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Page 6 of 10                                            Zhao et al. Mini-invasive Surg 2018;2:26  I  http://dx.doi.org/10.20517/2574-1225.2018.27


                                     Table 1. Patient and lung tumour characteristics at repeat ablation
                                                                                Total (n = 13)
                            Age (years), Mean (SD)                               72 (11.0)
                            Sex
                              Female                                             7 (54)
                              Male                                               6 (46)
                            Tumour type
                              Non-small cell lung carcinoma                      9 (69)
                              Colorectal adenocarcinoma                          3 (23)
                              Pelvic sarcoma                                     1 (8)
                            Type of prior ablation/s
                              MWA                                                9 (69)
                              RFA                                                4 (31)
                            Number of prior ablation/s
                              1                                                  11 (85)
                              2                                                  2 (15)
                            Radiotherapy prior to ablations
                              No                                                 9 (69)
                              Yes                                                4 (31)
                            Lobe
                              LLL                                                2 (15)
                              LUL                                                8 (62)
                              RLL                                                1 (8)
                              RUL                                                2 (15)
                            Repeat ablation modality
                              MWA                                                11 (85)
                              RFA                                                2 (15)
                                      †
                            Diameter (mm) , median (IQR)                         28.2 (22.0-40.0)
                            Number of ablation cycles
                              1                                                  1 (8)
                              2                                                  8 (62)
                              3                                                  4 (31)
                            Maximum power used (Watts) (MWA, n = 11)
                              60-80                                              3 (27)
                              100-120                                            8 (73)
                            Total ablation duration (minutes) (MWA, n = 11), median (IQR)  4.5 (4.0-6.0)
               † longest axial diameter in millimetres, immediately prior to repeat ablation. Data are presented as n (%) for categorical variables and
               as mean [standard deviation (SD)] or median [interquartile range (IQR)] for continuous variables. MWA: microwave ablation; RFA:
               radiofrequency ablation; LUL: left upper lobe; LLL: left lower lobe; RUL: right upper lobe; RLL: right lower lobe


               of death was pulmonary embolism or myocardial infarction, however autopsy was declined and the cause
                                                 [11]
               of death was not definitively determined .

               Response to treatment
               Only 12 patients had follow-up imaging performed. The 1 patient without follow-up imaging had died
               2 days after the procedure. Median length of CT follow-up was 26 months (range 3-62), and median length
               of FDG-PET follow-up was 6 months (range 0-26). Ten of twelve (83%) patients had complete ablation from
               their repeat ablation procedure. Two of twelve (17%) had local progression [Table 2], one of whom had the
               technically unsuccessful repeat ablation procedure. Time to first detection of local progression on imaging
               for the 2 patients with local progression were 8 and 27 months respectively.

               Six of twelve (50%) patients had nodal or distant metastasis on follow-up imaging. Four of these patients
               had subsequent chemotherapy (the 2 patients in the local progression group, and 2 patients in the complete
               ablation group). Median time to first detection of metastasis on imaging was 20 months (range 11-36).

               Survival
               Of all 13 patients, 8 (62%) were alive [median follow-up 30 months (range 3-91)] and 5 (38%) had died (me-
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