Liver microwave ablation: a systematic review of various FDA-approved systems
Objectives The aim of the present study is to analyze preclinical and clinical data on the performance of the currently US Food and Drug Administration (FDA)–approved microwave ablation (MWA) systems. Methods A review of the literature, published between January 1, 2005, and December 31, 2016, on se...
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| Veröffentlicht in: | European radiology 2019-08, Vol.29 (8), p.4026-4035 |
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| creator | Ruiter, Simeon J. S. Heerink, Wouter J. de Jong, Koert P. |
| description | Objectives
The aim of the present study is to analyze preclinical and clinical data on the performance of the currently US Food and Drug Administration (FDA)–approved microwave ablation (MWA) systems.
Methods
A review of the literature, published between January 1, 2005, and December 31, 2016, on seven FDA-approved MWA systems, was conducted. Ratio of ablation zone volume to applied energy R(AZ:E) and sphericity indices were calculated for ex vivo and in vivo experiments.
Results
Thirty-four studies with ex vivo, in vivo, and clinical data were summarized. In total, 14 studies reporting data on ablation zone volume and applied energy were included for comparison R(AZ:E). A significant correlation between volume and energy was found for the ex vivo experiments (
r
= 0.85,
p
|
| doi_str_mv | 10.1007/s00330-018-5842-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6611060</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2251590177</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-393c501dbb47a34fe11eeb373cbda2c043589ee088965c127ff257e6f7a225433</originalsourceid><addsrcrecordid>eNp1kU1PwzAMhiMEgjH4AVxQJc4BO0mblgMSGp_SEBc4R2nnQtHWjKQrgl9Ppo2vAyfL8uP3tfwydoBwjAD6JABICRww52muBP_YYANUUnCEXG2yARQy57oo1A7bDeEFAApUepvtSEghE5gP2N246ckns6by7s32lNhyarvGtaeJTcJ76GgW2yrx1Df0lrg66a1v3CIkVxfn3M7n3vU0WZNhj23Vdhpof12H7PHq8mF0w8f317ej8zGvlIaOy0JWKeCkLJW2UtWESFRKLatyYkUFSqZ5QQR5XmRphULXtUg1ZbW2QqRKyiE7W-nOF-WMJhW1nbdTM_fNzPp342xj_k7a5tk8ud5kGSJkEAWO1gLevS4odObFLXwbbzbRAdMCUOtI4YqKzwnBU_3tgGCWCZhVAiYmYJYJmI-4c_j7tO-Nr5dHQKyAEEftE_kf6_9VPwGXbJKd</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2251590177</pqid></control><display><type>article</type><title>Liver microwave ablation: a systematic review of various FDA-approved systems</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ruiter, Simeon J. S. ; Heerink, Wouter J. ; de Jong, Koert P.</creator><creatorcontrib>Ruiter, Simeon J. S. ; Heerink, Wouter J. ; de Jong, Koert P.</creatorcontrib><description>Objectives
The aim of the present study is to analyze preclinical and clinical data on the performance of the currently US Food and Drug Administration (FDA)–approved microwave ablation (MWA) systems.
Methods
A review of the literature, published between January 1, 2005, and December 31, 2016, on seven FDA-approved MWA systems, was conducted. Ratio of ablation zone volume to applied energy R(AZ:E) and sphericity indices were calculated for ex vivo and in vivo experiments.
Results
Thirty-four studies with ex vivo, in vivo, and clinical data were summarized. In total, 14 studies reporting data on ablation zone volume and applied energy were included for comparison R(AZ:E). A significant correlation between volume and energy was found for the ex vivo experiments (
r
= 0.85,
p
< 0.001) in contrast to the in vivo experiments (
r
= 0.54,
p
= 0.27).
Conclusion
Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma. Clinical data reporting on ablation zone volume in relation to applied energy and sphericity index during MWA are scarce and require more adequate reporting of MWA data.
Key Points
• Clinical data reporting on the ablation zone volume in relation to applied energy during microwave ablation are scarce.
• Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma.
• Preclinical data do not predict actual clinical ablation zone volumes in patients with liver tumors.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-018-5842-z</identifier><identifier>PMID: 30506218</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Ablation ; Ablation Techniques - instrumentation ; Algorithms ; Animal research ; Animals ; Device Approval ; Diagnostic Radiology ; Energy ; Experiments ; FDA approval ; Humans ; Imaging ; In vivo methods and tests ; Internal Medicine ; Interventional ; Interventional Radiology ; Literature reviews ; Liver ; Liver - pathology ; Liver - surgery ; Liver Neoplasms - pathology ; Liver Neoplasms - surgery ; Medicine ; Medicine & Public Health ; Microwave ablation ; Microwaves - therapeutic use ; Neuroradiology ; Parenchyma ; Radiology ; Regulatory agencies ; Tumors ; Ultrasound ; United States ; United States Food and Drug Administration</subject><ispartof>European radiology, 2019-08, Vol.29 (8), p.4026-4035</ispartof><rights>The Author(s) 2018</rights><rights>European Radiology is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-393c501dbb47a34fe11eeb373cbda2c043589ee088965c127ff257e6f7a225433</citedby><cites>FETCH-LOGICAL-c470t-393c501dbb47a34fe11eeb373cbda2c043589ee088965c127ff257e6f7a225433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-018-5842-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-018-5842-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30506218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ruiter, Simeon J. S.</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>de Jong, Koert P.</creatorcontrib><title>Liver microwave ablation: a systematic review of various FDA-approved systems</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
The aim of the present study is to analyze preclinical and clinical data on the performance of the currently US Food and Drug Administration (FDA)–approved microwave ablation (MWA) systems.
Methods
A review of the literature, published between January 1, 2005, and December 31, 2016, on seven FDA-approved MWA systems, was conducted. Ratio of ablation zone volume to applied energy R(AZ:E) and sphericity indices were calculated for ex vivo and in vivo experiments.
Results
Thirty-four studies with ex vivo, in vivo, and clinical data were summarized. In total, 14 studies reporting data on ablation zone volume and applied energy were included for comparison R(AZ:E). A significant correlation between volume and energy was found for the ex vivo experiments (
r
= 0.85,
p
< 0.001) in contrast to the in vivo experiments (
r
= 0.54,
p
= 0.27).
Conclusion
Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma. Clinical data reporting on ablation zone volume in relation to applied energy and sphericity index during MWA are scarce and require more adequate reporting of MWA data.
Key Points
• Clinical data reporting on the ablation zone volume in relation to applied energy during microwave ablation are scarce.
• Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma.
• Preclinical data do not predict actual clinical ablation zone volumes in patients with liver tumors.</description><subject>Ablation</subject><subject>Ablation Techniques - instrumentation</subject><subject>Algorithms</subject><subject>Animal research</subject><subject>Animals</subject><subject>Device Approval</subject><subject>Diagnostic Radiology</subject><subject>Energy</subject><subject>Experiments</subject><subject>FDA approval</subject><subject>Humans</subject><subject>Imaging</subject><subject>In vivo methods and tests</subject><subject>Internal Medicine</subject><subject>Interventional</subject><subject>Interventional Radiology</subject><subject>Literature reviews</subject><subject>Liver</subject><subject>Liver - pathology</subject><subject>Liver - surgery</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microwave ablation</subject><subject>Microwaves - therapeutic use</subject><subject>Neuroradiology</subject><subject>Parenchyma</subject><subject>Radiology</subject><subject>Regulatory agencies</subject><subject>Tumors</subject><subject>Ultrasound</subject><subject>United States</subject><subject>United States Food and Drug Administration</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1PwzAMhiMEgjH4AVxQJc4BO0mblgMSGp_SEBc4R2nnQtHWjKQrgl9Ppo2vAyfL8uP3tfwydoBwjAD6JABICRww52muBP_YYANUUnCEXG2yARQy57oo1A7bDeEFAApUepvtSEghE5gP2N246ckns6by7s32lNhyarvGtaeJTcJ76GgW2yrx1Df0lrg66a1v3CIkVxfn3M7n3vU0WZNhj23Vdhpof12H7PHq8mF0w8f317ej8zGvlIaOy0JWKeCkLJW2UtWESFRKLatyYkUFSqZ5QQR5XmRphULXtUg1ZbW2QqRKyiE7W-nOF-WMJhW1nbdTM_fNzPp342xj_k7a5tk8ud5kGSJkEAWO1gLevS4odObFLXwbbzbRAdMCUOtI4YqKzwnBU_3tgGCWCZhVAiYmYJYJmI-4c_j7tO-Nr5dHQKyAEEftE_kf6_9VPwGXbJKd</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Ruiter, Simeon J. S.</creator><creator>Heerink, Wouter J.</creator><creator>de Jong, Koert P.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Liver microwave ablation: a systematic review of various FDA-approved systems</title><author>Ruiter, Simeon J. S. ; Heerink, Wouter J. ; de Jong, Koert P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-393c501dbb47a34fe11eeb373cbda2c043589ee088965c127ff257e6f7a225433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Ablation</topic><topic>Ablation Techniques - instrumentation</topic><topic>Algorithms</topic><topic>Animal research</topic><topic>Animals</topic><topic>Device Approval</topic><topic>Diagnostic Radiology</topic><topic>Energy</topic><topic>Experiments</topic><topic>FDA approval</topic><topic>Humans</topic><topic>Imaging</topic><topic>In vivo methods and tests</topic><topic>Internal Medicine</topic><topic>Interventional</topic><topic>Interventional Radiology</topic><topic>Literature reviews</topic><topic>Liver</topic><topic>Liver - pathology</topic><topic>Liver - surgery</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microwave ablation</topic><topic>Microwaves - therapeutic use</topic><topic>Neuroradiology</topic><topic>Parenchyma</topic><topic>Radiology</topic><topic>Regulatory agencies</topic><topic>Tumors</topic><topic>Ultrasound</topic><topic>United States</topic><topic>United States Food and Drug Administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruiter, Simeon J. S.</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>de Jong, Koert P.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruiter, Simeon J. S.</au><au>Heerink, Wouter J.</au><au>de Jong, Koert P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Liver microwave ablation: a systematic review of various FDA-approved systems</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>29</volume><issue>8</issue><spage>4026</spage><epage>4035</epage><pages>4026-4035</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
The aim of the present study is to analyze preclinical and clinical data on the performance of the currently US Food and Drug Administration (FDA)–approved microwave ablation (MWA) systems.
Methods
A review of the literature, published between January 1, 2005, and December 31, 2016, on seven FDA-approved MWA systems, was conducted. Ratio of ablation zone volume to applied energy R(AZ:E) and sphericity indices were calculated for ex vivo and in vivo experiments.
Results
Thirty-four studies with ex vivo, in vivo, and clinical data were summarized. In total, 14 studies reporting data on ablation zone volume and applied energy were included for comparison R(AZ:E). A significant correlation between volume and energy was found for the ex vivo experiments (
r
= 0.85,
p
< 0.001) in contrast to the in vivo experiments (
r
= 0.54,
p
= 0.27).
Conclusion
Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma. Clinical data reporting on ablation zone volume in relation to applied energy and sphericity index during MWA are scarce and require more adequate reporting of MWA data.
Key Points
• Clinical data reporting on the ablation zone volume in relation to applied energy during microwave ablation are scarce.
• Manufacturers’ algorithms on microwave ablation zone sizes are based on preclinical animal experiments with normal liver parenchyma.
• Preclinical data do not predict actual clinical ablation zone volumes in patients with liver tumors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30506218</pmid><doi>10.1007/s00330-018-5842-z</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2019-08, Vol.29 (8), p.4026-4035 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6611060 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Ablation Ablation Techniques - instrumentation Algorithms Animal research Animals Device Approval Diagnostic Radiology Energy Experiments FDA approval Humans Imaging In vivo methods and tests Internal Medicine Interventional Interventional Radiology Literature reviews Liver Liver - pathology Liver - surgery Liver Neoplasms - pathology Liver Neoplasms - surgery Medicine Medicine & Public Health Microwave ablation Microwaves - therapeutic use Neuroradiology Parenchyma Radiology Regulatory agencies Tumors Ultrasound United States United States Food and Drug Administration |
| title | Liver microwave ablation: a systematic review of various FDA-approved systems |
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