Article
Radiology, Nuclear Medicine & Medical Imaging
Russ Guidry, Venkata Macha, Yufeng Li, Husameddin El Khudari, Eric R. Bready, Junjian Huang, Theresa M. Caridi, Andrew J. Gunn
Summary: The P-RAC scoring system has limited ability in predicting procedural complexity in percutaneous thermal renal tumor ablation, especially in patients treated with microwave ablation (MWA). However, the scoring system may be useful in identifying patients at risk of major adverse events (AEs).
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Urology & Nephrology
Jens Steensen Knudsen, Louise Aarup Duus, Theresa Junker, Bo Mussmann, Ole Graumann
Summary: This study retrospectively evaluated renal function after percutaneous cryoablation (PCA) and found minimal decline in renal function 12 months post-operation. PCA is considered a safe and effective treatment method even for patients with reduced renal function.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Assaf Graif, William J. Ryan, Husameddin M. El Khudari, Grant D. Schmit, Andrew J. Gunn
Summary: This study retrospectively analyzed the clinical data of 23 patients who underwent transhepatic percutaneous cryoablation for renal masses. The results showed that this treatment approach has good safety and technical success rates. Larger studies comparing it to nontranshepatic methods are recommended.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Oncology
Benjamin Moulin, Tarek Kammoun, Regis Audoual, Stephane Droupy, Vincent Servois, Paul Meria, Jean Paul Beregi, Julien Frandon
Summary: This study investigated the efficacy of single-probe percutaneous cryoablation in managing small renal masses and its impact on recurrence rates. The findings suggest that single-probe cryoablation is a promising modality with cost-effectiveness and ergonomic advantages, but further refinement and research are needed.
Article
Radiology, Nuclear Medicine & Medical Imaging
Xiao Wu, Johannes Uhlig, Brian M. Shuch, Annemarie Uhlig, Hyun S. Kim
Summary: In this study, a cost-effectiveness analysis was performed to assess the benefits of partial nephrectomy (PN) and percutaneous cryoablation (PCA) for patients with cT1a renal cell carcinoma (RCC). The results suggest that PCA is more cost-effective than PN in the majority of scenarios, although the currently available evidence is of limited quality.
EUROPEAN RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Soichiro Kajita, Toshihiro Iguchi, Takao Hiraki, Yusuke Matsui, Koji Tomita, Mayu Uka, Takashi Tanaka, Motoo Araki, Hideo Gobara, Susumu Kanazawa
Summary: The study found that patent arteries in the ablated renal parenchyma were commonly observed within one week and one month after percutaneous cryoablation of RCC, but gradually disappeared and were not associated with treatment effectiveness.
DIAGNOSTIC AND INTERVENTIONAL IMAGING
(2021)
Article
Cardiac & Cardiovascular Systems
Rodrigo Gobbo Garcia, Marcelo Katz, Priscila Mina Falsarella, Daniel Tavares Malheiros, Helena Fukumoto, Gustavo Caserta Lemos, Vanessa Teich, Paolo Rogerio Salvalaggio
Summary: Percutaneous cryoablation (PCA) was found to be a dominant strategy over robot-assisted partial nephrectomy (RPN) in terms of cost and effectiveness for patients with small renal tumors at T1a stage, taking perioperative complications into consideration.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2021)
Article
Oncology
Huixin Zhang, Muoyan Xu, Jiashen Shao, Huifang Kong, Xudong Gao, Wei Zhang, Xiujuan Chang, Bin Yang, Yan Chen, Zheng Dong, Jiagan Huang, Zhen Zeng, Yongping Yang
Summary: The aim of this study was to assess whether elderly patients with small HCC could benefit from cryoablation. The study found significant differences in overall survival and tumor progression between younger and elderly patients, but no significant difference in progression-free survival. Chronic liver disease, albumin, and bilirubin levels were associated with the prognosis of small HCCs.
FRONTIERS IN ONCOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Pierre-Alexis Autrusseau, Emanuele Boatta, Roberto Luigi Cazzato, Pierre Auloge, Theo Mayer, Julia Weiss, Guillaume Koch, Jean Caudrelier, Pierre De Marini, Afshin Gangi, Julien Garnon
Summary: This study aimed to investigate the technical feasibility and outcomes of percutaneous image-guided cryoablation with temporary balloon occlusion of the renal artery for the treatment of central renal tumors. The results showed that this method is technically feasible with a high success rate and provides good primary efficacy. However, there are also potential complications associated with the procedure.
DIAGNOSTIC AND INTERVENTIONAL IMAGING
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Pierre De Marini, Roberto Luigi Cazzato, Julien Garnon, Danoob Dalili, Ian Leonard-Lorant, Loic Leclerc, Pierre-Alexis Autrusseau, Pierre Auloge, Julia Weiss, Thibault Tricard, Herve Lang, Afshin Gangi
Summary: The study evaluated the safety and oncologic efficacy of percutaneous MRI-guided cryoablation for intraparenchymal renal cancer. Results showed good oncologic outcomes with acceptable complication rates and renal function worsening.
DIAGNOSTIC AND INTERVENTIONAL IMAGING
(2021)
Article
Cardiac & Cardiovascular Systems
Ahmad Parvinian, A. Nicholas Kurup, Tom D. Atwell, Grant D. Schmit, John J. Schmitz, Jonathan M. Morris
Summary: This study assessed the safety and feasibility of percutaneous cryoablation for large tumors exceeding 6 cm in size, showing a high degree of technical success and acceptable safety profile in most cases.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Yasuhiro Fukushima, Junpei Nakamura, Yuko Seki, Masashi Ando, Masaya Miyazaki, Yoshito Tsushima
Summary: This study aimed to evaluate patients' radiation dose in CT-fluoroscopy-guided cryoablation for small renal tumors and factors affecting it. The results showed that most of the radiation dose (89.8%) was attributed to CT-fluoroscopy, and increasing cryoneedle punctures and combined hydro- and/or pneumodissection procedures led to higher total entrance skin dose.
EUROPEAN JOURNAL OF RADIOLOGY
(2021)
Article
Medicine, General & Internal
Lorenzo Bertolotti, Federica Segato, Francesco Pagnini, Sebastiano Buti, Andrea Casarin, Antonio Celia, Francesco Ziglioli, Umberto Maestroni, Giuseppe Pedrazzi, Velio Ascenti, Chiara Martini, Calogero Cicero, Massimo De Filippo
Summary: The efficacy and complication rates of percutaneous radiofrequency ablation (RFA) and cryoablation (CA) in the treatment of T1 renal masses were retrospectively investigated. The results showed that both RFA and CA were effective in treating renal masses, with rare major complications.
Article
Urology & Nephrology
Michele Rizzo, Andrea Piasentin, Giacomo Rebez, Gianluca Giannarini, Paolo Umari, Camilla Sachs, Antonio Celia, Nicola Pavan, Luca Balestrieri, Giorgio Artuso, Michele Bertolotto, Carlo Trombetta, Giovanni Liguori
Summary: This study analyzed mid-term outcomes of CA in treating high-complexity cT1 renal masses, showing that CA provides good preservation of renal function for patients, although there is a higher recurrence rate compared to surgically treated patients.
MINERVA UROLOGY AND NEPHROLOGY
(2021)
Article
Oncology
Ryo Saito, Hiromichi Kawaida, Naohiro Hosomura, Hidetake Amemiya, Jun Itakura, Atsushi Yamamoto, Koichi Takiguchi, Suguru Maruyama, Katsutoshi Shoda, Shinji Furuya, Hidenori Akaike, Yoshihiko Kawaguchi, Makoto Sudo, Shingo Inoue, Hiroshi Kono, Daisuke Ichikawa
Summary: This study found that exposure to blood components, particularly platelets and inflammation, can enhance the malignant behaviors of pancreatic cancer cells, leading to poor prognosis for patients.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Gastroenterology & Hepatology
Justin R. Boike, Bartley G. Thornburg, Sumeet K. Asrani, Michael B. Fallon, Brett E. Fortune, Manhal J. Izzy, Elizabeth C. Verna, Juan G. Abraldes, Andrew S. Allegretti, Jasmohan S. Bajaj, Scott W. Biggins, Michael D. Darcy, Maryjane A. Farr, Khashayar Farsad, Guadalupe Garcia-Tsao, Shelley A. Hall, Caroline C. Jadlowiec, Michael J. Krowka, Jeanne Laberge, Edward W. Lee, David C. Mulligan, Mitra K. Nadim, Patrick G. Northup, Riad Salem, Joseph J. Shatzel, Cathryn J. Shaw, Douglas A. Simonetto, Jonathan Susman, K. Pallav Kolli, Lisa B. VanWagner
Summary: Complications of portal hypertension, such as ascites and gastrointestinal bleeding, pose significant risks to patients. The use of transjugular intrahepatic portosystemic shunt (TIPS) creation has emerged as a crucial therapeutic option. In North America, a multidisciplinary approach involving gastroenterologists, hepatologists, and interventional radiologists is employed to perform TIPS creation. However, there are variations in practices and outcomes, highlighting the need for further research. The Advancing Liver Therapeutic Approaches group has critically reviewed the application of TIPS and developed practice-based recommendations to address these issues.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Christa Robins, Nicholas Xiao, Riad Salem, Asad Malik, Rajesh N. Keswani, Ahsun Riaz
Summary: This study reports a minimally invasive technique using a radiofrequency wire to cross complete biliary occlusions. By creating a biliary-enteric neo-anastomosis, this technique offers a safe, effective, and durable treatment option for patients with biliary occlusion. The procedure has a high success rate with no intra-operative complications, and maintains patency of the neo-anastomosis.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Piyush Goyal, Riad Salem, Samdeep K. Mouli
Summary: Hepatocellular carcinoma (HCC) is a major cause of cancer-related deaths worldwide. While liver transplant is the preferred curative treatment, limited organ supply poses challenges in accessibility and waiting time. As a result, interventional oncology therapies have been used to treat the majority of HCC patients, including those awaiting transplant. The Barcelona Clinic Liver Cancer (BCLC) staging system is widely utilized to guide treatment allocation. The most recent update in November 2021, shaped by expert opinions outside the BCLC group, includes additional treatment options for early-stage disease, further categorization of intermediate disease, and alternative treatments to significantly improve survival in advanced-stage disease. The update also introduces a new staging schema for disease progression and supports treatment stage migration (TSM) within the main staging and treatment algorithm. This article reviews the recent developments in the BCLC guidelines and emphasizes ongoing research, particularly in radioembolization, that will inform future best practices.
BRITISH JOURNAL OF RADIOLOGY
(2022)
Editorial Material
Gastroenterology & Hepatology
Riad Salem, Lambros Tselikas, Thierry de Baere
JOURNAL OF HEPATOLOGY
(2022)
Review
Oncology
David C. Madoff, Nadine Abi-Jaoudeh, David Braxton, Lipika Goyal, Dhanpat Jain, Bruno C. Odisio, Riad Salem, Mark Schattner, Rahul Sheth, Daneng Li
Summary: This article outlines best practices and recommendations from a multidisciplinary team of experts to assist physicians involved in the care of patients with intrahepatic cholangiocarcinoma. It highlights the importance of biomarker testing in iCCA and the challenges associated with it, as well as suggesting best practices for optimizing tissue collection and biomarker testing.
Article
Radiology, Nuclear Medicine & Medical Imaging
Riad Salem, Siddharth A. Padia, Marnix Lam, Carlo Chiesa, Paul Haste, Bruno Sangro, Beau Toskich, Kirk Fowers, Joseph M. Herman, S. Cheenu Kappadath, Thomas Leung, Daniel Y. Sze, Edward Kim, Etienne Garin
Summary: This article presents the updated recommendations from the TheraSphere Global Dosimetry Steering Committee for the treatment of hepatocellular carcinoma (HCC). The recommendations aim to provide a more personalized and effective approach to treatment, taking into account disease presentation, tumor biology, and treatment intent.
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jules Gregory, Lambros Tselikas, Caroline Allimant, Thierry de Baere, Irene Bargellini, Jon Bell, Jose Ignacio Bilbao, Antoine Bouvier, Julius Chapiro, Carlo Chiesa, Thomas Decaens, Alban Denys, Rafael Duran, Julien Edeline, Etienne Garin, Julien Ghelfi, Thomas Helmberger, Farah Irani, Marnix Lam, Robert Lewandowski, David Liu, Romaric Loffroy, David C. Madoff, Charles Mastier, Riad Salem, Bruno Sangro, Daniel Sze, Valerie Vilgrain, Michael Vouche, Boris Guiu, Maxime Ronot
Summary: This study aimed to define a textbook outcome (TO) for selective internal radiation therapy (SIRT) of hepatocellular carcinoma. The final TO, determined through expert opinions and an international survey, is a multidimensional standardization tool suitable for routine care, clinical round, and research.
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ahsun Riaz, Pouya Entezari, Asad Malik, Wali Badar, Stephen Scheller, Ahmed Gabr, Bartley Thornburg, Stephen Seedial, Justin Boike, Scott Resnick, Kent Sato, Daniela Ladner, Christopher Moore, Daniel Ganger, James Donaldson, Laura Kulik, Robert J. Lewandowski, Brian S. Funaki, Osman Ahmed, Juan Carlos Caicedo, Riad Salem
Summary: This study evaluated the outcomes of splenic artery aneurysm embolization and compared the rates of adverse events in patients with and without portal hypertension. The results showed that patients with portal hypertension had significantly higher mortality and severe/life-threatening adverse event rates after embolization.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Editorial Material
Gastroenterology & Hepatology
Brandon M. Caldwell, Ahmed Gabr, Pouya Entezari, Alex Sher, Edward Kim, Guy E. Johnson, Riad Salem, Robert J. Lewandowski
LIVER TRANSPLANTATION
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Courtney Sperry, Asad Malik, Allison Reiland, Bartley Thornburg, Rajesh Keswani, Muhammed Sufyaan Ebrahim Patel, Aziz Aadam, Anthony Yang, Ezra Teitelbaum, Riad Salem, Ahsun Riaz
Summary: The study evaluated the feasibility, effectiveness, and outcomes of percutaneous cholecystostomy drain internalization in patients with calculous cholecystitis who were not surgical candidates. Dual cholecystoduodenal stent placement was attempted in 17 patients, with successful placement in 13 patients. The 1-year patency rate was 77%.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Andrew M. Chiu, Rohan Savoor, Andrew C. Gordon, Ahsun Riaz, Kent T. Sato, Elias Hohlastos, Riad Salem, Robert J. Lewandowski
Summary: A retrospective study found that yttrium-90 radiation segmentectomy is a safe and effective treatment for oligo-metastatic secondary hepatic malignancies, achieving high disease control rate.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Review
Radiology, Nuclear Medicine & Medical Imaging
Gabriel M. Knight, Andrew C. Gordon, Vanessa Gates, Abhinav Talwar, Ahsun Riaz, Riad Salem, Robert Lewandowski
Summary: Yttrium-90 transarterial radioembolization (TARE) has evolved from a salvage or palliative therapy to a versatile and potentially curative treatment for liver cancer patients. Personalized radiation dosimetry has been proven to improve tumor response and overall survival while ensuring patient safety. This review covers the imaging techniques, dosimetry methods, and future developments in TARE.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Riad Salem, Allison Reiland, Bartley Thornburg
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Aakash N. Gupta, Andrew C. Gordon, Ahmed Gabr, Aparna Kalyan, Sheetal M. Kircher, Devalingam Mahalingam, Mary F. Mulcahy, Ryan P. Merkow, Anthony D. Yang, David J. Bentrem, Juan C. Caicedo-Ramirez, Ahsun Riaz, Bartley Thornburg, Kush Desai, Kent T. Sato, Elias S. Hohlastos, Laura Kulik, Al B. Benson, Riad Salem, Robert J. Lewandowski
Summary: The study evaluated the safety, efficacy, and potential for downstaging to resection of yttrium-90 radioembolization for treatment of unresectable intrahepatic cholangiocarcinoma. The results demonstrated high local disease control rates and the therapeutic role of Y90 for unresectable ICC patients who were downstaged to resection, providing a new treatment option.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Gastroenterology & Hepatology
Abhinav Talwar, Jeffrey Varghese, Gabriel M. Knight, Nitin Katariya, Juan-Carlos Caicedo, Zach Dietch, Daniel Borja-Cacho, Daniella Ladner, Derrick Christopher, Talia Baker, Michael Abecassis, Samdeep Mouli, Kush Desai, Ahsun Riaz, Bart Thornburg, Riad Salem
Summary: This study compares the outcomes of patients with chronic obliterative portal vein thrombosis (PVT) who received portal vein recanalization-transjugular intrahepatic portosystemic shunt (PVR-TIPS) followed by liver transplantation (LT) to those with partial nonocclusive PVT who underwent LT without an intervention. The results show that PVR-TIPS is effective in resolving PVT and simplifies the surgical aspects of LT.
HEPATOLOGY COMMUNICATIONS
(2022)