2024 multidisciplinary consensus on image-guided lung tumor ablation from the Taiwan Academy of Tumor Ablation.
Journal
Thoracic cancer
Journal Volume
15
Journal Issue
20
Start Page
1607
End Page
1613
ISSN
1759-7714
Date Issued
2024-07
Author(s)
Chang, Chao Chun
Fang, Hsin Yueh
Liu, Ming Cheng
Wang, Kao Lun
Lin, Wei Chan
Lin, Frank Cheau Feng
Chuang, Cheng Yen
Hsu, Po Kuei
Huang, Tsai Wang
Chen, Chun Ku
Abstract
In this article, the multidisciplinary team of the Taiwan Academy of Tumor Ablation, who have expertise in treating lung cancer, present their perspectives on percutaneous image-guided thermal ablation (IGTA) of lung tumors. The modified Delphi technique was applied to reach a consensus on clinical practice guidelines concerning ablation procedures, including a comprehensive literature review, selection of panelists, creation of a rating form and survey, and arrangement of an in-person meeting where panelists agreed or disagreed on various points. The conclusion was a final rating and written summary of the agreement. The multidisciplinary expert team agreed on 10 recommendations for the use of IGTA in the lungs. These recommendations include terms and definitions, line of treatment planning, modality, facility rooms, patient anesthesia settings, indications, margin determination, post-ablation image surveillance, qualified centers, and complication ranges. In summary, IGTA is a safe and feasible approach for treating primary and metastatic lung tumors, with a relatively low complication rate. However, decisions regarding the ablation technique should consider each patient's specific tumor characteristics.
Subjects
Delphi technique
Taiwan
ablation techniques
consensus
lung neoplasms
SDGs
Type
journal article