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Title: Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors

Abstract

PurposeTo assess feasibility of intraoperative neurophysiologic monitoring (IONM) during image-guided, percutaneous thermal ablation of tumors.Materials and MethodsFrom February 2009 to October 2013, a retrospective review of all image-guided percutaneous thermal ablation interventions using IONM was performed and data was compiled using electronic medical records and imaging studies.ResultsTwelve patients were treated in 13 ablation interventions. In 4 patients, real-time feedback from the monitoring neurologist was used to adjust applicator placement and ablation settings. IONM was technically feasible in all procedures and there were no complications related to monitoring or ablation. All nerves at risk remained intact and of the 11 patients who could be followed, none developed new nerve deficit up to a minimum of 2 months after ablation.ConclusionIONM is safe and feasible for use during image-guided thermal ablation of tumors in the vicinity of nerves. Outcomes in this study demonstrate its potential utility in image-guided ablation interventions.

Authors:
; ; ; ;  [1]
  1. Memorial Sloan-Kettering Cancer Center (United States)
Publication Date:
OSTI Identifier:
22642509
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 6; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABLATION; BIOMEDICAL RADIOGRAPHY; DAMAGE; ELECTRIC UTILITIES; GAS UTILITIES; HAZARDS; IMAGES; MEDICAL RECORDS; NEOPLASMS; NERVES; PATIENTS; REVIEWS

Citation Formats

Marshall, Richard H., E-mail: rmars1@lsuhsc.edu, Avila, Edward K., E-mail: avilae@mskcc.org, Solomon, Stephen B., E-mail: solomons@mskcc.org, Erinjeri, Joseph P., E-mail: erinjerj@mskcc.org, and Maybody, Majid, E-mail: maybody@mskcc.org. Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors. United States: N. p., 2016. Web. doi:10.1007/S00270-015-1287-9.
Marshall, Richard H., E-mail: rmars1@lsuhsc.edu, Avila, Edward K., E-mail: avilae@mskcc.org, Solomon, Stephen B., E-mail: solomons@mskcc.org, Erinjeri, Joseph P., E-mail: erinjerj@mskcc.org, & Maybody, Majid, E-mail: maybody@mskcc.org. Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors. United States. doi:10.1007/S00270-015-1287-9.
Marshall, Richard H., E-mail: rmars1@lsuhsc.edu, Avila, Edward K., E-mail: avilae@mskcc.org, Solomon, Stephen B., E-mail: solomons@mskcc.org, Erinjeri, Joseph P., E-mail: erinjerj@mskcc.org, and Maybody, Majid, E-mail: maybody@mskcc.org. Wed . "Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors". United States. doi:10.1007/S00270-015-1287-9.
@article{osti_22642509,
title = {Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors},
author = {Marshall, Richard H., E-mail: rmars1@lsuhsc.edu and Avila, Edward K., E-mail: avilae@mskcc.org and Solomon, Stephen B., E-mail: solomons@mskcc.org and Erinjeri, Joseph P., E-mail: erinjerj@mskcc.org and Maybody, Majid, E-mail: maybody@mskcc.org},
abstractNote = {PurposeTo assess feasibility of intraoperative neurophysiologic monitoring (IONM) during image-guided, percutaneous thermal ablation of tumors.Materials and MethodsFrom February 2009 to October 2013, a retrospective review of all image-guided percutaneous thermal ablation interventions using IONM was performed and data was compiled using electronic medical records and imaging studies.ResultsTwelve patients were treated in 13 ablation interventions. In 4 patients, real-time feedback from the monitoring neurologist was used to adjust applicator placement and ablation settings. IONM was technically feasible in all procedures and there were no complications related to monitoring or ablation. All nerves at risk remained intact and of the 11 patients who could be followed, none developed new nerve deficit up to a minimum of 2 months after ablation.ConclusionIONM is safe and feasible for use during image-guided thermal ablation of tumors in the vicinity of nerves. Outcomes in this study demonstrate its potential utility in image-guided ablation interventions.},
doi = {10.1007/S00270-015-1287-9},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 39,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}