Microwave in the Treatment of Primary Liver Cancers

Microwave ablation (MWA) technology has become a key tool within the interventional oncologists’ toolbox. This introductory chapter will dive into the intricacies of MWA, beginning with the individual components of a MWA system and how they interact with the unique electrical and thermal properties of liver tissue. Moving forward, the focus will then shift toward the clinical application of MWA for patients with primary liver cancer. Considering the efficient heating capabilities of MWA, the review will explore the latest techniques to maximize the effectiveness of MWA and how to avoid and manage complications. This chapter will also delve into the most recent clinical outcomes from MWA therapy for primary liver cancer. As future developments in combination therapy and immunotherapy continue to mature, practitioners should lean into the success of MWA to continue growing as a field. Through careful exploration of the technical aspects, strategies, and clinical outcomes, this chapter will give readers a deeper understanding of the current role of MWA in the field of interventional oncology.