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. Author manuscript; available in PMC: 2017 Feb 1.
Published in final edited form as: AJR Am J Roentgenol. 2016 Nov 15;208(2):453–458. doi: 10.2214/AJR.16.16446

TABLE 2.

Methods of Head and Neck Ablations in Chronological Order

Patient # Guidance Modality Reasons for Choice of Guidance Modality Cryoprobe Type/Position Ablation Times in minutes and Cryoprobe Flow Rates Adjacent Major Structures Within 1mm
1 CT PET-CT not yet utilized as guidance modality at our institution IceSphere/middle aspect of mass
IceSphere/inferior aspect of mass
IceSeed/superior aspect of mass
15 freeze / 10 thaw / 10 freeze
− 20% / 0% / 20%
− 20% / 0% / 20%
− 50% / 0% / 100%
carotid artery, jugular vein, vagus nerve
1 PET-CT Confirm small target, ensure ice ball covers metabolically active region IceSphere x2 15 freeze / 10 thaw / 10 freeze
− 100% / 0% / 100%
carotid artery, jugular vein, vagus nerve
2 MRI Deep location with many surrounding structures requiring precision placement IceSeed x2 15 freeze / 10 thaw / 15 freeze
- 100% / 0% / 100%
carotid artery, jugular vein, vagus nerve
3 PET-CT Confirm ill-defined target, ensure ice ball covers metabolically active region IceSphere x4
IceSphere/left aspect not in ice ball
15 freeze / 10 thaw / 15 freeze
-100% / 0% / 100%
-100% / 0% / 100%
airway stoma, neopharyngeal mucosa
4 PET-CT Confirm ill-defined target, ensure ice ball covers metabolically active region IceSeed x2/hypermetabolic region adjacent to vasculature 11 freeze / 4 freeze / 10 thaw/ 11 freeze / 4 freeze
− 100% / 40% / 0% / 100% / 40%
vertebral artery, carotid artery, jugular vein, vagus nerve
5 PET-CT Confirm small target, ensure ice ball covers metabolically active region IceSphere/center ofmass 15 freeze / 10 thaw / 15 freeze
− 100% / 0% / 100%
carotid artery, facial artery, esophagus
2 PET-CT Deep location with many surrounding structures requiring precision placement IceSeed/center of hyper metabolic region Not performed carotid artery, jugular vein, vagus nerve
6 MRI Deep location with many surrounding structures requiring precision placement IceRod/center ofmass 15 freeze / 10 thaw / 15 freeze
− 100% / 0% / 100%
right temporal lobe, cavernous carotid artery
7 MRI Deep location with many surrounding structures requiring precision placement IceSeed/center of mass, submandibular approach 15 freeze / 10 thaw / 6 freeze / 4 freeze / 5 freeze
− 60% / 0% / 60% / 80% / 100%
right temporal lobe, cavernous carotid artery