrefPubMedGoogle Scholar
  • 18 Rose S C, Fotoohi M, Levin D L. et al . Cerebral microembolization during radiofrequency ablation of lung malignancies.  J Vasc Interv Radiol . 2002;  13(10) 1051-1054
    CrossrefPubMedGoogle Scholar
  • 19 Kvale R A, Simoff M, Prakash U BS. Palliative care.  Chest . 2003;  123 284S-311S
    CrossrefPubMedGoogle Scholar
  • 20 Griffin J P, Nelson J E, Koch K A. et al . End-of-life care in patients with lung cancer.  Chest . 2003;  123 312S-331S
    CrossrefPubMedGoogle Scholar
  • 21 SUPPORT principal investigators. A controlled trial to improve care for seriously ill hospitalized patients.  JAMA . 1995;  274 1591-1598
    CrossrefPubMedGoogle Scholar
  • 22 Watson P N, Evans R J. Intractable pain with lung cancer.  Pain . 1987;  29 163-173
    CrossrefPubMedGoogle Scholar
  • 23 Langendijk J A, Ten Velde P M G, Aaronson N K. et al . Quality of life after palliative radiotherapy in non-small cell lung cancer: a prospective study.  Int J Radiat Oncol Biol Phys . 2000;  47 149-155
    CrossrefPubMedGoogle Scholar
  • 24 Dupuy D E, Mayo-Smith W W, Abbott G F, DiPetrillo T. Clinical Applications of Radio-frequency Tumor Ablation in the Thorax.  Radiographics . 2002;  22 S259-S269
    CrossrefPubMedGoogle Scholar
  • 25 Jain S K, Dupuy D E, Cardarelli G A, Zheng Z, DiPetrillo T A. Percutaneous radiofrequency ablation of pulmonary malignancies:combined treatment with brachytherapy.  AJR . 2003;  181 711-715
    CrossrefPubMedGoogle Scholar
  • 26 Warzelhan J, Stoelben E, Imdahl A. et al . Results in surgery for primary and metastatic chest wall tumors.  Eur J Cardiothorac Surg . 2001;  19 584-588
    CrossrefPubMedGoogle Scholar
  • 27 Patti J, Neeman Z, Wood B. Radiofrequency ablation for cancer-associated pain.  J Pain . 2002;  3 471-473
    CrossrefPubMedGoogle Scholar
  • 28 McCaughan B. Recent advances in managing non-small-cell lung cancer:2.  Med J Aust . 1997;  166(suppl) S7-S10
    PubMedGoogle Scholar
  • 29 Dupuy D E, Safran H, Mayo-Smith W W, Goldberg S N. Radiofrequency ablation of painful osseous metastatic disease: Scientific paper presented at the RSNA annual meeting, Chicago, IL.  Radiology . 1998;  209(suppl) 171S-172S
    PubMedGoogle Scholar
  • 30 Kapural L, Mekhail N. Radiofrequency ablation for chronic pain control.  Curr Pain Headache Rep . 2001;  5 517-525
    PubMedGoogle Scholar
  • 31 Langendijk H, de Jong J, Tywa M. et al . External irradiation versus external irradiation plus endobronchial brachytherapy in inoperable non-small cell lung cancer: a prospective randomized study.  Radiother Oncol . 2001;  58 257-268
    CrossrefPubMedGoogle Scholar
  • 32 Kishi K, Nakamura H, Sudo A. et al . Tumor debulking by radiofrequency ablation in hypertrophic pulmonary osteoarthropathy associated with pulmonary carcinoma.  Lung Cancer . 2002;  38 317-320
    CrossrefPubMedGoogle Scholar
  • 33 Ohhigashi S, Nishio T, Watanabe F. et al . Experience with radiofrequency ablation in the treatment of pelvic recurrence in rectal cancer: report of two cases.  Dis Colon Rectum . 2001;  44 741-745
    PubMedGoogle Scholar
  • 34 Callstrom M R, Charboneau J W, Goetz M P. et al . Painful metastases involving bone: feasability of percutaneous CT- and US-guided radio-frequency ablation.  Radiology . 2002;  224 87-97
    CrossrefPubMedGoogle Scholar
  • 35 Temple L K, Brennan M F. The role of pulmonary metastasectomy in soft tissue sarcoma.  Semin Thorac Cardiovasc Surg . 2002;  14 35-44
    CrossrefPubMedGoogle Scholar
  • 36 van der Poel G H, Roukema J A, Horenblas S, van Geel N A, Debruyne F M. Metastasectomy in renal cell carcinoma: a multicenter retrospective analysis.  Eur Urol . 1999;  35 197-203
    CrossrefPubMedGoogle Scholar
  • 37 Piltz S, Meimarakis G, Wichmann M W. et al . Long-term results after pulmonary resection of renal cell carcinoma metastases.  Ann Thorac Surg . 2002;  73 1082-1087
    CrossrefPubMedGoogle Scholar
  • 38 Okumura S, Kondo H, Tsuboi M. et al . Pulmonary resection for metastatic colorectal cancer: experience with 159 patients.  J Thorac Cardiovasc Surg . 1996;  112 867-874
    Google Scholar
  • 39 Labow D M, Buell J E, Yoshida A, Rosen S, Posner M C. Isolated pulmonary recurrence after resection of colorectal hepatic metastases-is resection indicated?.  Cancer J . 2002;  8 342-347
    PubMedGoogle Scholar
  • 40 Hamy A, Baron O, Bennouna J. et al . Rsection of hepatic and pulmonary metastases in patients with colorectal cancer.  Am J Clin Oncol . 2001;  24 607-609
    CrossrefPubMedGoogle Scholar
  • 41 Gauden S, Tripcony L. The curative treatment by radiation therapy alone of stage I non-small cell lung cancer in a geriatric population.  Lung Cancer . 2001;  32 71-79
    PubMedGoogle Scholar
  • 42 Dekernion J B, Ramming K P, Smith R B. The natural history of metastatic renal cell carcinoma: a computer analysis.  J Urol . 1978;  120 148-152
    PubMedGoogle Scholar
  • 43 Glenn D W, Clark W, Morris D L. et al .Percutaneous radiofrequency ablation of colorectal pulmonary metastases. In: RSNA Conference 2001; November 25-30; Chicago, IL
    Google Scholar
  • 44 de Baere T, Elias D, Dromain C. et al . Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year.  AJR . 2001;  175 1619-1625
    PubMedGoogle Scholar
  • 45 Hoegler D. Radiotherapy for palliation symptoms in incurable cancer.  Curr Probl Cancer . 1997;  21 129-183
    PubMedGoogle Scholar
  • 46 Todd T R. The surgical treatment of pulmonary metastases.  Chest . 1997;  112 287S-290S
    PubMedGoogle Scholar
  • 47 Pastorino U, Buyse M, Friedel G. et al . Long-term results of lung metastasectomy: prognostic analyses based on 5206 cases. The International Registry of Lung Metastases.  J Thorac Cardiovasc Surg . 1997;  113 37-49
    CrossrefPubMedGoogle Scholar
  • 48 Sakamoto T, Tsubota N, Ivanaga K. et al . Pulmonary resection for metastases from colorectal cancer.  Chest . 2001;  119 1069-1072
    CrossrefPubMedGoogle Scholar
  • 49 Fourquier P, Regnard J, Rea S. et al . Lung metastases of renal cell carcinoma: results of surgical resection.  Eur J Cardiothorac Surg . 1997;  11 17-21
    CrossrefPubMedGoogle Scholar
  • 50 Kandioler D, Kromer E, Tuchler H. et al . Long-term results after repeated surgical removal of pulmonary metastases.  Ann Thorac Surg . 1998;  65 909-912
    CrossrefPubMedGoogle Scholar
  • 51 Kang S, Luo R, Liao W. et al .Evaluation of PET in radiofrequency ablation of lung tumors. Paper presented at: The American Society of Clinical Oncology, held in Chicago, IL, May 30-June 3 Abstract (No 2738) 2003
    Google Scholar
  • 52 Steinke K, Habicht J M. ThomsenS, Soler M, Jacob AL.  CT-guided radiofrequecny ablation of a pulmonary metastasis followed by surgical resection. Cardiovasc Intervent Radiol . 2002;  25 543-546
    PubMedGoogle Scholar
  • 53 Miao Y, Yicheng N, Bosmans H. et al . Radiofrequency ablation for eradication of pulmonary tumor in rabbits.  J Surg Res . 2001;  99 265-271
    CrossrefPubMedGoogle Scholar
  • 54 Downey R J, Martini N, Rusch V. et al . Extent of chest wall invasion and survival in patients with lung cancer.  Ann Thorac Surg . 1999;  68 188-193
    CrossrefPubMedGoogle Scholar
  • 55 Elia S, Griffo S, Gentile M. et al . Surgical treatment of lung cancer invading chest wall: a retrospective analysis of 110 patients.  Eur J Cardiothorac Surg . 2001;  20 356-360
    CrossrefPubMedGoogle Scholar
  • 56 Landreneau R J, Sugarbaker D J, Mack M J. et al . Wedge resection versus lobectomy for stage 1(T1 N0 M0) non-small cell lung cancer.  J Thorac Cardiovasc Surg . 1997;  113 691-698
    CrossrefPubMedGoogle Scholar
  • 57 Martini N, Bains M S, Burt M E. et al . Incidence of local recurrence and second primaries in resected stage I lung cancer.  J Thorac Cardiovasc Surg . 1995;  109 120-129
    CrossrefPubMedGoogle Scholar
  • 58 Mountain C F. A new international staging system for lung cancer.  Chest . 1986;  89(4 suppl) 225-233
    PubMedGoogle Scholar
  • 59 Naruke T, Goya T, Tsuchiya R. et al . Prognosis and survival in resected lung carcinoma based on the new international staging system.  J Thorac Cardiovasc Surg . 1988;  96 440-447
    PubMedGoogle Scholar
  • 60 Shimizu J, Watanabe Y, Oda M. et al . Results of surgical treatment of stage I lung cancer.  Nippon Geka Gakkai Zasshi . 1993;  94 505-510
    PubMedGoogle Scholar
  • 61 Williams D E, Pairolero P C, Danis C S. et al . Survival of patients surgically treated for stage I lung cancer.  J Thorac Cardiovasc Surg . 1981;  82 70-76
    PubMedGoogle Scholar
  • 62 Herrera L J, Fernando H C, Perry Y. et al . Radiofrequency ablation of pulmonary malignant tumors in nonsurgical candidates.  J Thorac Cardiovasc Surg . 2003;  125 929-937
    CrossrefPubMedGoogle Scholar
  • 63 Lencioni R A, Crocetti L, Cioni R. et al .Percutaneous radiofrequency thermal ablation of non-small-cell lung cancer. Paper presented at: The American Society of Clinical Oncology held in Chicago, IL, May 30-June 3 Abstract (No 2655). 2003
    Google Scholar
  • 64 Dupuy D, Chauhan B, Ready N. et al .Radiofrequency ablation (RFA) followed by conventional radiotherapy (RT) for inoperable non-small cell lung cancer (NSCLC). Paper presented at: The American Society of Clinical Oncology, held in Chicago, IL, May 30-June 3 Abstract (No 2632). 2003
    Google Scholar
  • 65 Martini N. Surgical treatment of non-small cell lung cancer by stage.  Semin Surg Oncol . 1990;  6 248-254
    PubMedGoogle Scholar
  • 66 Kodama K, Doi O, Higashiymama M. et al . Intentional limited resection for selected patients with T1 N0 non-small cell lung cancer: a single-institution study.  J Thorac Cardiovasc Surg . 1997;  114 347-353
    CrossrefPubMedGoogle Scholar
  • 67 Okada M, Yoshikawa K, Hatta T. et al . Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller?.  Ann Thorac Surg . 2001;  71 956-960
    CrossrefPubMedGoogle Scholar
  • 68 Okamoto Y, Murakami M, Yoden E. et al . Reirradiation for locally recurrent lung cancer previously treated with radiation therapy.  Int J Radiat Oncol Biol Phys . 2002;  52 390-396
    CrossrefPubMedGoogle Scholar
  • 69 Ramsey S D, Peacock S, Goodman G. et al .Prevalence of older patients with advanced non-small cell lung cancer receiving no treatment: evidence from the SEER-Medicare database. Paper presented at: The American Society of Clinical Oncology, held in Chicago, IL, May 30-June 3 Abstract (No 2586). 2003
    Google Scholar
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