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Published online before print April 21, 2005, 10.1148/radiol.2353042205
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(Radiology 2005;235:728-739.)
© RSNA, 2005


Special Reports

Image-guided Tumor Ablation: Standardization of Terminology and Reporting Criteria1

S. Nahum Goldberg, MD, Clement J. Grassi, MD, John F. Cardella, MD, J. William Charboneau, MD, Gerald D. Dodd, II, I, MD, Damian E. Dupuy, MD, Debra Gervais, MD, Alice R. Gillams, MD, Robert A. Kane, MD, Fred T. Lee, Jr, MD, Tito Livraghi, MD, John McGahan, MD, David A. Phillips, MD, Hyunchul Rhim, MD, Stuart G. Silverman, MD, For the Society of Interventional Radiology Technology Assessment Committee and the International Working Group on Image-Guided Tumor Ablation

1 From the Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215 (S.N.G., R.A.K.). The complete list of authors and affiliations is at the end of this article. Received December 23, 2004; accepted December 24. Address correspondence to S.N.G. (e-mail: sgoldber@caregroup.harvard.edu).

The field of interventional oncology with use of image-guided tumor ablation requires standardization of terminology and reporting criteria to facilitate effective communication of ideas and appropriate comparison between treatments that use different technologies, such as chemical (ethanol or acetic acid) ablation, and thermal therapies, such as radiofrequency, laser, microwave, ultrasound, and cryoablation. This document provides a framework that will hopefully facilitate the clearest communication between investigators and will provide the greatest flexibility in comparison between the many new, exciting, and emerging technologies. An appropriate vehicle for reporting the various aspects of image-guided ablation therapy, including classification of therapies and procedure terms, appropriate descriptors of imaging guidance, and terminology to define imaging and pathologic findings, are outlined. 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 intention that adherence to the recommendations 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, 2005




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