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DOI:10.2214/AJR.09.2582
AJR 2009; 192:1558-1570
© American Roentgen Ray Society


Perspective

Imaging-Guided Percutaneous Ablation of Renal Cell Carcinoma: A Primer of How We Do It

Raul N. Uppot1, Stuart G. Silverman2, Ronald J. Zagoria3, Kemal Tuncali2, David D. Childs3 and Debra A. Gervais1

1 Division of Abdominal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St., White 270, Boston, MA 02114.
2 Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
3 Department of Radiology, Wake Forest University Health Sciences, Winston-Salem, NC.

Abstract

OBJECTIVE. This article is a primer in conducting an imaging-guided percutaneous renal ablation program based on the clinical experience of three institutions.

CONCLUSION. Imaging-guided percutaneous ablation is becoming a viable alternative to surgery for the management of locally confined renal cell carcinoma. Conducting a successful renal tumor ablation program includes understanding the treatment options for early-stage renal cell carcinoma, selecting the appropriate patients, understanding the procedural techniques, and organizing a comprehensive follow-up.

Keywords: cryoablation • imaging-guided percutaneous ablation • radiofrequency ablation • renal cell carcinoma


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