Society of Interventional Radiology Multidisciplinary Position Statement on Percutaneous Ablation of Non-small Cell Lung Cancer and Metastatic Disease to the Lungs

• DOI: 10.1016/j.jvir.2021.04.024
• Publication Date: 2021-07-28T10:11:05Z
• Authors: Scott J. Genshaft; Robert D. Suh; Fereidoun Abtin; Mark O. Baerlocher; Albert J. Chang; Sean R. Dariushnia; A. Michael Devane; Salomao Faintuch; Elizabeth A. Himes; Aaron Lisberg; Siddharth Padia; Sheena Patel; Alda L. Tam; Jane Yanagawa
• Keywords: Grading (engineering)

To state the Society of Interventional Radiology's position on the use of image-guided thermal ablation for the treatment of early stage non-small cell lung cancer, recurrent lung cancer, and metastatic disease to the lung.A multidisciplinary writing group, with expertise in treating lung cancer, conducted a comprehensive literature search to identify studies on the topic of interest. Recommendations were drafted and graded according to the updated SIR evidence grading system. A modified Delphi technique was used to achieve consensus agreement on the recommendation statements.A total of 63 studies, including existing systematic reviews and meta-analysis, retrospective cohort studies, and single-arm trials were identified. The expert writing group developed and agreed on 7 recommendations on the use of image-guided thermal ablation in the lung.SIR considers image-guided thermal ablation to be an acceptable treatment option for patients with inoperable Stage I NSCLC, those with recurrent NSCLC, as well as patients with metastatic lung disease.