E4652. CT-Guided Lung Biopsy and Ablation: Indications, Techniques, Considerations and Periprocedural Management
Authors
Aranz Khalilollahi;
New York University Grossman Long Island School of Medicine
Armin Mahabadi;
New York University Grossman Long Island School of Medicine
Emily Schiller;
New York University Grossman Long Island School of Medicine
Miltiadis Tembelis;
New York University Grossman Long Island School of Medicine; NYU Langone Hospital Long Island
Gregg Blumberg;
New York University Grossman Long Island School of Medicine; NYU Langone Hospital Long Island
Anuj Malhotra;
New York University Grossman Long Island School of Medicine; NYU Langone Hospital Long Island
Jason Hoffmann;
New York University Grossman Long Island School of Medicine; NYU Langone Hospital Long Island
Background
Lung cancer is the leading cause of cancer death in the United States with an incidence of approximately 250,000 and 140,000 deaths per year. Current standard of care for stage one cancers is open surgical and or video assisted resection. The use of CT-guided lung tumor ablations has increased in recent years and is typically reserved for patients who are considered high surgical risk. Several ablation techniques exist, with different mechanisms, uses, and risks. This educational exhibit’s purpose is to provide a review of the current use of this treatment modality to allow for better utilization and higher quality patient care.
Educational Goals / Teaching Points
This educational exhibit will cover the following regarding CT-guided lung biopsies and ablation: indications and contraindications, the basics of alternative treatments, mechanism of ablation, procedural techniques, postprocedural management, and postprocedural imaging.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This exhibit will address the use of the different lung tumor ablation techniques and presents a case of a 67-year-old male who underwent cryoablation for recurrence of a primary lung malignancy.
Conclusion
The use of CT-guided biopsy for lung tumors are a common procedure, often performed by body, thoracic, or interventional radiologists. The use of various ablation techniques for lung tumors has increased in recent years and several specific ablation techniques exist. This educational exhibit will provide an important review of the different applications, indications and contraindications, risks, benefits, and procedural specifics to allow radiologists to better utilize these important techniques.
