Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review
<h3>Background</h3><p dir="ltr">Percutaneous thermal ablation has become the preferred therapeutic treatment option for liver cancers that cannot be resected. Since ablative zone tissue changes over time, it becomes challenging to determine therapy effectiveness over an e...
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2023
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| author | Pragati Rai (8870825) |
| author2 | Mohammed Yusuf Ansari (16904523) Mohammed Warfa (21363614) Hammad Al‐Hamar (21363617) Julien Abinahed (14151792) Ali Barah (14777533) Sarada Prasad Dakua (14151789) Shidin Balakrishnan (14150580) |
| author2_role | author author author author author author author |
| author_facet | Pragati Rai (8870825) Mohammed Yusuf Ansari (16904523) Mohammed Warfa (21363614) Hammad Al‐Hamar (21363617) Julien Abinahed (14151792) Ali Barah (14777533) Sarada Prasad Dakua (14151789) Shidin Balakrishnan (14150580) |
| author_role | author |
| dc.creator.none.fl_str_mv | Pragati Rai (8870825) Mohammed Yusuf Ansari (16904523) Mohammed Warfa (21363614) Hammad Al‐Hamar (21363617) Julien Abinahed (14151792) Ali Barah (14777533) Sarada Prasad Dakua (14151789) Shidin Balakrishnan (14150580) |
| dc.date.none.fl_str_mv | 2023-05-16T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1002/cam4.6089 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Efficacy_of_fusion_imaging_for_immediate_post_ablation_assessment_of_malignant_liver_neoplasms_A_systematic_review/29069669 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Post-ablation evaluation Technical efficacy rate Unresectable tumors Image fusion (FI) |
| dc.title.none.fl_str_mv | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Percutaneous thermal ablation has become the preferred therapeutic treatment option for liver cancers that cannot be resected. Since ablative zone tissue changes over time, it becomes challenging to determine therapy effectiveness over an extended period. Thus, an immediate post‐procedural evaluation of the ablation zone is crucial, as it could influence the need for a second‐look treatment or follow‐up plan. Assessing treatment response immediately after ablation is essential to attain favorable outcomes. This study examines the efficacy of image fusion strategies immediately post‐ablation in liver neoplasms to determine therapeutic response.</p><h3>Methodology</h3><p dir="ltr">A comprehensive systematic search using PRISMA methodology was conducted using EMBASE, MEDLINE (via PUBMED), and Cochrane Library Central Registry electronic databases to identify articles that assessed the immediate post‐ablation response in malignant hepatic tumors with fusion imaging (FI) systems. The data were retrieved on relevant clinical characteristics, including population demographics, pre‐intervention clinical history, lesion characteristics, and intervention type. For the outcome metrics, variables such as average fusion time, intervention metrics, technical success rate, ablative safety margin, supplementary ablation rate, technical efficacy rate, LTP rates, and reported complications were extracted.</p><h3>Results</h3><p dir="ltr">Twenty‐two studies were included for review after fulfilling the study eligibility criteria. FI's immediate technical success rate ranged from 81.3% to 100% in 17/22 studies. In 16/22 studies, the ablative safety margin was assessed immediately after ablation. Supplementary ablation was performed in 9 studies following immediate evaluation by FI. In 15/22 studies, the technical effectiveness rates during the first follow‐up varied from 89.3% to 100%.</p><h3>Conclusion</h3><p dir="ltr">Based on the studies included, we found that FI can accurately determine the immediate therapeutic response in liver cancer ablation image fusion and could be a feasible intraprocedural tool for determining short‐term post‐ablation outcomes in unresectable liver neoplasms. There are some technical challenges that limit the widespread adoption of FI techniques. Large‐scale randomized trials are warranted to improve on existing protocols. Future research should emphasize improving FI's technological capabilities and clinical applicability to a broader range of tumor types and ablation procedures.</p><h2>Other Information</h2><p dir="ltr">Published in: Cancer Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/cam4.6089" target="_blank">https://dx.doi.org/10.1002/cam4.6089</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_9d736ca1be7890a65536b28059526bf6 |
| identifier_str_mv | 10.1002/cam4.6089 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29069669 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic reviewPragati Rai (8870825)Mohammed Yusuf Ansari (16904523)Mohammed Warfa (21363614)Hammad Al‐Hamar (21363617)Julien Abinahed (14151792)Ali Barah (14777533)Sarada Prasad Dakua (14151789)Shidin Balakrishnan (14150580)Biomedical and clinical sciencesClinical sciencesOncology and carcinogenesisPost-ablation evaluationTechnical efficacy rateUnresectable tumorsImage fusion (FI)<h3>Background</h3><p dir="ltr">Percutaneous thermal ablation has become the preferred therapeutic treatment option for liver cancers that cannot be resected. Since ablative zone tissue changes over time, it becomes challenging to determine therapy effectiveness over an extended period. Thus, an immediate post‐procedural evaluation of the ablation zone is crucial, as it could influence the need for a second‐look treatment or follow‐up plan. Assessing treatment response immediately after ablation is essential to attain favorable outcomes. This study examines the efficacy of image fusion strategies immediately post‐ablation in liver neoplasms to determine therapeutic response.</p><h3>Methodology</h3><p dir="ltr">A comprehensive systematic search using PRISMA methodology was conducted using EMBASE, MEDLINE (via PUBMED), and Cochrane Library Central Registry electronic databases to identify articles that assessed the immediate post‐ablation response in malignant hepatic tumors with fusion imaging (FI) systems. The data were retrieved on relevant clinical characteristics, including population demographics, pre‐intervention clinical history, lesion characteristics, and intervention type. For the outcome metrics, variables such as average fusion time, intervention metrics, technical success rate, ablative safety margin, supplementary ablation rate, technical efficacy rate, LTP rates, and reported complications were extracted.</p><h3>Results</h3><p dir="ltr">Twenty‐two studies were included for review after fulfilling the study eligibility criteria. FI's immediate technical success rate ranged from 81.3% to 100% in 17/22 studies. In 16/22 studies, the ablative safety margin was assessed immediately after ablation. Supplementary ablation was performed in 9 studies following immediate evaluation by FI. In 15/22 studies, the technical effectiveness rates during the first follow‐up varied from 89.3% to 100%.</p><h3>Conclusion</h3><p dir="ltr">Based on the studies included, we found that FI can accurately determine the immediate therapeutic response in liver cancer ablation image fusion and could be a feasible intraprocedural tool for determining short‐term post‐ablation outcomes in unresectable liver neoplasms. There are some technical challenges that limit the widespread adoption of FI techniques. Large‐scale randomized trials are warranted to improve on existing protocols. Future research should emphasize improving FI's technological capabilities and clinical applicability to a broader range of tumor types and ablation procedures.</p><h2>Other Information</h2><p dir="ltr">Published in: Cancer Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/cam4.6089" target="_blank">https://dx.doi.org/10.1002/cam4.6089</a></p>2023-05-16T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/cam4.6089https://figshare.com/articles/journal_contribution/Efficacy_of_fusion_imaging_for_immediate_post_ablation_assessment_of_malignant_liver_neoplasms_A_systematic_review/29069669CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290696692023-05-16T09:00:00Z |
| spellingShingle | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review Pragati Rai (8870825) Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Post-ablation evaluation Technical efficacy rate Unresectable tumors Image fusion (FI) |
| status_str | publishedVersion |
| title | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| title_full | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| title_fullStr | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| title_full_unstemmed | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| title_short | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| title_sort | Efficacy of fusion imaging for immediate post‐ablation assessment of malignant liver neoplasms: A systematic review |
| topic | Biomedical and clinical sciences Clinical sciences Oncology and carcinogenesis Post-ablation evaluation Technical efficacy rate Unresectable tumors Image fusion (FI) |