SIO Requested Updates to NCCN Guidelines
NCCN Adult Cancer Pain Guidelines
The Society of Interventional Oncology submitted updates to the NCCN adult cancer pain guidelines. Submitted by Jack Jennings, MD, PhD, Associate Professor, Washington University, Anil N. Kurup, MD, Radiologist, Mayo Clinic and Majid Maybody, MD, Associate Professor of Radiology, Memorial Sloan Kettering Cancer Center. This letter requests the NCCN Adult Cancer Pain Guideline panel review eight specific changes and data for inclusion in the management of adult cancer pain. Download the complete 2020 letter here.
Download the 2019 letter here.
NCCN Breast Cancer Guidelines
The Society of Interventional Oncology submitted updates to the NCCN breast cancer guidelines. Submitted by Amy Deipolyi, MD, PhD, Assistant Professor of Radiology, Memorial Sloan Kettering Cancer Center, and Gary A. Ulaner, MD, PhD, Associate Professor of Radiology, Molecular Imaging and Therapy Service, Memorial Sloan Kettering Cancer Center. This letter recommends PET/CT to monitor disease progression rather than specifying it as optional and including embolotherapies for treatment of refractory hepatic metastasis. Download the complete 2020 letter here.
View the 2019 letter here.
NCCN Cancer-Associated Venous Thromboembolic Disease Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Guidelines Panel for Cancer-Associated Venous Thromboembolic Disease. Submitted by Sirish A. Kishore MD, Clinical Assistant Professor of Radiology (Affiliated), Stanford University, Adie Friedman MD, Assistant Professor of Radiology, Mount Sinai Medical Center, and Deepak Sudheendra MD, Assistant Professor of Clinical Radiology, University of Pennsylvania. This Letter requests 5 specific changes for inclusion to the guidelines for Cancer-Associated Venous Thromboembolic Disease. Download the complete 2020 letter here.
NCCN Colorectal Cancer Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Colorectal Cancer Guidelines. Submitted by Kamran Ahrar, MD, Professor of Radiology, University of Texas MD Anderson Cancer Center, Ryan Hickey, MD, Associate Professor of Radiology, New York University, and R. Peter Lokken, MD, MPH, Associate Professor of Radiology, University of Illinois. This Letter request the NCCN Colorectal Cancer Guidelines panel 6 specific changes for inclusion to the guidelines for the management of metastatic colon and rectal cancers. Download the complete 2020 letter here.
NCCN Hepatobiliary Guidelines
The Society of Interventional Oncology submitted updates to the NCCN hepatobiliary guidelines. Submitted by Gregory Nadolski, MD, Assistant Professor, University of Pennsylvania, Sid Padia, MD, Associate Professor, UCLA, Amanda Smolock, MD, PhD, and Beau Toskich, MD, Radiologist, Mayo Clinic. This letter requests the NCCN Guidelines Panel for Hepatobiliary Cancer review five specific changes and data regarding the treatment of HCC. Download the complete 2022 letter here.
View the 2020 letter here.
View the 2019 letter here.
NCCN Kidney Cancer Guidelines
The Society of Interventional Oncology submitted updates to the NCCN renal guidelines. Submitted by Ronald S. Arellano MD, Professor of Radiology, Harvard University, Thomas D. Atwell MD, Professor of Radiology, Mayo Clinic, and S. William Stavropoulos MD, Professor of Radiology, University of Pennsylvania. This letter requests the NCCN Kidney Cancer Guideline panel review four specific changes, including the inclusion of microwave ablation as a thermal ablation option, revise the recommendations for imaging follow-up after thermal ablation, and include thermal ablation as a treatment option in the management of T1b tumors. Download the complete 2023 letter here.
View the 2022 letter here.
View the 2021 letter here.
View the 2020 letter here.
View the 2019 letter here.
NCCN Lung Cancer Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Non-Small Cell Lung Cancer Guidelines. Submitted by Patrick W. Eiken, MD, Assistant Professor of Radiology, Mayo Clinic, Florian J. Fintelmann, MD, Assistant Professor of Radiology, Harvard Medical School, Robert D. Suh, MD, Clinical Professor, David Geffen School of Medicine at UCLA. This letter requests NCCN Non-Small Cell Lung Cancer (NSCLC) guideline panel review the enclosed data for updating the role of image-guided thermal ablation (IGTA) in the Clinical Practice Guidelines in Oncology (NCCN Guidelines) for NSCLC. Download the complete 2021 letter here.
View the 2020 letter here.
View the 2019 letter here.
NCCN Neuroendocrine Guidelines
The Society of Interventional Oncology submitted updates to the NCCN neuroendocrine guidelines. Submitted by Etay Ziv, MD, PhD, Memorial Sloan Kettering Cancer Center, Nicholas Fidelman, MD, University of California San Francisco, and Rony Avritscher, MD, UT MD Anderson Cancer Center. This letter requests the NCCN Neuroendocrine and Adrenal Tumors guideline panel review data regarding seven specific changes to update the role of liver-directed therapies (LDT) in the clinical practice guidelines in oncology. Download the complete 2021 letter here.
View the 2019 letter here.
NCCN Pancreatic Adenocarcinoma Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Pancreatic Adenocarcinoma Panel. Submitted by Amanda Smolock, MD, PhD, Assistant Professor, Division of Vascular and Interventional Radiology Department of Radiology Medical College of Wisconsin, and Hooman Yarmohammadi, MD Associate Attending Interventional Radiologist, Director of Research, Interventional Radiology Service, Department of Radiology, Memorial Sloan Kettering Cancer Center. This letter requests the NCCN panel review two specific changes to include LRT therapies for patients with locally advanced pancreatic cancer and metastatic pancreatic cancer.
Download the complete 2022 letter here.
NCCN Palliative Care Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Palliative Care Guidelines. Submitted by William Rilling, MD, FSIR, Professor of Radiology & Surgery, Medical College of Wisconsin, Ernesto Santos, MD, Attending Physician, Memorial Sloan Kettering Cancer Center, and Sean Tutton, MD, FSIR, Professor of Radiology, UC San Diego. This Letter requests the NCCN Palliative Care Guidelines panel review the recommendation for Interventional Radiologist (IR) on the panel in addition to a recommendation to include image-guided ablation and cementoplasty as considerations to palliate painful bone metastases. Download the complete 2022 letter here.
View the 2020 letter here.
NCCN Soft Tissue Sarcoma Guidelines
The Society of Interventional Oncology submitted updates to the NCCN Soft Tissue Sarcoma Panel. Submitted by Jack Jennings, MD, PhD, Professor, Washington University; Joseph Erinjeri, MD, PhD, Associate Professor, Memorial Sloan Kettering Cancer Center; and Daehee Kim, MD, Assistant Professor, Memorial Sloan Kettering Cancer Center. This letter requests the NCCN panel consider including an interventional radiologist (IR) on the panel, as well as better defining the role of these therapies and offer more guidance to the referring physicians. Download the complete 2022 letter here.
