This document replaces previous guidance on percutaneous radiofrequency ablation for primary and secondary lung cancers (interventional procedure guidance 185).
1.1 Current evidence on the efficacy of percutaneous radiofrequency ablation (RFA) for primary or secondary lung cancers is adequate in terms of tumour control. There is a small incidence of complications, specifically pneumothorax, which may have serious implications for these patients with already compromised respiratory reserve. This procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit.
1.2 Patient selection for percutaneous RFA for primary or secondary lung cancers should be carried out by a multidisciplinary team, which will usually include a thoracic surgeon, an oncologist and a radiologist.
1.3 This procedure should only be carried out by radiologists who regularly undertake image-guided interventional procedures.
1.4 NICE encourages further research into this procedure. Research studies should include a clear description of case mix and lesion size, and report long-term survival.