Oligometastatic Colorectal Cancer Management: A Survey of the Italian College of Interventional Radiology
| العنوان: | Oligometastatic Colorectal Cancer Management: A Survey of the Italian College of Interventional Radiology |
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| المؤلفون: | Marco Calandri, Carlo Gazzera, Maurizio Cariati, Irene Bargellini, Francesco Giurazza, Paolo Marra, Paolo Fonio, Andrea Contegiacomo, Jacopo Brino, Giulio Antonino Strazzarino, Steven Yevich, Andrea Veltri |
| المصدر: | CardioVascular and Interventional Radiology. 43:1474-1483 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Ablation Techniques, medicine.medical_specialty, Percutaneous, Colorectal cancer, Sedation, Radiology, Interventional, Metastases, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Interventional radiology, Oligometastatic disease, Survey, Thermal ablation, medicine, Humans, Tumor board, Radiology, Nuclear Medicine and imaging, Practice Patterns, Physicians', medicine.diagnostic_test, business.industry, General surgery, Microwave ablation, Cancer, medicine.disease, Italy, medicine.symptom, Colorectal Neoplasms, Cardiology and Cardiovascular Medicine, business |
| الوصف: | European Society for Medical Oncology (ESMO) and National Comprehensive Cancer Network guidelines (NCCN) have recently included interventional procedures among the standard treatments for the management of colorectal cancer (CRC) oligometastatic disease (OMD). This study overviews the practice of Interventional Radiology (IR) in Italian centers. A practice focused questionnaire on locoregional treatments of CRC-OMD was submitted to all Italian IR centers to assess practice patterns. Thirty-three IR centers completed the questionnaire. The majority reported practice was established within a tumor board (97%), which included input from hepatobiliary surgery (94%). When considering the number of percutaneous ablation and liver-directed trans-arterial therapies performed for all tumor types, 33.5% and 13.4% were performed to specifically treat CRC-OMD. Lung ablations for CRC OMD were performed in 45.5% of centers. Regarding liver ablation, The most common technology was the microwave ablation (68.1%), which was typically performed under US guidance (78%) with conscious sedation used as the most common anaesthesia method (81%). While indication for percutaneous IR treatments was heterogeneous, 51% were performed in combination with chemotherapy in unresectable OMD. Despite new ESMO and NCCN guidelines, 59% of centers did not subjectively appreciate any change in the perception of IR treatments by other specialists; however, 63%of respondents believe that IR will have a more relevant role in the CRC-OMD management in the future. CRC-OMD treatment represents a relevant part of the everyday clinical practice of the IR Italian centers with promising future prospects. Heterogeneity persists in clinical indications, requiring more robust evidence to set indications and to diffuse clinical applications. |
| تدمد: | 1432-086X 0174-1551 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5dfaa4f1209c93e67502bc18383b48cdTest https://doi.org/10.1007/s00270-020-02516-3Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....5dfaa4f1209c93e67502bc18383b48cd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1432086X 01741551 |
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