CT Appearance of Hepatic Parenchymal Changes After Percutaneous Microwave Coagulation Therapy for Hepatocellular Carcinoma

Ohmoto, Kenji; Tsuduki, M; Kunieda, T; Mitsui, Yasuhiro; Yamamoto, Shinichiro

doi:10.1097/00004728-200011000-00008

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…Successfully ablated lesions appear as areas of low attenuation without contrast enhancements on CT imaging and are thought to represent the zones of coagulative necrosis [62,63]. Irregular, focal enhancement in the treated area on follow-up CT should raise suspicion of residual or recurrent disease [64] but this must be distinguished from a zone of reactive hyperaemia (observed within the 1 month after MWA) appearing as a uniform thickness enhancement enveloping the ablated area [65].…”

Section: Follow-upmentioning

confidence: 99%

Efficacy and safety of microwave ablation for primary and secondary liver malignancies: a systematic review

Ong

Gravante

Metcalfe

et al. 2009

European Journal of Gastroenterology & Hepatology

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This article reviews the therapeutic efficacy and complications of microwave ablation (MWA) in the treatment of primary and secondary liver malignancies. A PubMed search using keywords 'microwave', 'liver', 'malignancy', 'cancer' and 'tumour' was performed to identify articles related to MWA of liver malignancies published in English from 1975 to February 2008. MWA is an effective treatment options for both primary and secondary liver malignancies with survivals comparable with those of liver resections. Local recurrences can be managed with further ablation. Small tumour size, well-differentiated tumour and a reduced number of lesions are factors associated with good prognosis. Temporary occlusion of the portal venous and hepatic arterial flow may increase the size of ablation but the safety aspect requires further validation. MWA is a minimally invasive technique that has broadened the therapeutic option for patients with conventionally unresectable liver tumours with promising survival data. Future advances in the applicator design and treatment monitoring may further improve its efficacy and widen the indications.

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Section: Follow-upmentioning

confidence: 99%

Efficacy and safety of microwave ablation for primary and secondary liver malignancies: a systematic review

Ong

Gravante

Metcalfe

et al. 2009

European Journal of Gastroenterology & Hepatology

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“…Im Gegensatz zum Pseudoaneurysma persistieren die arterioportalen Shuntverbindungen länger als 1 Monat [77]. Diese sind in der Regel jedoch hämodynamisch nicht relevant.…”

Section: Komplikationen Lokal Ablativer Therapienunclassified

Lokal ablative Therapie bei Lebertumoren

Fischbach¹,

Ricke²,

Fischbach³

2020

Radiopraxis

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In den letzten Jahren stehen bei Patienten mit Lebertumoren interdisziplinäre Therapieansätze mit Betonung minimalinvasiver Verfahren zur Reduktion der Tumorlast zunehmend im Fokus. Lokal ablative Verfahren zur Behandlung des HCC und von Lebermetastasen kolorektaler Tumoren sind bereits in Behandlungsempfehlungen und Leitlinien integriert. Der folgende Beitrag stellt die häufigsten Verfahren vor und beschreibt ihre Relevanz für den klinischen Alltag.

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“…Aber auch Pseudoaneurysmata und arterioportale Shuntverbindungen sind nach lokal ablativen Eingriffen beschrieben. Im Gegensatz zum Pseudoaneurysma persistieren die arterioportalen Shuntverbindungen länger als 1 Monat [77]. Diese sind in der Regel jedoch hämodynamisch nicht relevant.…”

Section: Komplikationen Lokal Ablativer Therapienunclassified

Lokal ablative Therapie bei Lebertumoren

Fischbach¹,

Ricke²,

Fischbach³

2017

Radiologie up2date

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ZusammenfassungIn den letzten Jahren stehen bei Patienten mit Lebertumoren interdisziplinäre Therapieansätze mit Betonung minimalinvasiver Verfahren zur Reduktion der Tumorlast zunehmend im Fokus. Lokal ablative Verfahren zur Behandlung des HCC und von Lebermetastasen kolorektaler Tumoren sind bereits in Behandlungsempfehlungen und Leitlinien integriert. Der folgende Beitrag stellt die häufigsten Verfahren vor und beschreibt ihre Relevanz für den klinischen Alltag.

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CT Appearance of Hepatic Parenchymal Changes After Percutaneous Microwave Coagulation Therapy for Hepatocellular Carcinoma

Abstract: We should evaluate the effect of PMCT by performing dynamic enhanced CT not only within 2 weeks to determine the end-point of treatment but also at 1 month or more after finishing treatment for definite assessment of tumor necrosis.

Cited by 5 publications

References 23 publications

Efficacy and safety of microwave ablation for primary and secondary liver malignancies: a systematic review

Efficacy and safety of microwave ablation for primary and secondary liver malignancies: a systematic review

Lokal ablative Therapie bei Lebertumoren

Lokal ablative Therapie bei Lebertumoren

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