The safety and feasibility of extracorporeal high-intensity focused ultrasound (HIFU) for the treatment of liver and kidney tumours in a Western population
2005

HIFU for Liver and Kidney Tumours

Sample size: 30 publication Evidence: moderate

Author Information

Author(s): Illing R O, Kennedy J E, Wu F, ter Haar G R, Protheroe A S, Friend P J, Gleeson F V, Cranston D W, Phillips R R, Middleton M R

Primary Institution: HIFU Unit, Churchill Hospital, Oxford, UK

Hypothesis

Is extracorporeal high-intensity focused ultrasound (HIFU) safe and feasible for treating liver and kidney tumors in a Western population?

Conclusion

HIFU treatment of liver and kidney tumors in a Western population is both safe and feasible.

Supporting Evidence

  • HIFU exposure resulted in discrete zones of ablation in 25 of 27 evaluable patients (93%).
  • Ablation of liver tumors was achieved more consistently than for kidney tumors (100% vs 67%).
  • The adverse event profile was favorable when compared to more invasive techniques.

Takeaway

Doctors used a special ultrasound to treat tumors in the liver and kidneys without surgery, and it worked well and safely for most patients.

Methodology

Patients underwent a single therapeutic HIFU session under general anesthesia, followed by MRI assessment of response 12 days later.

Limitations

HIFU cannot be directed through air-filled viscera and may not be effective for tumors deeper than 10 cm from the skin.

Participant Demographics

30 patients (23 male, 7 female) with a mean age of 65 years (range 40–84 years).

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602803

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