Contrast-Enhanced Ultrasound-Guided Radiofrequency Ablation of Renal Tumors
Open Access
- 1 January 2018
- journal article
- review article
- Published by Codon Publications in Journal of Kidney Cancer and VHL
- Vol. 5 (1), 7-14
- https://doi.org/10.15586/jkcvhl.2018.100
Abstract
Although only limited long-term studies evaluating thermal ablation of renal masses have been performed, it appears that thermal ablation has a comparable 5-year success rate to that of partial or total nephrectomy. This technique is often used in patients who are not good candidates for partial or total nephrectomy. Contrast-enhanced ultrasound (CEUS) has been recently approved by the Food and Drug Administration for characterization of focal liver lesions in adults and pediatric patients. CEUS can be used off label for renal applications and has been used for years in Europe and Asia. It has several advantages over -contrast-enhanced computed tomography for use as the technique to guide and evaluate efficacy of thermal ablation of renal masses. These include the ability to visualize small amounts of enhancement, repeat dosing to evaluate efficacy of an ablation during a procedure, thin slice thickness, and real-time visualization. Ultrasound contrast is also non-nephrotoxic and non-hepatotoxic, allowing evaluation of patients with renal insufficiency. This article reviews the use of CEUS for the guidance and follow-up of thermal ablative procedures of renal masses.Keywords
This publication has 18 references indexed in Scilit:
- Active Surveillance, Radiofrequency Ablation, or Cryoablation for the Nonsurgical Management of a Small Renal Mass: A Cost-Utility AnalysisAnnals of Surgical Oncology, 2013
- Contrast-Enhanced Ultrasound-Guided Radiofrequency Ablation of Renal TumorsUltrasound Quarterly, 2012
- The EFSUMB Guidelines and Recommendations on the Clinical Practice of Contrast Enhanced Ultrasound (CEUS): Update 2011 on non-hepatic applicationsUltraschall in der Medizin - European Journal of Ultrasound, 2011
- Radiofrequency ablation of renal tumours: diagnostic accuracy of contrast-enhanced ultrasound for early detection of residual tumourEuropean Radiology, 2010
- Contrast-Enhanced Ultrasound Detection and Treatment Guidance in a Renal Transplant Patient With Renal Cell CarcinomaUltrasound Quarterly, 2009
- Follow-Up After Percutaneous Radiofrequency Ablation of Renal Cell Carcinoma: Contrast-Enhanced Sonography Versus Contrast-Enhanced CT or MRIAmerican Journal of Roentgenology, 2008
- Comparison of Contrast-Enhanced Sonography with Unenhanced Sonography and Contrast-Enhanced CT in the Diagnosis of Malignancy in Complex Cystic Renal MassesAmerican Journal of Roentgenology, 2008
- Image-guided radiofrequency ablation of renal cell carcinomaEuropean Radiology, 2006
- Contrast-Enhanced Ultrasound Evaluation of Radiofrequency Ablation of the Kidney: Reliable Imaging of the ThermolesionJournal of Endourology, 2005
- Renal imaging with ultrasound contrast: current statusRadiologic Clinics of North America, 2003