Review
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World J Gastroenterol. Sep 7, 2013; 19(33): 5430-5438
Published online Sep 7, 2013. doi: 10.3748/wjg.v19.i33.5430
Practice guidelines for ultrasound-guided percutaneous microwave ablation for hepatic malignancy
Ping Liang, Jie Yu, Ming-De Lu, Bao-Wei Dong, Xiao-Ling Yu, Xiao-Dong Zhou, Bing Hu, Ming-Xing Xie, Wen Cheng, Wen He, Jian-Wen Jia, Guo-Rong Lu
Ping Liang, Jie Yu, Bao-Wei Dong, Xiao-Ling Yu, Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing 100853, China
Ming-De Lu, Department of Hepatobiliary Surgery and Medical Ultrasonics, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China
Xiao-Dong Zhou, Department of Ultrasound, Xijing Hospital of Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Bing Hu, Department of Ultrasound in Medicine, 6th People’s Hospital of Shanghai Jiaotong University, Shanghai 200233, China
Ming-Xing Xie, Department of Ultrasound, Medical Imaging Union Hospital of Tongji Medical College of HUST, Wuhan 430022, Hubei Province, China
Wen Cheng, Department of Ultrasound, The Third Affiliated Hospital of Harbin Medical University, Harbin 150081, Heilongjiang Province, China
Wen He, Department of Ultrasound, Beijing Tiantan Hospital of Capital Medical University, Beijing 100050, china
Jian-Wen Jia, Department of Ultrasound, Peking University Third Hospital, Beijing 100191, China
Guo-Rong Lu, Department of Ultrasound, The Second Affiliated Hospital of Fujian Med University, Quanzhou 362000, Fujian Province, China
Author contributions: Liang P had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis; Liang P and Lu MD designed the research; Liang P, Yu J, Lu MD, Dong BW, Yu XL, Zhou XD, Hu B, Xie MX, Cheng W, He W, Jia JW and Lu GR performed the research and data acquisition; Liang P, Yu J, Lu MD and Yu XL contributed data analysis and interpretation; Liang P, Yu J and Lu MD wrote the paper.
Correspondence to: Ping Liang, MD, Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China. liangping301@hotmail.com
Telephone: +86-10-66939530 Fax: +86-10-88210006
Received: April 16, 2013
Revised: June 12, 2013
Accepted: June 19, 2013
Published online: September 7, 2013
Abstract

Primary liver cancer and liver metastases are among the most frequent malignancies worldwide, with an increasing number of new cases and deaths every year. Traditional surgery is only suitable for a limited proportion of patients and imaging-guided percutaneous thermal ablation has achieved optimistic results for management of hepatic malignancy. This synopsis outlines the first clinical practice guidelines for ultrasound-guided percutaneous microwave ablation therapy for hepatic malignancy, which was created by a joint task force of the Society of Chinese Interventional Ultrasound. The guidelines aim at standardizing the microwave ablation procedure and therapeutic efficacy assessment, as well as proposing the criteria for the treatment candidates.

Keywords: Practice guidelines; Microwave radiation; Catheter ablation; Liver cancer; Ultrasound

Core tip: Thermal ablation has undergone rapid development as a minimally invasive procedure, with optimistic results and rapid rehabilitation. This synopsis outlines the first clinical practice guidelines for ultrasound-guided percutaneous microwave ablation therapy for hepatic malignancy, which was created by a joint task force of the Society of Chinese Interventional Ultrasound. The guidelines aim at standardizing the microwave ablation procedure and therapeutic efficacy assessment, as well as proposing the criteria for treatment candidates.