{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T19:52:31Z","timestamp":1784663551477,"version":"3.55.0"},"reference-count":49,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001869","name":"Academia Sinica","doi-asserted-by":"publisher","award":["AS-CFII-111\\u2013215"],"award-info":[{"award-number":["AS-CFII-111\\u2013215"]}],"id":[{"id":"10.13039\/501100001869","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.acra.2025.06.058","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T19:27:58Z","timestamp":1752866878000},"page":"7591-7600","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Enhancing Microwave Ablation for Lung Lesions with Cone-Beam Computed Tomography Guidance and Intrapulmonary Fine Adjustment in a Hybrid Operating Room"],"prefix":"10.1016","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6112-2322","authenticated-orcid":false,"given":"Ling-Kai","family":"Chang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po-Keng","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shwetambara","family":"Malwade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Yuan","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pak-Si","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Chun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lun-Che","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6129-627X","authenticated-orcid":false,"given":"Shun-Mao","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.acra.2025.06.058_bib1","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1056\/NEJMoa1911793","article-title":"Reduced lung-cancer mortality with volume CT screening in a randomized trial","volume":"382","author":"de Koning","year":"2020","journal-title":"N Engl J Med"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib2","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1056\/NEJMoa1102873","article-title":"Reduced lung-cancer mortality with low-dose computed tomographic screening","volume":"365","author":"National Lung Screening Trial Research","year":"2011","journal-title":"N Engl J Med"},{"issue":"3","key":"10.1016\/j.acra.2025.06.058_bib3","doi-asserted-by":"crossref","first-page":"254","DOI":"10.6004\/jnccn.2021.0013","article-title":"NCCN guidelines insights: non-small cell lung cancer, version 2.2021","volume":"19","author":"Ettinger","year":"2021","journal-title":"J Natl Compr Canc Netw"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib4","doi-asserted-by":"crossref","first-page":"e93S","DOI":"10.1378\/chest.12-2351","article-title":"Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines","volume":"143","author":"Gould","year":"2013","journal-title":"Chest"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib5","doi-asserted-by":"crossref","first-page":"330","DOI":"10.7326\/M13-2771","article-title":"Screening for lung cancer: U.S. Preventive Services Task Force recommendation statement","volume":"160","author":"Moyer","year":"2014","journal-title":"Ann Intern Med"},{"issue":"1","key":"10.1016\/j.acra.2025.06.058_bib6","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1148\/radiol.2017161659","article-title":"Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner Society 2017","volume":"284","author":"MacMahon","year":"2017","journal-title":"Radiology"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib7","doi-asserted-by":"crossref","first-page":"iv1","DOI":"10.1093\/annonc\/mdx222","article-title":"Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"28","author":"Postmus","year":"2017","journal-title":"Ann Oncol"},{"issue":"9","key":"10.1016\/j.acra.2025.06.058_bib8","doi-asserted-by":"crossref","first-page":"S659","DOI":"10.21037\/jtd.2016.09.44","article-title":"CT-guided percutaneous microwave ablation of pulmonary malignant tumors","volume":"8","author":"Ko","year":"2016","journal-title":"J Thorac Dis"},{"issue":"1","key":"10.1016\/j.acra.2025.06.058_bib9","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/0971-3026.178347","article-title":"Radiofrequency ablation in primary non-small cell lung cancer:\u00a0what a radiologist needs to know","volume":"26","author":"Bhatia","year":"2016","journal-title":"Indian J Radiol Imaging"},{"issue":"6","key":"10.1016\/j.acra.2025.06.058_bib10","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-057638","article-title":"Surgical resection, radiotherapy and percutaneous thermal ablation for treatment of stage 1 non-small cell lung cancer: protocol for a systematic review and network meta-analysis","volume":"12","author":"Chockalingam","year":"2022","journal-title":"BMJ Open"},{"issue":"9","key":"10.1016\/j.acra.2025.06.058_bib11","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.diii.2017.07.003","article-title":"Percutaneous thermal ablation of lung tumors - radiofrequency, microwave and cryotherapy: where are we going?","volume":"98","author":"Palussiere","year":"2017","journal-title":"Diagn Interv Imaging"},{"key":"10.1016\/j.acra.2025.06.058_bib12","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ejrad.2018.01.009","article-title":"Efficacy and safety of radiofrequency ablation for lung cancers: a\u00a0systematic review and meta-analysis","volume":"100","author":"Li","year":"2018","journal-title":"Eur J Radiol"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib13","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.jvir.2016.10.030","article-title":"Microwave ablation for lung neoplasms: a retrospective analysis of long-term results","volume":"28","author":"Healey","year":"2017","journal-title":"J Vasc Interv Radiol"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib14","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1053\/j.tvir.2013.08.002","article-title":"Tumor ablation: common modalities and general practices","volume":"16","author":"Knavel","year":"2013","journal-title":"Tech Vasc Interv Radiol"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib15","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s10620-019-05514-9","article-title":"Current state of tumor ablation therapies","volume":"64","author":"Bailey","year":"2019","journal-title":"Dig Dis Sci"},{"issue":"3","key":"10.1016\/j.acra.2025.06.058_bib16","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1148\/radiol.2473070996","article-title":"Microwave ablation of lung malignancies: effectiveness, CT findings, and safety in 50 patients","volume":"247","author":"Wolf","year":"2008","journal-title":"Radiology"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib17","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1055\/s-0033-1342955","article-title":"Lung cancer ablation: technologies and techniques","volume":"30","author":"Alexander","year":"2013","journal-title":"Semin Intervent Radiol"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib18","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1148\/rg.324105181","article-title":"Radiofrequency ablation of lung tumors: imaging features of the postablation zone","volume":"32","author":"Abtin","year":"2012","journal-title":"Radiographics"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib19","doi-asserted-by":"crossref","first-page":"740","DOI":"10.2214\/AJR.17.18368","article-title":"The role of percutaneous image-guided thermal ablation for the treatment of pulmonary malignancies","volume":"209","author":"Mouli","year":"2017","journal-title":"AJR Am J Roentgenol"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib20","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1159\/000367747","article-title":"Image-guided ablation of malignant liver tumors: recommendations for clinical validation of novel thermal and non-thermal technologies - a western perspective","volume":"4","author":"Lencioni","year":"2015","journal-title":"Liver Cancer"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib21","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1080\/02656736.2019.1647351","article-title":"Primary tumors of the lung: should we consider thermal ablation as a valid therapeutic option?","volume":"36","author":"Palussiere","year":"2019","journal-title":"Int J Hyperthermia"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib22","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.4103\/jcrt.jcrt_880_22","article-title":"Clinical practice guidelines on image-guided thermal ablation of primary and metastatic lung tumors (2022 edition)","volume":"18","author":"Ye","year":"2022","journal-title":"J Cancer Res Ther"},{"issue":"3","key":"10.1016\/j.acra.2025.06.058_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.tvir.2023.100911","article-title":"CT navigation for percutaneous needle placement: how i do it","volume":"26","author":"Sorensen","year":"2023","journal-title":"Tech Vasc Interv Radiol"},{"issue":"1","key":"10.1016\/j.acra.2025.06.058_bib24","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2214\/ajr.167.1.8659351","article-title":"Diagnostic accuracy and safety of CT-guided percutaneous needle aspiration biopsy of the lung: comparison of small and large pulmonary nodules","volume":"167","author":"Li","year":"1996","journal-title":"AJR Am J Roentgenol"},{"issue":"23","key":"10.1016\/j.acra.2025.06.058_bib25","doi-asserted-by":"crossref","first-page":"7330","DOI":"10.3390\/jcm13237330","article-title":"CT-guided transthoracic core-needle biopsy of pulmonary nodules: current practices, efficacy, and safety considerations","volume":"13","author":"Constantinescu","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.acra.2025.06.058_bib26","doi-asserted-by":"crossref","first-page":"725897","DOI":"10.3389\/fsurg.2021.725897","article-title":"Editorial: the hybrid operating room in modern thoracic surgery","volume":"8","author":"Ng","year":"2021","journal-title":"Front Surg"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib27","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0266341","article-title":"Image-guided procedures in the hybrid operating room: a\u00a0systematic scoping review","volume":"17","author":"Spenkelink","year":"2022","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.acra.2025.06.058_bib28","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezac541","article-title":"Single-stage augmented fluoroscopic bronchoscopy localization and thoracoscopic resection of small pulmonary nodules in a hybrid operating room","volume":"63","author":"Yang","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.acra.2025.06.058_bib29","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.xjtc.2021.03.013","article-title":"Image-guided combined ablation and resection in thoracic surgery for the treatment of multiple pulmonary metastases: a\u00a0preliminary case series","volume":"9","author":"Harrison","year":"2021","journal-title":"JTCVS Tech"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib30","doi-asserted-by":"crossref","first-page":"3309","DOI":"10.1007\/s00330-023-10360-5","article-title":"Cone-beam computed tomography image-guided percutaneous microwave ablation for lung nodules in a hybrid operating room: an initial experience","volume":"34","author":"Chang","year":"2024","journal-title":"Eur Radiol"},{"issue":"7","key":"10.1016\/j.acra.2025.06.058_bib31","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.4103\/jcrt.JCRT_721_18","article-title":"Synchronous core-needle biopsy and microwave ablation for highly suspicious malignant pulmonary nodule via a coaxial cannula","volume":"15","author":"Wang","year":"2019","journal-title":"J Cancer Res Ther"},{"issue":"23","key":"10.1016\/j.acra.2025.06.058_bib32","doi-asserted-by":"crossref","first-page":"3216","DOI":"10.1111\/1759-7714.14189","article-title":"Synchronous microwave ablation followed by core-needle biopsy via a coaxial cannula for highly suspected malignant lung ground-glass opacities: a\u00a0single-center, single-arm retrospective study","volume":"12","author":"Kong","year":"2021","journal-title":"Thorac Cancer"},{"issue":"11","key":"10.1016\/j.acra.2025.06.058_bib33","doi-asserted-by":"crossref","first-page":"4676","DOI":"10.1016\/j.acra.2024.04.049","article-title":"Cone beam CT derived laser-guided percutaneous lung ablation: minimizing needle-related complications under general anesthesia with lung separation","volume":"31","author":"Chan","year":"2024","journal-title":"Acad Radiol"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib34","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1148\/radiology.218.2.r01fe33491","article-title":"Factors influencing pneumothorax rate at lung biopsy: are dwell time and angle of pleural puncture contributing factors?","volume":"218","author":"Ko","year":"2001","journal-title":"Radiology"},{"issue":"1108","key":"10.1016\/j.acra.2025.06.058_bib35","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20190866","article-title":"Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors","volume":"93","author":"Huo","year":"2020","journal-title":"Br J Radiol"},{"issue":"5","key":"10.1016\/j.acra.2025.06.058_bib36","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1038\/s41416-021-01404-y","article-title":"Multicentre study of microwave ablation for pulmonary oligorecurrence after radical resection of non-small-cell lung cancer","volume":"125","author":"Ni","year":"2021","journal-title":"Br J Cancer"},{"issue":"1046","key":"10.1016\/j.acra.2025.06.058_bib37","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20140598","article-title":"Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances","volume":"88","author":"Smith","year":"2015","journal-title":"Br J Radiol"},{"key":"10.1016\/j.acra.2025.06.058_bib38","doi-asserted-by":"crossref","DOI":"10.1177\/1533033818791792","article-title":"Navigation systems for treatment planning and execution of percutaneous irreversible electroporation","volume":"17","author":"Fuhrmann","year":"2018","journal-title":"Technol Cancer Res Treat"},{"issue":"1","key":"10.1016\/j.acra.2025.06.058_bib39","doi-asserted-by":"crossref","first-page":"193","DOI":"10.2214\/AJR.15.15803","article-title":"Stereotactic CT-guided percutaneous microwave ablation of liver tumors with the use of high-frequency jet ventilation: an accuracy and procedural safety study","volume":"208","author":"Engstrand","year":"2017","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.058_bib40","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.2214\/ajr.180.6.1801665","article-title":"CT-guided transthoracic needle aspiration biopsy of small (< or = 20 mm) solitary pulmonary nodules","volume":"180","author":"Ohno","year":"2003","journal-title":"AJR Am J Roentgenol"},{"issue":"11","key":"10.1016\/j.acra.2025.06.058_bib41","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1111\/1759-7714.15255","article-title":"Enhancing precision in lung tumor ablation through innovations in CT-guided technique and angle control","volume":"15","author":"Hung","year":"2024","journal-title":"Thorac Cancer"},{"issue":"11","key":"10.1016\/j.acra.2025.06.058_bib42","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.jfma.2020.01.001","article-title":"Rapid on-site cytologic evaluation by pulmonologist improved diagnostic accuracy of endobronchial ultrasound-guided transbronchial biopsy","volume":"119","author":"Lin","year":"2020","journal-title":"J Formos Med Assoc"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib43","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1213\/ane.0b013e3181aad6d7","article-title":"Massive systemic air embolism during percutaneous radiofrequency ablation of a primary lung tumor","volume":"109","author":"Jeannin","year":"2009","journal-title":"Anesth Analg"},{"issue":"3","key":"10.1016\/j.acra.2025.06.058_bib44","doi-asserted-by":"crossref","first-page":"W327","DOI":"10.2214\/AJR.06.0179","article-title":"Nonfatal systemic air embolism during percutaneous radiofrequency ablation of a pulmonary metastasis","volume":"187","author":"Ghaye","year":"2006","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"10.1016\/j.acra.2025.06.058_bib45","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3941\/jrcr.v11i6.2990","article-title":"Systemic air embolism after percutaneous lung biopsy: a manageable complication","volume":"11","author":"Fiore","year":"2017","journal-title":"J Radiol Case Rep"},{"issue":"4","key":"10.1016\/j.acra.2025.06.058_bib46","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.radcr.2016.05.020","article-title":"Aortic air embolus following pulmonary tumor radiofrequency ablation","volume":"11","author":"Stimpson","year":"2016","journal-title":"Radiol Case Rep"},{"issue":"2","key":"10.1016\/j.acra.2025.06.058_bib47","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/1759-7714.12180","article-title":"Asymptomatic air-embolism following percutaneous radiofrequency ablation of lung tumor: rare or underestimated complication?","volume":"6","author":"Rapicetta","year":"2015","journal-title":"Thorac Cancer"},{"issue":"12","key":"10.1016\/j.acra.2025.06.058_bib48","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.diii.2019.07.008","article-title":"Percutaneous thermal ablation of primary and secondary lung tumors: comparison between microwave and radiofrequency ablation","volume":"100","author":"Aufranc","year":"2019","journal-title":"Diagn Interv Imaging"},{"issue":"9","key":"10.1016\/j.acra.2025.06.058_bib49","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1016\/j.jvir.2014.02.026","article-title":"High-frequency jet ventilation under general anesthesia facilitates CT-guided lung tumor thermal ablation compared with normal respiration under conscious analgesic sedation","volume":"25","author":"Chung","year":"2014","journal-title":"J Vasc Interv Radiol"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225006397?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225006397?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T22:36:04Z","timestamp":1764282964000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633225006397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":49,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S1076633225006397"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2025.06.058","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Enhancing Microwave Ablation for Lung Lesions with Cone-Beam Computed Tomography Guidance and Intrapulmonary Fine Adjustment in a Hybrid Operating Room","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2025.06.058","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}