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Improvement of the primary efficacy of microwave ablation of malignant liver tumors by using a robotic navigation system Cover

Improvement of the primary efficacy of microwave ablation of malignant liver tumors by using a robotic navigation system

Open Access
|May 2020

Figures & Tables

Influence of tumor characteristics on primary efficacy

PredictorEstimateStd.errWaldp-value
Long axis, mm≤ 30 > 30Reference − 0.87170.36575.680.0171
GuidanceFreehand RoboticReference 0.80640.32566.130.0133
HCCReference
Tumor entityCRC CCC0.2922 0.06650.4483 0.65240.42 0.010.5145 0.9188
Other0.08320.52280.030.8736
IReference
II− 0.39561.07980.130.7141
III− 0.04491.10250.000.9675
IVa0.26881.11800.060.8100
Liver segmentIVb− 0.25391.15970.050.8267
V0.59611.12850.280.5974
VI0.90361.17360.590.4413
VII0.06561.10900.000.9528
VIII− 0.10691.09290.010.9221

Monte Carlo simulation of primary technique efficacy rate depending on tumor size and antenna guidance

Long axis, mmGuidanceCI-2.5%MedianCI-97.5%
≤ 30Freehand0.600.750.86
> 30Freehand0.340.550.76
≤ 30Robotic0.780.870.92
> 30Robotic0.550.740.87

Tumors treated using freehand and robotic guidance

Ablation techniqueLong axis, mmLiver segment, n (%)Device, n (%)Primary efficacy, n (%)
MinMean (SD)MaxIIIIIIIVaIVbVVIVIIVIIIAcculisEmprintCompleteIncomplete
Freehand (n = 119)419.79 (12.42)851 (1)10 (8)16 (13)16 (13)9 (8)13 (11)17 (14)15 (13)22 (18)65 (55)54 (45)9 (76)28 (24)
Robotic guidance (n = 249)318.78 (10.78)646 (2)24 (10)20 (8)26 (10)16 (6)38 (15)36 (14)36 (14)47 (19)143 (57)106 (43)219 (88)30 (12)

Patient characteristics

Age, yearsSex, n, (%)Treated tumors per patient, nTumor entity, n (%)
Min.Mean (SD)Median (IQR)Max.MaleFemaleMedian (IQR)Max.HCCCRCCCCOther
Patients (n = 192)1565.03 (23.56)64.00 (57.75, 72.00)83156 (81)36 (19)1.00 (1.00, 2.00)9139 (72)29 (15)7 (4)17 (9)
DOI: https://doi.org/10.2478/raon-2020-0033 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 295 - 300
Submitted on: Feb 17, 2020
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Accepted on: May 3, 2020
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Published on: May 28, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Jan Schaible, Benedikt Pregler, Niklas Verloh, Ingo Einspieler, Wolf Bäumler, Florian Zeman, Andreas Schreyer, Christian Stroszczynski, Lukas Beyer, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.