Evidence map›Paper›PMID 27387188›Full record

ArticleCardiovascular and interventional radiology2016

MWA Versus RFA for Perivascular and Peribiliary CRLM: A Retrospective Patient- and Lesion-Based Analysis of Two Historical Cohorts.

Aukje A J M van Tilborg, Hester J Scheffer, Marcus C de Jong, Laurien G P H Vroomen, Karin Nielsen, Cornelis van Kuijk, Petrousjka M P van den Tol, Martijn R Meijerink

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Cardiovascular and interventional radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Aukje A J M van TilborgDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands. a.vantilborg@vumc.nl.
Hester J SchefferDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands.
Marcus C de JongDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands.
Laurien G P H VroomenDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands.
Karin NielsenDepartment of Surgical Oncology, VU University Medical Centre, Amsterdam, The Netherlands.
Cornelis van KuijkDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands.
Petrousjka M P van den TolDepartment of Surgical Oncology, VU University Medical Centre, Amsterdam, The Netherlands.
Martijn R MeijerinkDepartment of Radiology and Nuclear Medicine, VU University Medical Centre, De Boelelaan 1117, 1081, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo retrospectively analyse the safety and efficacy of radiofrequency ablation (RFA) versus microwave ablation (MWA) in the treatment of unresectable colorectal liver metastases (CRLM) in proximity to large vessels and/or major bile ducts. METHOD AND MATERIALS: A database search was performed to include patients with unresectable histologically proven and/or (18)F-FDG-PET avid CRLM who were treated with RFA or MWA between January 2001 and September 2014 in a single centre. All lesions that were considered to have a peribiliary and/or perivascular location were included. Univariate logistic regression analysis was performed to assess the distribution of patient, tumour and procedure characteristics. Multivariate logistic regression was used to correct for potential confounders.

resultsTwo hundred and forty-three patients with 774 unresectable CRLM were ablated. One hundred and twenty-two patients (78 males; 44 females) had at least one perivascular or peribiliary lesion (n = 199). Primary efficacy rate of RFA was superior to MWA after 3 and 12 months of follow-up (P = 0.010 and P = 0.022); however, after multivariate analysis this difference was non-significant at 12 months (P = 0.078) and vanished after repeat ablations (P = 0.39). More CTCAE grade III complications occurred after MWA versus RFA (18.8 vs. 7.9 %; P = 0.094); biliary complications were especially common after peribiliary MWA (P = 0.002).

conclusionFor perivascular CRLM, RFA and MWA are both safe treatment options that appear equally effective. For peribiliary CRLM, MWA has a higher complication rate than RFA, with similar efficacy. Based on these results, it is advised to use RFA for lesions in the proximity of major bile ducts.

Indexed as

Ablation TechniquesAdultAgedAged, 80 and overBile DuctsCatheter AblationCohort StudiesColorectal NeoplasmsFemaleFollow-Up StudiesHumansLiver NeoplasmsMaleMicrowavesMiddle AgedRetrospective StudiesAblationColorectal liver metastasesMicrowavePeribiliaryPerivascularRadiofrequency

Identifiers

PMID27387188
PMCPMC5009157
OpenAlexW2467711832

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.