TABLE 2.
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 |