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Special Reports |
1 From the Departments of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215 (S.N.G., R.A.K.); University of Texas Health Science Center at San Antonio (G.D.D.); Rhode Island Hospital, Providence (D.E.D.); Massachusetts General Hospital, Boston (D.G.); Middlesex Hospital, London, England (A.R.G.); University of Wisconsin, Madison (F.T.L.); Ospedale Civile, Vimercate, Italy (T.L.); University of California Davis Medical Center, Sacramento (J.M.); Hanyang University Hospital, Seoul, South Korea (H.R.); Brigham and Women’s Hospital, Boston, Mass (S.G.S.); Ospedale Generale, Busto Arsizio, Italy (L.S.); Universitätsklinikum Frankfort, Institute for Diagnostic and Interventional Radiology, Germany (T.J.V.); Imaging Sciences Program, National Institutes of Health, Bethesda, Md (B.J.W.). Other members of the International Working Group on Image-Guided Tumor Ablation are listed at the end of this article. Received December 27, 2002; revision requested March 4, 2003; revision received April 7; accepted April 17. Address correspondence to S.N.G. (e-mail sgoldber@caregroup.harvard.edu).
The field of image-guided tumor ablation requires standardization of terms and reporting criteria to facilitate effective communication of ideas and appropriate comparison between treatments with different technologies, such as chemical ablation (ethanol or acetic acid) and thermal therapies, such as radiofrequency, laser, microwave, ultrasound, and cryoablation. On the basis of this premise, a working committee was established with the goal of producing a proposal on such standardization. The intent of the Working Group is to provide a framework that will facilitate the clearest communication between investigators and will provide the greatest flexibility in comparisons between the many new, exciting, and emerging technologies. The members of the Working Group now propose a vehicle for reporting the various aspects of image-guided ablation therapy, including classifications of therapies and procedures, appropriate descriptors of image guidance, and terms to define imaging and pathologic findings. Methods for standardizing the reporting of follow-up findings and complications and other important aspects that require attention when reporting clinical results are addressed. It is the group’s hope and intention that adherence to the recommendations of this proposal will facilitate achievement of the group’s main objective: improved precision and communication in this field that lead to more accurate comparison of technologies and results and ultimately to improved patient outcomes.
© RSNA, 2003
Index terms: Radiofrequency (RF) ablation • Radiology and radiologists • Review
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