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Oncologische interventieradiologie - De toekomst?

4 D ’ s 7 februari 2014, Doorn. Oncologische interventieradiologie - De toekomst?. Otto van Delden Radiologie AMC Amsterdam. Wat is oncologische interventieradiologie?. Complicaties behandelen Tumorbehandeling mogelijk maken Invasieve beeldgeleide diagnostiek Tumorablaties

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Oncologische interventieradiologie - De toekomst?

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  1. 4 D’s 7 februari 2014, Doorn Oncologische interventieradiologie - De toekomst? Otto van Delden Radiologie AMC Amsterdam

  2. Wat is oncologische interventieradiologie? • Complicaties behandelen • Tumorbehandeling mogelijk maken • Invasieve beeldgeleide diagnostiek • Tumorablaties • Tumorembolisaties • Inwendige tumorbestraling • Lokale “drug delivery”

  3. Wat is oncologische interventieradiologie? • Tumorablaties (RFA, MWA, IEP (irreversibele electroporese), HIFU) • Tumorembolisaties (“bland”, TACE) • Inwendige tumorbestraling (SIRT (selective internal radiotherapy)) • Lokale “drug delivery” (i.a. delivery, “micro-bubbles”) • Vena portae embolisatie

  4. Welke tumoren? • Primaire levertumoren (HCC, Cholangioca.) • Levermetastasen (colorectaal (CRLM’s), NET (neuro-endocrien), andere GE-tumoren) • Pancreastumoren • Galwegtumoren • Long- en skeletmetastasen

  5. Toekomst oncologische interventieradiologie? • Verbetering techniek • Betere planning, beeldgeleiding, positionering • Outcome evaluatie / betere studies • Opleiding / professionalisering

  6. Welke studies nu doen? • Rol RFA / MWA bij CRLM’s (RFA vs resectie voor kleine CRLM’s, RFA vs resectie voor HCC) • Rol IEP (irresectabel pancreascarcinoom) • Rol SIRT (SIRT vs embo. NET, SIRT vs TACE HCC, SIRT vs syst. behandeling HCC, SIRT vs syst. behandeling CRC)

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