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Published in: Insights into Imaging 1/2020

01-12-2020 | Lung Cancer | Guideline

Follow-up after radiological intervention in oncology: ECIO-ESOI evidence and consensus-based recommendations for clinical practice

Authors: Monique Maas, Regina Beets-Tan, Jean-Yves Gaubert, Fernando Gomez Munoz, Paul Habert, Lisa G. Klompenhouwer, Paulo Vilares Morgado, Niklaus Schaefer, Francois H. Cornelis, Stephen B. Solomon, Denise van der Reijd, Jose Ignacio Bilbao

Published in: Insights into Imaging | Issue 1/2020

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Abstract

Interventional radiology plays an important and increasing role in cancer treatment. Follow-up is important to be able to assess treatment success and detect locoregional and distant recurrence and recommendations for follow-up are needed. At ECIO 2018, a joint ECIO-ESOI session was organized to establish follow-up recommendations for oncologic intervention in liver, renal, and lung cancer. Treatments included thermal ablation, TACE, and TARE. In total five topics were evaluated: ablation in colorectal liver metastases (CRLM), TARE in CRLM, TACE and TARE in HCC, ablation in renal cancer, and ablation in lung cancer. Evaluated modalities were FDG-PET-CT, CT, MRI, and (contrast-enhanced) ultrasound. Prior to the session, five experts were selected and performed a systematic review and presented statements, which were voted on in a telephone conference prior to the meeting by all panelists. These statements were presented and discussed at the ECIO-ESOI session at ECIO 2018. This paper presents the recommendations that followed from these initiatives. Based on expert opinions and the available evidence, follow-up schedules were proposed for liver cancer, renal cancer, and lung cancer. FDG-PET-CT, CT, and MRI are the recommended modalities, but one should beware of false-positive signs of residual tumor or recurrence due to inflammation early after the intervention. There is a need for prospective preferably multicenter studies to validate new techniques and new response criteria. This paper presents recommendations that can be used in clinical practice to perform the follow-up of patients with liver, lung, and renal cancer who were treated with interventional locoregional therapies.
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Metadata
Title
Follow-up after radiological intervention in oncology: ECIO-ESOI evidence and consensus-based recommendations for clinical practice
Authors
Monique Maas
Regina Beets-Tan
Jean-Yves Gaubert
Fernando Gomez Munoz
Paul Habert
Lisa G. Klompenhouwer
Paulo Vilares Morgado
Niklaus Schaefer
Francois H. Cornelis
Stephen B. Solomon
Denise van der Reijd
Jose Ignacio Bilbao
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2020
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-020-00884-5

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