Computed tomography-guided cryoablation in treating adrenal metastases: a retrospective single-center study.

IF 1.4 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Diagnostic and interventional radiology Pub Date : 2024-10-21 DOI:10.4274/dir.2024.242956
Claudio Pusceddu, Eliodoro Faiella, Claudio Cau, Pierluigi Rinaldi, Luca Melis, Salvatore Marsico
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Abstract

Purpose: To assess the effectiveness and safety of computed tomography (CT)-guided cryoablation for treating adrenal metastases (AMs).

Methods: This study included 12 patients treated with 13 CT-guided cryoablation procedures for AMs between 2016 and 2020. Patients were selected based on specific criteria, including tumor size ≤5 cm and suitability for surgery. Procedures were performed by expert radiologists, with comprehensive monitoring for complications and regular post-treatment evaluations.

Results: The primary technical success rate was 91.7%, with a secondary success rate of 100% following repeat procedures. Over an 8-24-month follow-up period, local tumor recurrence was observed in 16.7% of patients, and systemic progression occurred in five (41.6%) patients. The average overall survival duration was 26.4 ± 5.6 months.

Conclusion: CT-guided cryoablation is a feasible and effective treatment option for AMs, demonstrating high technical success rates and manageable complications.

Clinical significance: This study highlights CT-guided cryoablation as a promising treatment for AMs, offering a minimally invasive alternative to surgery with good local control and safety profile. Further research, including multi-center studies, is needed to confirm these findings.

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计算机断层扫描引导下的冷冻消融治疗肾上腺转移瘤:一项回顾性单中心研究。
目的:评估计算机断层扫描(CT)引导下的冷冻消融术治疗肾上腺转移瘤(AMs)的有效性和安全性:本研究纳入了2016年至2020年间接受13次CT引导下冷冻消融术治疗肾上腺转移瘤的12名患者。患者的选择基于特定标准,包括肿瘤大小≤5厘米和是否适合手术。手术由放射科专家实施,并对并发症进行全面监测和定期进行治疗后评估:结果:初次技术成功率为91.7%,重复手术的二次成功率为100%。在8-24个月的随访期间,16.7%的患者出现局部肿瘤复发,5名患者(41.6%)出现全身性进展。平均总生存期为(26.4 ± 5.6)个月:临床意义:本研究强调了CT引导下冷冻消融术是一种治疗AMs的有前途的方法,它是手术的微创替代疗法,具有良好的局部控制和安全性。需要进一步的研究,包括多中心研究,来证实这些发现。
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来源期刊
Diagnostic and interventional radiology
Diagnostic and interventional radiology Medicine-Radiology, Nuclear Medicine and Imaging
自引率
4.80%
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期刊介绍: Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.
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