Interventional Oncology :Principles and Practice

Publication subTitle :Principles and Practice

Author: Jean-François H. Geschwind; Michael C. Soulen  

Publisher: Cambridge University Press‎

Publication year: 2008

E-ISBN: 9780511890048

P-ISBN(Paperback): 9780521864138

Subject: R730.56 surgery (surgical therapy)

Keyword: 临床医学

Language: ENG

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Interventional Oncology

Description

Interventional oncology has joined surgical, radiation, and medical oncology as the fourth pillar of cancer care. Advances in imaging and image guidance for the detection, characterization, targeting, and therapy of cancer now allow for minimally invasive image-guided treatment of many solid tumors without the morbidity of open surgery or the toxicity of chemotherapy and radiation. The editors have brought together the accrued experience of pioneers and leaders in image-guided cancer therapy from around the globe to create the first comprehensive text for this emerging field. Covering the biology, techniques, clinical applications, and outcomes of interventional oncologic procedures for the treatment and palliation of solid tumors throughout the body, this practical reference will be indispensable for physicians across specialties who seek to provide collaborative, leading-edge care to cancer patients.

Chapter

THERAPEUTIC MONOCLONAL ANTIBODIES

REGIONAL THERAPY PHARMACOLOGY APPENDIX

PHARMACOLOGY APPENDIX (51…54)

REFERENCES

PART II Principles of Image-Guided Therapies

Chapter 5 Image-Guided Interventions: Fundamentals of Radiofrequency Tumor ablation

KEY POINTS

INTRODUCTION

THERMAL COAGULATION NECROSIS

THE BIO-HEAT EQUATION

PART I: ENERGY DEPOSITED … THE BIO-HEAT EQUATION TECHNOLOGY

Power Generators and Energy Delivery algorithms

Multi-tine Applicators

Multi-applicator Arrays

Bipolar Arrays

Internally Cooled Electrodes

Cluster RF

Perfused Electrodes

Pulsed RF Application

Switching RF Applicator Energy

Comparison to Other Thermal Sources

PART II: BIOLOGY AND TISSUE INTERACTIONS

Effect of Tumor and Background tTissue Characteristics

Electrical Conductivity

PART III: OPERATOR AND TECHNIQUE

Choice of Applicator

Overlapping Techniques

Patient Selection

CONCLUSION

REFERENCES

Chapter 6 Principles of Embolization

EMBOLOTHERAPY

General Indications

Embolic Materials

Embolization: Technical Considerations

CHEMOEMBOLIZATION

Synergistic Effects of Ischemia and Drug Therapy

Chemotherapeutic Agents Used for Chemoembolization

Lipiodol Chemoembolization

Lobar Ablation Technique with Both Arterial and Portal Embolization

REFERENCES

Chapter 7 Imaging in Interventional Oncology: Role of Image Guidance

IMAGING FOR PROCEDURE PLANNING

IMAGING FOR DEVICE DELIVERY

Advances in Real-time Imaging

Three-dimensionality

Contrast Agents Navigation

Image Fusion

Navigation

Robotics

Open Access

Radiation Exposure

INTRA-PROCEDURAL MONITORING

IMAGING FOR THERAPY ASSESSMENT

SUMMARY

REFERENCES

Chapter 8 Assessment of tumor response on Magnetic Resonance imaging after locoregional therapy

Role of Imaging in Assessing

Treatment Response

MR Imaging Technique

MR Imaging after Tissue Ablation

MR Imaging after TACE

MR Imaging after Radioembolization with Yttrium-90 Microspheres

CONCLUSION

REFERENCES

PART III Organ-Specific Cancers

Chapter 9 Hepatocellular Carcinoma: Epidemiology, Pathology, Diagnosis and Screening

EPIDEMIOLOGY, RISK FACTORS AND PREVENTION

PATHOLOGY

Gross Pathology

Histology

DIAGNOSIS

Symptoms and Presentation

Imaging

Tumor Markers

Histological Confirmation

SCREENING

REFERENCES

Chapter 10 STAGING SYSTEMS FOR HEPATOCELLULAR CARCINOMA

CHILD-TURCOTTE-PUGH NOMINAL SCORE

OKUDA STAGING SYSTEM

CANCER OF THE LIVER ITALIAN PROGRAM CLASSIFICATION

BARCELONA CLINIC LIVER CANCER STAGING CLASSIFICATION

THE CHINESE UNIVERSITY PROGNOSTIC INDEX

LIVER CANCER STUDY GROUP OF JAPAN

AMERICAN JOINT COMMITTEE ONCANCER/INTERNATIONAL UNIONAGAINST CANCER

HCC STAGING SYSTEMS: A SELECTIVE REVIEW OF COMPARATIVE STUDIES

CONCLUSION

REFERENCES

Chapter 11 Hepatocellular Carcinoma: Medical Management

THE NEED FOR SYSTEMIC THERAPIES IN HEPATOCELLULAR CARCINOMA

CYTOTOXIC CHEMOTHERAPY

ENDOCRINE MANIPULATION

OCTREOTIDE

THE NEW AGE OF TARGETED THERAPIES

TARGETED THERAPIES

ANGIOGENESIS AND HEPATOCELLULAR CARCINOMA

HEPATOCELLULAR CARCINOMA

CONCLUSION

REFERENCES

Chapter 12 Surgical Management (Resection)

PREOPERATIVE EVALUATION

Patient Selection

Evaluation of Liver Function

Portal Vein Embolization

SURGICAL TECHNIQUE

MORBIDITY AND MORTALITY

LONG-TERM OUTCOME

REFERENCES

Chapter 13 Liver Transplantation for Hepatocellular Carcinoma

SELECTION CRITERIA

LISTING FOR TRANSPLANTATION: PRIORITIZATION FOR HCC

TUMOR PROGRESSION WHILE ON THE WAITING LIST

LOCALIZED THERAPY FOR HCC

EXTENDED CRITERIA GRAFTS

LIVING DONOR LIVER TRANSPLANTATION

POST-TRANSPLANT MANAGEMENT

NEW FRONTIERS

CONCLUSION

REFERENCES

Chapter 14 IMAGE-GUIDED ABLATION OF HEPATOCELLULAR CARCINOMA

PRETREATMENT EVALUATION

Imaging Assessment

Clinical Staging

TRIAGE OF EARLY STAGE HEPATOCELLULAR CARCINOMA

Surgical Resection

Liver Transplantation

Image-guided Ablation

CHEMICAL ABLATION

Ethanol Injection

Acetic Acid Injection

THERMAL ABLATION

Radiofrequency Ablation

Microwave Ablation

Laser Ablation

CONCLUSION

REFERENCES

Chapter 15 EMBOLIZATION OF LIVER TUMORS: ANATOMY

Celiac Trunk Anatomy

Hepatic Artery Anatomy

Non-hepatic Arteries Arising from Hepatic Arteries

Extra-hepatic Collateral Arteries

REFERENCES

Chapter 16 Transcatheter Arterial Chemoembolization: Technique and Future Potential

DEFINITION OF TACE, HISTORICAL BACKGROUND AND UNDERLYING PRINCIPLES OF TUMOR DAMAGE

PATIENT SELECTION AND INDICATIONS FOR TACE

CONTRAINDICATIONS FOR TACE

PATIENT PREPARATION

TECHNICAL CONSIDERATIONS

TECHNIQUE

RECOVERY

FOLLOW-UP AND EVALUATION OF RESPONSE TO TREATMENT

COMPLICATIONS AND SIDE EFFECTS

SURVIVAL BENEFIT

CURRENT RESEARCH ON TACE

CONCLUSION

REFERENCES

Chapter 17 New Concepts in Targeting and Imaging Liver Cancer

NEW CONCEPTS IN TARGETING LIVER CANCER

Targeting Glucose Tumor Metabolism

Targeting Malignant Stem Cells

DRUG-ELUTING MICROSPHERES: THE NEW CONCEPT IN TACE

NEW PERCUTANEUOUS APPROACHES FOR TREATMENT OF LIVER CANCER

NEW APPROACHES IN IMAGING TUMOR RESPONSE AF TERTREATMENT: IMAGING BIOMARKERS

Diffusion-weighted MR Imaging

Dynamic Contrast-enhanced MR Imaging

CONCLUSION

REFERENCES

Chapter 18 Intrahepatic Cholangiocarcinoma

EPIDEMIOLOGY

PATHOPHYSIOLOGY

DIAGNOSIS

TREATMENT

Radiofrequency Ablation

TACE

REFERENCES

CONCLUSION

Chapter 19 Medical Management of Colorectal Liver Metastasis

SYSTEMIC CHEMOTHERAPY IN ADVANCED COLORECTAL CANCER

CYTOTOXIC AGENTS

BIOLOGICAL AGENTS

NEOADJUVANT CHEMOTHERAPY FOR COLORECTAL LIVER METASTASIS

ADJUVANT CHEMOTHERAPY FOLLOWING HEPATIC METASTATECTOMY

SYSTEMIC CHEMOTHERAPY IN CHEMOEMBOLIZATION

REFERENCES

Chapter 20 SURGICAL RESECTION OF HEPATIC METASTASES

PRIMARY LIVER CANCER

HEPATIC METASTASES

SELECTING PATIENTS FOR SURGICAL RESECTION

DEFINING RESECTABILITY IN PATIENTS WITH HEPATIC METASTASES

TECHNIQUES FOR LIVER RESECTION

LIVER RESECTION FOR PRIMARY LIVER CANCER

LIVER RESECTION FOR HEPATIC COLORECTAL METASTASES

LIVER RESECTION FOR NON-COLORECTAL METASTASES

CONCLUSION

REFERENCES

Chapter 21 Clinical Management of Patients with Colorectal Liver Metastases Using Hepatic Arterial Infusion

UNRESECTABLE DISEASE

BORDERLINE RESECTABILITY

ADJUVANT TREATMENT AFTER

ADJUVANT TREATMENT AFTER RESECTION OF LIVER METASTASES

DOSING AND ADJUSTMENT ALGORITHMS

CONCLUSION

REFERENCES

Chapter 22 Colorectal Metastases: Ablation

TECHNICAL NOTES

RESULTS

CONCLUSIONS

REFERENCES

Chapter 23 Colorectal Metastases: Chemoembolization

PATIENT SELECTION

CHEMOEMBOLIZATION REGIMENS

TREATMENT

OUTCOMES IN COLORECTAL CARCINOMA

REFERENCES

Chapter 24 RADIOEMBOLIZATION WITH90YTTRIUM MICROSPHERES FORCOLORECTAL LIVER METASTASES

OVERVIEW

PATIENT SCREENING AND SELECTION

TREATMENT PROCESS

Dosimetry

TheraSphere

SIR-Spheres

POST PROCEDURAL CARE AND FOLLOW-UP

Post Procedure Considerations

Treatment of the Second Lobe

CT/PET Evaluation of Tumor Response

LITERATURE REVIEW

SIR-Spheres

TheraSphere

CONCLUSION

REFERENCES

Chapter 25 Carcinoid and Related Neuroendocrine Tumors

NOMENCLATURE AND DESCRIPTION

ORIGIN

DISTRIBUTION

INCIDENCE

ROLE OF THE INTERVENTIONAL RADIOLOGIST

CARCINOID SYNDROME

CARCINOID CRISIS

BIOPSY

EMBOLOTHERAPY WITH AND WITHOUT CHEMOTHERAPY (HACE/HAE)

PORTAL VEIN OCCLUSION

LIVER FAILURE

REPEAT TREATMENT

EVALUATING RESPONSE

DURATION OF RESPONSE

PRE-PROCEDURAL PREPARATION (35, 43)

POST-PROCEDURAL MANAGEMENT

90YTTRIUM HEPATIC BRACHYTHERAPY

RADIOFREQUENCY ABLATION

PHEOCHROMOCYTOMA (48)

REFERENCES

Chapter 26 Interventional Radiology for the Treatment of Liver Metastases from Neuroendocrine Tumors

SURGERY

SYSTEMIC CHEMOTHERAPY

HEPATIC INTRA-ARTERIAL THERAPIES

Indications

Rationale

Technique

Follow-up

Results

SELECTIVE INTERNAL RADIATION THERAPY

PERCUTANEOUS ABLATIVE THERAPIES

REFERENCES

Chapter 27 Immunoembolization for Melanoma

IMMUNOTHERAPY

RATIONALE FOR LOCAL IMMUNOTHERAPY OF LIVERME TASTASES

IMMUNOEMBOLIZATION

BARRIERS TO IMMUNOTHERAPY

Loss of Antigenicity

Tolerance

ASSESSMENT OF RESPONSE

FUTURE DIRECTIONS

REFERENCES

Chapter 28 Preoperative Portal Vein Embolization

Chapter 29 Cancer of the Extrahepatic Bile Ducts and the Gallbladder: Surgical Management

HISTORY

EPIDEMIOLOGY

DIAGNOSIS

CLASSIFICATION AND STAGING PREOPERATIVE PREPARATION

PREOPERATIVE PREPARATION

OPERATIONS

Operation for Perihilar Resection

Operation for Distal Cholangiocarcinoma

Resection

Operation for Gallbladder Resection

Palliation of Unresectable Disease

OUTCOMES

CONCLUSION

REFERENCES

Chapter 30 Extrahepatic Biliary Cancer: High Dose Rate Brachytherapy and PHotodynamic Therapy

CAUSES OF MALIGNANT OBSTRUCTIVE JAUNDICE

ROLE OF LOW-DOSE ILBT IN MAINTAINING PATENCY OF BILIARY DUCTS

ROLE OF LOW-DOSE BRACHYTHERAPY IN TREATING BILE DUCT MALIGNANCIES

HIGH DOSE RATE (HDR) BRACHYTHERAPY

COMBINED EXTERNAL BEAM TREATMENT WITH HDR BRACHYTHERAPY

DIFFERENT TECHNIQUES FOR DELIVERING HDR BRACHYTHERAPY

PHOTODYNAMIC THERAPY

REFERENCES

Chapter 31 Extrahepatic Biliary Cancer/Biliary Drainage

PALLIATIVE BILIARY DRAINAGE FOR MALIGNANT STRICTURES

ROLE OF IMAGING BEFORE PALLIATIVE BILIARY DRAINAGE

PERCUTANEOUS INTERVENTION IN MALIGNANT BILIARY OBSTRUCTION

PREOPERATIVE PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE

PALLIATION OF MALIGNANT BILIARY OBSTRUCTION USING PTBD

COMBINED TRANSHEPATIC ENDOSCOPIC APPROACH (RENDEZVOUS PROCEDURE)

POST-PROCEDURE MANAGEMENT FOLLOWING BILIARY DRAINAGE

COMPLICATIONS

CLINICAL RESULTS

PATIENT SURVIVAL

REFERENCES

Chapter 32 Surgical and Medical Treatment

INCIDENCE AND DIAGNOSIS

STAGING

HISTOLOGIC SUBTYPES

Malignant Renal Tumors

Benign Renal Tumors

Renal Metastasis

GENETIC SYNDROMES ASSOCIATED WITH RENAL CELL CARCINOMA

PROGNOSTIC FACTORS

EXPECTANT MANAGEMENT OF LOCALIZED DISEASE

SURGICAL MANAGEMENT OF RENAL CELL CARCINOMA

Surgery for Localized Disease

Surgery for Locally Advanced Disease

Surgery for Metastatic Disease

Adjuvant Therapy

MEDICAL MANAGEMENT OF HIGH-RISK AND METASTATIC RENAL CELL CARCINOMA

Adjuvant Therapy

Cytotoxic Chemotherapy

Cytokine and Biologic Therapy

Targeted Therapy

Non-myeloablative Stem Cell Transplantation

Treatment of Non-conventional Histologic Subtypes

Local Treatment of Metastatic Disease

REFERENCES

Chapter 33 Percutaneous Renal Ablation

CLINICAL OVERVIEW

STAGING

DIAGNOSIS

TREATMENT OPTIONS

Surgery

Percutaneous Techniques

TREATMENT OF METASTATIC DISEASE

Surgical and RFA Options

Medical Therapies

CONCLUSION

REFERENCES

Chapter 34 Embolotherapy in the Management of Renal Cell Carcinoma

TECHNICAL ASPECTS

Anatomy

Angiography

Embolic Agents and Embolization Techniques

RESULTS

Preoperative Embolization

Palliative Embolization

Embolization as Adjunct to Ablation Therapy

Complications

CONCLUSIONS

REFERENCES

Chapter 35 Epidemiology, Diagnosis, Staging and the Medical-Surgical Management of Lung Cancers

EPIDEMIOLOGY OF PRIMARY BRONCHOGENIC AND THORACIC MALIGNANCIES

DIAGNOSIS AND STAGING OF THORACIC MALIGNANCIES

Lung Cancer Staging

Clinical Diagnosis

Tissue for Pathologic Diagnosis and Staging

MANAGEMENT OF THORACIC MALIGNANCIES

Surgical Management

Medical Management

CONCLUSION

REFERENCES

Chapter 36 Image-Guided Ablation in the Thorax

BASIC PHYSICS OF ABLATION THERAPY

Radiofrequency Ablation

Microwave Ablation

Cryoablation

PERFORMING ABLATION THERAPY

RFA Technique

Microwave Technique

Cryoablation (Cryotherapy) Technique

COMPARISON OF THERMAL ABLATION TECHNIQUES

IMAGING FEATURES POST-ABLATION

APPLICATIONS FOR THERM ALABLATION THERAPIES

PRIMARY LUNG CANCER

Radiofrequency Ablation

Microwave Ablation

Cryoablation

METASTATIC LUNG CANCER

Radiofrequency Ablation

Microwave Ablation

PALLIATION

Cryoablation

CONCLUSIONS

REFERENCES

Chapter 37 Interventional Treatment Methods for Unresectable Lung Tumors

REFERENCES

Chapter 38 Interventional Neuroradiology in Head and Neck Oncology

EMBOLIZATION OF VASCULAR HEAD AND NECK TUMORS

Technique

Juvenile Nasopharyngeal Angiofibroma

Paraganglioma

PREOPERATIVE BALLOON TEST OCCLUSION AND ELECTIVE PERMANENT CAROTID OCCLUSION

Preoperative Balloon Test Occlusion

Elective Permanent Carotid Occlusion

MANAGEMENT OF CAROTID BLOWOUT SYNDROME

REFERENCES

SELECTIVE INTRA-ARTERIAL CHEMOTHERAPY FOR HEAD AND NECK CARCINOMAS

CONCLUSION

Chapter 39 Percutaneous Ablation of Painful Metastases Involving Bone

PATIENT SELECTION FOR ABLATION

RFA TECHNIQUE

RFA RESULTS

EMERGENCE OF PERCUTANEOUS CRYOABLATION

CRYOABLATION TECHNIQUE

CRYOABLATION RESULTS

CONCLUSION

REFERENCES

Chapter 40 Intra-arterial Therapy for Sarcomas

SCOPE

RADIOLOGICAL STAGING OF SARCOMAS

LIMB-SPARING RESECTION OF EXTREMITY SARCOMAS

Preoperative Radiation Therapy

Preoperative versus Postoperative

Radiation Therapy

Neoadjuvant Chemotherapy

Intra-arterial Chemotherapy

Adjuvant Chemotherapy

TECHNIQUE AND COMPLICATIONS OF INTRA-ARTERIAL CHEMOTHERAPY IN THE EXTREMITIES

INTRA-ARTERIAL THERAPY OF NON-EXTREMITY SARCOMAS

CONCLUSION

REFERENCES

Chapter 41 Prostate Cryoablation: A Role for the Radiologist in Treating Prostate Cancer?

BACKGROUND

PATIENT SELECTION

Patients at High Risk for Local Recurrence

Patients with Organ-confined, Low-volume, Low Gleason Score Disease

Patients with Local Recurrence after Radiation Therapy

TECHNICAL CONSIDERATIONS IN CRYOSURGERY

Temperature Monitoring in Critical Areas and Improved Cryosurgical Protocols

FUTURE TECHNICAL IMPROVEMENTS

CONCLUSION

REFERENCES

PART IV Specialized Interventional Techniques in Cancer Care

Chapter 42 Vascular Access: Venous and Arterial Ports

VENOUS PORTS

Description

Indications

Preoperative Assessment

Access Route

Ultrasound Use

Catheter Tip Location

Update on Vein Thrombosis Prophylaxis and Treatment

Catheter-related Infection

Image-guided Interventions for Port Dysfunction

Hepatic Intra-arterial Port

Technique

Contraindications

Results

CONCLUSION

REFERENCES

Chapter 43 Gastrointestinal Stenting

BASIC PRINCIPLES

PALLIATION OF MALIGNANT DYSPHAGIA

Efficacy of SEMS for Malignant Dysphagia

Types of Stents

Chemoradiation Therapy and Stent Placement

MALIGNANT GASTRIC OUTLET OBSTRUCTION

COLONIC OBSTRUCTION

CONCLUSION

REFERENCES

Chapter 44 Diagnosis and Management of Superior Vena Cava Syndrome

BACKGROUND

INDICATIONS

CONTRAINDICATIONS

TECHNIQUE

PATIENT MANAGEMENT

OUTCOMES

COMPLICATIONS

REFERENCES

Chapter 45 Palliative Care and Symptom Management

PALLIATIVE CARE AND COMMUNICATION WITH CANCER PATIENTS

Overview of Palliative Care

Communication with Cancer Patients

MEDICAL SYMPTOM MANAGEMENT

Pain

Nausea and Vomiting

Constipation

Diarrhea

Constitutional Symptoms

Ascites

Pruritus

Psychiatric Symptoms

COORDINATING CARE IN PATIENTS WITH ADVANCED CANCER

CONCLUSION

REFERENCES

Chapter 46 Complications of Therapeutic Endovascular Procedures in Malignant Liver Diseases

EMBOLIZATION OF HEPATIC TUMORS

Systemic Toxicities

Local Complications

Distant (Pulmonary) Complications

CHEMOTHERAPY INFUSION

Obstruction and Migration of the Catheter

LIVER RADIOEMBOLIZATION

Liver Failure after Radioembolization Extrahepatic Complications

Extrahepatic Complications after Radioembolization

REFERENCES

Index


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