Percutaneous cryoablation of 40 solid renal tumors with US guidance and CT monitoring: Initial experience

Thomas D. Atwell, Michael A. Farrell, Matthew R. Callstrom, J. William Charboneau, Bradley C. Leibovich, David E. Patterson, George K. Chow, Michael L. Blute

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

Purpose: To retrospectively determine the safety and effectiveness of percutaneous cryoablation, monitored with computed tomography (CT), for the treatment of solid renal masses. Materials and Methods: This study was compliant with the Health Insurance Portability and Accountability Act and had institutional review hoard approval; informed consent was waived. From March 12, 2003, through August 4, 2005, 23 men and 17 women (mean age, 76 years ± 9.7 [standard deviation]; range, 53-92 years), each with a single renal tumor, underwent one percutaneous cryoablation treatment session that combined ultrasonographic (US) guidance and CT monitoring. Technical success was defined as extension of the visible ice ball 5 mm beyond the tumor margin. Local tumor progression was defined as any tumor with intralesional enhancement or a serial increase in tumor size when compared with that on images obtained immediately after ablation. Tumor characteristics, complications, and follow-up were evaluated. Results: The maximum diameter of the 40 treated lesions ranged from 1.5 to 7.2 cm (mean, 3.4 cm ± 1.3). Twenty (50%) of 40 tumors were 3 cm or larger in diameter. Nineteen tumors (48%) extended into the renal sinus fat. One complication (2%) conformed to a grade 3 event, as determined with the Common Terminology Criteria for Adverse Events (version 3.0) of the National Cancer Institute; the overall complication rate was 8%. Thirty-eight (95%) of 40 cryoablation procedures were technically successful. Twenty-nine patients underwent follow-up (mean, 8.0 months ± 4.3 range; range 1.2-18.4 months); no local tumor recurrence was found. Conclusion: Percutaneous cryoablation with US guidance and CT monitoring is safe and effective for the treatment of solid renal tumors. Longer follow-up should provide further proof of the effectiveness of this technique.

Original languageEnglish (US)
Pages (from-to)276-283
Number of pages8
JournalRadiology
Volume243
Issue number1
DOIs
StatePublished - Apr 1 2007

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Atwell, T. D., Farrell, M. A., Callstrom, M. R., Charboneau, J. W., Leibovich, B. C., Patterson, D. E., Chow, G. K., & Blute, M. L. (2007). Percutaneous cryoablation of 40 solid renal tumors with US guidance and CT monitoring: Initial experience. Radiology, 243(1), 276-283. https://doi.org/10.1148/radiol.2431052133