Colorectal cancer affects more than 1 million people worldwide, and half of this population develops liver metastases. Image-guided thermal ablation is an acceptable local therapy for the management of oligometastatic colorectal cancer liver disease, in patients who are noneligible for surgery, or present with recurrence after hepatectomy. Continuous technological evolutions, understanding of tumor variability through disease biology and genetics, and optimization of ablation parameters with ablation margin assessment have allowed patients with resectable small-volume disease to be treated by thermal ablation with curative intent. The growing role of imaging and image guidance in thermal ablation for patient selection, procedure planning, tumor targeting, and assessment of technical success is discussed in this article.

中文翻译：

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影像学和影像引导的热消融治疗低位结直肠癌肝病。

结直肠癌影响全世界超过100万人，其中一半人口患有肝转移。图像引导热消融是用于治疗转移性结直肠癌的可接受的局部疗法肝病，无法进行手术或肝切除术后复发的患者。持续的技术进步，通过疾病生物学和遗传学对肿瘤变异性的了解以及通过消融余量评估优化消融参数已使具有可切除性小体积疾病的患者能够通过根治性热消融治疗。本文讨论了成像和图像指导在热消融中对患者选择，手术计划，肿瘤靶向以及技术成功评估的日益重要的作用。