Consensus from the Asian conference on tumor ablation working group on image-guided thermal ablation for lung tumor: 10 key questions and answers

Tianqi Zhang^{1

2}, Chao An³, Wang Li^{1

2}, Xin Li³, Sheng Li^{2

4}, Hanxia Deng⁵, Yueyong Xiao⁶, Xuequan Huang⁷, Jiaping Li⁸, Takaaki Hasegawa⁹, Haruyuki Takaki¹⁰, Yusuki Matsui¹¹, Jia-Chang Chi¹², Chengli Li¹³, Weijun Fan^{1

2}, Jinhua Huang^{1

2}, Guangyan Lei¹⁴, Mengxuan Zuo^{1

2}, Qifeng Chen^{1

2}, Lujun Shen^{1

2}, Jianjun Han^{15

16}, Uei Pua^{17

18}, Xiaoguang Li¹⁹, Kaiwen Huang²⁰, Hyunpyo Hong²¹, Xin Ye²², Peihong Wu^{1

2}; Guideline Committee for Asian Conference on Tumor Ablation (ACTA)

Affiliations

¹ Department of Minimally Invasive Interventional Therapy, Guangzhou, P. R. China.
² State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, P. R. China.
³ Department of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, P. R. China.
⁴ Department of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
⁵ Mindray Medical International Ltd, High-tech Industrial Park, Nanshan, Shenzhen, Guangdong, CN 518057, P. R. China.
⁶ Department of Radiology, First Medical Center of Chinese PLA General Hospital, Beijing, P. R. China.
⁷ Department of Nuclear Medicine (Treatment Center of Minimally Invasive Intervention and Radioactive Particles), First Affiliated Hospital of Army Medical University, Chongqing, P. R. China.
⁸ Department of Interventional Oncology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China.
⁹ Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi 464-8681, Japan.
¹⁰ Department of Radiology, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, Japan.
¹¹ Department of Radiology, Okayama University Medical School, 2-5-1 Shikata-cho, Kitaku, Okayama, Japan.
¹² Department of Interventional Oncology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, Shanghai, CN 200127, P. R. China.
¹³ Division of Interventional MRI, Shandong Provincial Hos1.005 mmpital Affiliated to Shandong First Medical University, Jinan, Shandong, CN 250021, P. R. China.
¹⁴ Department of Thoracic Surgery, Shaanxi Cancer Hospital, Xian, Shaanxi, CN 710000, P. R. China.
¹⁵ Shandong First Medical University, Shandong First Medical University, No. 6699, Qingdao Road, Jinan 250062, Shandong Province, P. R. China.
¹⁶ Interventional Radiology Department, Shandong Cancer Hospital and Institute Affiliated Shandong First Medical University and Shandong Academy of Medical Sciences, No. 440, Jiyan Road, Jinan 250117, Shandong Province, P. R. China.
¹⁷ Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
¹⁸ Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁹ Department of Minimally Invasive Tumor Therapies Center, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medicine Sciences, Beijing 100730, P.R. China.
²⁰ Director of Centre of Mini-invasive Interventional Oncology, Department of Surgery and Graduate Institute of Clinical Medicine, National Taiwan University, Taiwan.
²¹ Department of Radiology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea.
²² Department of Oncology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Lung Cancer Institute, Jinan 250014, Shandong, P. R. China.

PMID: 41474232
DOI: 10.4103/jcrt.jcrt_1705_25

Free article

Consensus from the Asian conference on tumor ablation working group on image-guided thermal ablation for lung tumor: 10 key questions and answers

Tianqi Zhang et al. J Cancer Res Ther. 2025.

Free article

. 2025 Dec 1;21(6):1098-1109.

doi: 10.4103/jcrt.jcrt_1705_25. Epub 2025 Dec 31.

Authors

Affiliations

¹ Department of Minimally Invasive Interventional Therapy, Guangzhou, P. R. China.
² State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, P. R. China.
³ Department of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, P. R. China.
⁴ Department of Radiology, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
⁵ Mindray Medical International Ltd, High-tech Industrial Park, Nanshan, Shenzhen, Guangdong, CN 518057, P. R. China.
⁶ Department of Radiology, First Medical Center of Chinese PLA General Hospital, Beijing, P. R. China.
⁷ Department of Nuclear Medicine (Treatment Center of Minimally Invasive Intervention and Radioactive Particles), First Affiliated Hospital of Army Medical University, Chongqing, P. R. China.
⁸ Department of Interventional Oncology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China.
⁹ Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi 464-8681, Japan.
¹⁰ Department of Radiology, Hyogo College of Medicine, 1-1, Mukogawa-cho, Nishinomiya, Hyogo, Japan.
¹¹ Department of Radiology, Okayama University Medical School, 2-5-1 Shikata-cho, Kitaku, Okayama, Japan.
¹² Department of Interventional Oncology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, Shanghai, CN 200127, P. R. China.
¹³ Division of Interventional MRI, Shandong Provincial Hos1.005 mmpital Affiliated to Shandong First Medical University, Jinan, Shandong, CN 250021, P. R. China.
¹⁴ Department of Thoracic Surgery, Shaanxi Cancer Hospital, Xian, Shaanxi, CN 710000, P. R. China.
¹⁵ Shandong First Medical University, Shandong First Medical University, No. 6699, Qingdao Road, Jinan 250062, Shandong Province, P. R. China.
¹⁶ Interventional Radiology Department, Shandong Cancer Hospital and Institute Affiliated Shandong First Medical University and Shandong Academy of Medical Sciences, No. 440, Jiyan Road, Jinan 250117, Shandong Province, P. R. China.
¹⁷ Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
¹⁸ Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁹ Department of Minimally Invasive Tumor Therapies Center, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medicine Sciences, Beijing 100730, P.R. China.
²⁰ Director of Centre of Mini-invasive Interventional Oncology, Department of Surgery and Graduate Institute of Clinical Medicine, National Taiwan University, Taiwan.
²¹ Department of Radiology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea.
²² Department of Oncology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Lung Cancer Institute, Jinan 250014, Shandong, P. R. China.

PMID: 41474232
DOI: 10.4103/jcrt.jcrt_1705_25

Abstract

Percutaneous image-guided thermal ablation (IGTA) is increasingly utilized for the management of primary and metastatic lung tumors. Several academic societies across various countries have issued clinical practice guidelines, opinion statements, and recommendations for IGTA in the treatment of lung tumors. However, unresolved conceptual and practical challenges persist, underscoring the need for a more comprehensive consensus on the safe and effective application of IGTA, particularly in Asian countries. Consequently, the guideline committee of the Asian Conference on Tumor Ablation (ACTA) established a dedicated working group to develop recommendations for the clinical use of IGTA in lung tumors. Through a thorough analysis of current literature and key clinical questions, the ACTA working group identified 10 critical issues, including indications, modality selection, technical considerations, and management of complications. Following extensive discussions and iterative revisions, experts from Asia-Pacific countries have formulated a consensus to guide clinical practice.

Keywords: Image-guided; lung tumor; thermal ablation.

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References

1. Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024;74:229–63.
1. Li C, Cheng B, Li J, Xiong S, Fu W, Jiang Y, et al. Non-risk-based lung cancer screening with low-dose computed tomography. JAMA 2025;333:2108–10.
1. Lee J, Kim Y, Kim HY, Goo JM, Lim J, Lee CT, et al. Feasibility of implementing a national lung cancer screening program:Interim results from the Korean Lung Cancer Screening Project (K-LUCAS). Transl Lung Cancer Res 2021;10:723–36.
1. de Koning HJ, van der Aalst CM, de Jong PA, Scholten ET, Nackaerts K, Heuvelmans MA, et al. Reduced lung-cancer mortality with volume CT screening in a randomized trial. N Engl J Med 2020;382:503–13.
1. Mazzone PJ, Lam L. Evaluating the patient with a pulmonary nodule:A review. JAMA 2022;327:264–73.

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Consensus from the Asian conference on tumor ablation working group on image-guided thermal ablation for lung tumor: 10 key questions and answers

Affiliations

Consensus from the Asian conference on tumor ablation working group on image-guided thermal ablation for lung tumor: 10 key questions and answers

Authors

Affiliations

Abstract

References

Publication types

MeSH terms

LinkOut - more resources

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Medical