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IR Juniors INTERVENTIONAL ONCOLOGY LUNG & RENAL ABLATION IRBITES WHAT IS IT? Tumour ablation is the direct application of chemical or energy-based (i.e. thermal and non-thermal) treatments to cause local tumour destruction. Renal masses are usually incidental findings on routine imaging and are often asymptomatic but can cause back pain and haematuria. Primary lung cancer or metastases are usually asymptomatic early on but can cause cough, haemoptysis, pneumonia and weight loss. DIAGNOSIS MANAGEMENT Renal ablation Lung ablation Chest Xray Poor surgical candidates Primary tumours or mets Main screening tool or small renal tumsmall (≤3cm) or few (<5) for lung cancer Hot Radiofrequency Hot RF or MW ablation or Microwave (MW) Cold Cryotherapy - ice ball shows on CT/MRI Ultrasound rID: 3046 Multiphase/Hi-res CT Helps determine if a mass is malignant, show lymphadenopathy and staging Will show lung nodules not visible on plain film Left-sided renal cell carcinoma noted rID: 90394 Post-ablation CT is performed within a few days to ensure adequate ablation of targeted lesions and to identify complications IRBITE such as bleeding, urinary leak, pneumothorax, pleural effusion or abscess formation. Interventional Radiology Curriculum for Medical Students Radiographs courtesy of Assoc Prof Frank Gaillard, rID: 3046, Dr Matthew Lukies, rID: 90394 Radiopaedia.org IR Bites is a 12 part teaching series for medical students and junior doctors of any grade who want to learn more about interventional radiology. We aim to teach you the CIRSE Interventional Radiology curriculum for medical students.