• Future directions of image-gui...

Treffer: Future directions of image-guided thermal ablation in colorectal cancer lung oligometastases.

Title:
Future directions of image-guided thermal ablation in colorectal cancer lung oligometastases.
Authors:
Wang YY; Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China., Zhang CP; Department of Respiratory Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China., Zhang QB; Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China., Le XY; Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China., Feng JB; Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China., Li CM; Department of Medical Imaging, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing 400014, China. lichuanming@hospital.cqmu.edu.cn.
Source:
World journal of gastroenterology [World J Gastroenterol] 2026 Jan 14; Vol. 32 (2), pp. 114727.
Publication Type:
Letter
Language:
English
Journal Info:
Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Internet ISSN: 2219-2840 (Electronic) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE
Imprint Name(s):
Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group
Original Publication: Beijing : WJG Press, c1998-
MeSH Terms:
Ablation Techniques*/methods , Ablation Techniques*/trends , Colorectal Neoplasms*/pathology , Colorectal Neoplasms*/mortality , Colorectal Neoplasms*/surgery , Lung Neoplasms*/secondary , Lung Neoplasms*/surgery , Lung Neoplasms*/diagnostic imaging , Lung Neoplasms*/mortality , Surgery, Computer-Assisted*/methods , Surgery, Computer-Assisted*/trends, Humans ; Lung/diagnostic imaging ; Lung/pathology ; Lung/surgery ; Patient Selection ; Prognosis ; Tomography, X-Ray Computed ; Treatment Outcome
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Contributed Indexing:
Keywords: Colorectal cancer; Dynamic contrast-enhanced computed tomography; Extrapulmonary metastases; Functional imaging; Image-guided thermal ablation; Lung oligometastases
Entry Date(s):
Date Created: 20260119 Date Completed: 20260119 Latest Revision: 20260121
Update Code:
20260121
PubMed Central ID:
PMC12809249
DOI:
10.3748/wjg.v32.i2.114727
PMID:
41551833
Database:
MEDLINE

Weitere Informationen

Colorectal cancer (CRC) with lung oligometastases, particularly in the presence of extrapulmonary disease, poses considerable therapeutic challenges in clinical practice. We have carefully studied the multicenter study by Hu et al , which evaluated the survival outcomes of patients with metastatic CRC who received image-guided thermal ablation (IGTA). These findings provide valuable clinical evidence supporting IGTA as a feasible, minimally invasive approach and underscore the prognostic significance of metastatic distribution. However, the study by Hu et al has several limitations, including that not all pulmonary lesions were pathologically confirmed, postoperative follow-up mainly relied on dynamic contrast-enhanced computed tomography, no comparative analysis was performed with other local treatments, and the impact of other imaging features on efficacy and prognosis was not evaluated. Future studies should include complete pathological confirmation, integrate functional imaging and radiomics, and use prospective multicenter collaboration to optimize patient selection standards for IGTA treatment, strengthen its clinical evidence base, and ultimately promote individualized decision-making for patients with metastatic CRC.
(©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.)

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.