影像导引肝脏恶性肿瘤多模态消融治疗技术专家共识

Expert consensus on the imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors

影像导引肝脏恶性肿瘤多模态消融治疗是以医学影像技术为导引,在冷冻消融与热消融交替转换过程中,通过对病灶区温度精准控制和消融过程定量规划,彻底破坏原位肿瘤细胞及其循环系统,同时最大程度释放活性肿瘤抗原,从而达到控制肝脏恶性肿瘤复发转移的目的。为规范肝脏恶性肿瘤多模态消融治疗技术操作,便于不同层级医院开展实施,确保医疗安全和临床疗效,中国抗癌协会肿瘤介入学专业委员会和上海市抗癌协会实体肿瘤聚焦诊疗专业委员会组织国内肿瘤治疗领域的多学科专家共同参与,认真讨论,最终达成本共识。

Imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors is a therapeutic technique,the performance of which is guided by medical imaging technology,and in the process of alternate conversion between cryoablation and thermal ablation,through accurate control of lesion area temperature and quantitative planning of ablation process,the in situ tumor cells and their circulatory system are thoroughly destroyed,and the active tumor antigens are simultaneously released at a maximum extent,thereby controlling the recurrence and metastasis of malignant hepatic tumors. In order to standardize the operative technique of multimode ablation therapy for malignant hepatic tumors,to enable hospitals at different levels have the ability to carry out the implementation of this therapy and to ensure medical safety and clinical efficacy,the Society of Interventional Therapy of China Anti-cancer Association and the Solid Tumor Theranostics Committee of Shanghai Anti-cancer Association have together organized domestic experts of multiple disciplines,who have been involved in the field of oncotherapy,to make a professional and serious discussion on the subject of＂imaging-guided multimode tumor ablation therapy system for malignant hepatic tumors＂,focusing on its indications,contraindications and techniques,and the final expert consensus is presented here.