Cardiovascular and Interventional Radiological Society of Europe

Lung metastases – online course


Please note that this course is no longer CME accredited, but we are working on a new accredited version.

Authors: G. Carrafiello and L. Tselikas

Reviewers: F. Deschamps, M. Deutschmann, T. Jahnke, G. Mauri and C. Nice

This course corresponds to chapter Non-Vascular Interventional Oncology of the European Curriculum and Syllabus for IR. 



Lung metastases are common and represent an important turn in the progression of cancer disease. CT scans are the imaging modality of choice for accurate diagnosis, pre-therapeutic work-up and intervention guidance.

Since the year 2000, percutaneous ablation techniques have changed the management of these patients. Although no prospective comparison between radiofrequency ablation and surgery or stereotactic body radiation therapy is available, the high feasibility rate, the efficacy and the very low morbidity of RFA justifies the growing role of interventional radiology in this indication.

Patient selection, and very importantly tumour size <2-3 cm, is mandatory to achieve the best possible outcome.

New technologies such as microwave ablation and cryotherapy have been developed recently to overcome the limitations of RFA with promising results.

So far, irreversible electroporation has lower efficacy rates than the other technics, although the mechanism of action is very interesting.

This module allows the reader to have a quick overview of lung metastases with a special focus on percutaneous ablation techniques as a therapeutic option.


Learning objectives

  • To understand lung metastasis pathophysiology
  • To be able to use the most appropriate imaging technique for diagnosis, pre-treatment work-up, periprocedural guidance and follow-up
  • To learn about ablation techniques and their main differences and best indications
  • To be able to adequately select patients and overcome difficult situations (single lung, location near the mediastinum, treatment under conscious sedation, etc.)
  • To become familiar with the results of percutaneous ablation of lung metastases
  • To be aware of potential complications and their management


Further information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for IR and corresponds to chapter Non-Vascular Interventional Oncology.

The format of the course is easy to use and interactive by including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour.

Access to the course is granted for an enrolment period of 90 days.

Release date: November 2018