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Combined MRI and Fluoroscopic Guided Radiofrequency Ablation of a Renal Tumor

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Abstract

Percutaneous CT- and ultrasound-guided radiofrequency ablation of renal cell carcinoma (RCC) has been shown to have very promising medium-term results. We present a unique case of recurrent RCC after partial nephrectomy in a patient with a single kidney and impaired renal function. This tumor could not be visualized either with CT or with ultrasound. A combination of magnetic resonance imaging and fluoroscopic guidance was used, to the best of our knowledge for the first time, to ablate the tumor with radiofrequency. The patient was cancer-free and off dialysis at 30-month follow up.

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References

  1. Breen DJ, Rutherford EE, Stedman B et al (2007) Management of renal tumors by image-guided radiofrequency ablation: experience in 105 tumors. CardioVasc Interv Radiol 30(5):936–942

    Article  Google Scholar 

  2. Zagoria RJ, Traver MA, Welre DM et al (2007) Oncologic efficacy of CT-guided percutaneous radiofrequency ablation of renal cell carcinomas. AJR 189:429–436

    Article  PubMed  Google Scholar 

  3. Veltri A, Calvo A, Tosetti I et al (2006) Experiences in US-guided percutaneous radiofrequency ablation of 44 renal tumours in 31 patients: analysis of predictors for complications and technical success. CardioVasc Interv Radiol 29(5):811–818

    Article  Google Scholar 

  4. Lewin JS, Gamal Nour S, Connell CF et al (2004) Phase II clinical trial of interactive MR imaging-guided interstitial radiofrequency thermal ablation of primary kidney tumours: initial experience. Radiology 232:835–845

    Article  PubMed  Google Scholar 

  5. Fergany AF, Saad IR, Woo L, Novick AC (2006) Open partial nephrectomy for tumor in a solitary kidney: experience with 400 Cases. J Urol 175:1630–1633

    Article  PubMed  Google Scholar 

  6. Bosniak MA, Birnbaum BA, Krinsky GA, Waisman J (1995) Small renal parenchymal neoplasms; further observations on growth. Radiology 197:589–597

    PubMed  CAS  Google Scholar 

  7. Gervais DA, McGovern FJ, Arellano RS et al (2005) Radiofrequency ablation of renal cell carcinoma: part I, indications, results and role in patient management over a 6–year period and ablation of 100 tumors. AJR 185:64–71

    PubMed  Google Scholar 

  8. Fotiadis NI, Sabharwal T, Morales JP, Hodgson DJ, O’Brien TS, Adam A (2007) Combined percutaneous radiofrequency ablation and ethanol injection of renal tumours; midterm results. Eur Urol 52(3):777–784

    Article  PubMed  Google Scholar 

  9. Adam A, Hatzidakis A, Hamady M et al (2004) Percutaneous coil placement prior to radiofrequency ablation of poorly visible hepatic tumours. Eur Radiol 14:1688–1691

    Article  PubMed  Google Scholar 

  10. Medicines and Healthcare Products Regulatory Agency, Commission on Human Medicines (2007) Nephrogenic systemic fibrosis (NSF) with gadolinium-containing magnetic resonance imaging (MRI) contrast agents: update. Available at: http://www.mhra.gov.uk/home/idcplg?IdcService = SS_GET_PAGE&useSecondary = true&ssDocName = CON2031543&ssTargetNodeId = 221. Accessed October 28, 2007

  11. Jacobsohn KM, Ahrar K, Wood CG, Matin SF (2007) Is radiofrequency ablation safe for solitary kidneys? Urology (in press)

  12. LinksGebauer B, Werk M, Lopez-Hänninen E et al (2007) Radiofrequency ablation in combination with embolization in metachronous recurrent renal cancer in solitary kidney after contralateral tumor nephrectomy. CardioVasc Interv Radiol 30(4):644–649

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Interventional Radiology, The Royal London Hospital, Whitechapel Road, London, E1 1BB, UK

    Nikolas I. Fotiadis

  2. Interventional Radiology Department, Guy’s and St Thomas’ Hospital, London, UK

    Tarun Sabharwal & Andreas Adam

  3. Radiology Department, University Hospital of Strasbourg, Strasbourg, France

    Afshin Gangi

Authors
  1. Nikolas I. Fotiadis
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  2. Tarun Sabharwal
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  3. Afshin Gangi
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  4. Andreas Adam
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Correspondence to Nikolas I. Fotiadis.

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Fotiadis, N.I., Sabharwal, T., Gangi, A. et al. Combined MRI and Fluoroscopic Guided Radiofrequency Ablation of a Renal Tumor. Cardiovasc Intervent Radiol 32, 184–187 (2009). https://doi.org/10.1007/s00270-008-9334-4

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  • DOI: https://doi.org/10.1007/s00270-008-9334-4

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