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. 2024 Nov 8;15(1):267.
doi: 10.1186/s13244-024-01841-2.

Proceedings from an international consensus meeting on ablation in urogenital diseases

Roberto Iezzi  1   2 , Andrea Contegiacomo  3 , Alessandra De Filippis  3 , Andrew J Gunn  4 , Thomas Atwell  5 , Timothy Mcclure  6 , Zhang Jing  7 , Alessandro Posa  3 , Anna Rita Scrofani  3 , Alessandro Maresca  3 , David C Madoff  8 , Shraga Nahum Goldberg  9 , Alexis Kelekis  10 , Dimitri Filippiadis  10 , Evis Sala  3   11 , Muneeb Ahmed  12
Affiliations

Proceedings from an international consensus meeting on ablation in urogenital diseases

Roberto Iezzi et al. Insights Imaging. .

Abstract

Percutaneous image-guided ablation techniques are a consolidated therapeutic alternative for patients with high preoperative surgical risk for the management of oncological diseases in multiple body districts. Each technique has both pros and cons according to the type of energy delivered, mechanism of action, and site of application. The present article reviews the most recent literature results on ablation techniques applied in the field of genitourinary diseases (kidney, adrenal glands, prostate, and uterus), describing the advantages of the use of each technique and their technical limitations and summarizing the major recommendations from an international consensus meeting. CRITICAL RELEVANT STATEMENT: The article critically evaluates the efficacy and safety of ablation therapies for various genitourinary tract diseases, demonstrating their potential to improve patient outcomes and advance clinical radiology by offering minimally invasive, effective alternatives to traditional surgical treatments. KEY POINTS: Ablation therapies are effective alternatives to surgery for renal cell carcinoma. Ablation techniques offer effective treatment for intermediate-risk prostate cancer. Ablation is a promising tool for adrenal tumor management. Ablation reduces fibroid symptoms and volume, offering an alternative to surgery.

Keywords: Ablation; Interventional radiology; Oncological intervention; Urogenital diseases (review).

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Eighty-three-year-old man with a 4.2 cm biopsy-proven clear cell RCC in the left kidney on contrast-enhanced CT (a, white arrow). DSA of the left renal artery shows the hyper-vascular mass in the upper pole of the left kidney (b, white arrows). Axial CT obtained during percutaneous CA the following day shows the hypodense iceball surrounding the mass in the left kidney (c, white arrow)
Fig. 2
Fig. 2
a Contrast-enhanced T1 weighted axial MRI image shows a 2 cm left adrenal metastasis from hepatocellular carcinoma (arrow); b CT image obtained during CA of the left adrenal metastasis with the patient in the prone position, with arrows showing iceball margin; and (c) contrast-enhanced T1 weighted axial MRI image 4 years following CA shows no residual or recurrent tumor
See this image and copyright information in PMC

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