Improvement of the primary efficacy of microwave ablation of malignant liver tumors by using a robotic navigation system

Schaible, Jan and Pregler, Benedikt and Verloh, Niklas and Einspieler, Ingo and Baeumler, Wolf and Zeman, Florian and Schreyer, Andreas and Stroszczynski, Christian and Beyer, Lukas (2020) Improvement of the primary efficacy of microwave ablation of malignant liver tumors by using a robotic navigation system. RADIOLOGY AND ONCOLOGY, 54 (3). pp. 295-300. ISSN 1318-2099, 1581-3207

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Abstract

Background. The aim of the study was to assess the primary efficacy of robot-assisted microwave ablation and compare it to manually guided microwave ablation for percutaneous ablation of aver malignancies. Patients and methods. We performed a retrospective single center evaluation of microwave ablations of 368 liver tumors in 192 patients (36 female, 156 male, mean age 63 years). One hundred and nineteen ablations were performed between 08/2011 and 03/2014 with manual guidance, whereas 249 ablations were performed between 04/2014 and 11/2018 using robotic guidance. A 6-week follow-up (ultrasound, computed tomography and magnetic resonance imaging) was performed on all patients. Results. The primary technique efficacy outcome of the group treated by robotic guidance was significantly higher than that of the manually guided group (88% vs. 76%; p = 0.013). Multiple logistic regression analysis indicated that a small tumor size (<= 3 cm) and robotic guidance were significant favorable prognostic factors for complete ablation. Conclusions. In addition to a small tumor size, robotic navigation was a major positive prognostic factor for primary technique efficacy.

Item Type: Article
Uncontrolled Keywords: COMPUTED-TOMOGRAPHY GUIDANCE; RADIOFREQUENCY ABLATION; HEPATOCELLULAR-CARCINOMA; THERMAL ABLATION; THERMOABLATION; METASTASES; ASSISTANCE; ACCURACY; SURVIVAL; interventional radiology; robotic assistance; microwave ablation; liver tumor
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Depositing User: Dr. Gernot Deinzer
Date Deposited: 16 Mar 2021 07:12
Last Modified: 16 Mar 2021 07:12
URI: https://pred.uni-regensburg.de/id/eprint/43956

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