Abstract:
PURPOSE:To determine the necessity of preprocedural biliary drainage prior to chemoembolisation for hepatocellular carcinoma (HCC) with bile duct invasion. MATERIALS AND METHODS:The study included 52 patients who received chemoembolisation for unresectable HCC invading bile duct and causing hyperbilirubinemia (>3 mg/dL). Patients were divided into three groups according to biliary drainage and its effect: effective drainage (n=21), ineffective drainage (n=17), and non-drainage (n=14). Thirty-day mortality, length of hospitalisation, adverse events recorded using Common Terminology Criteria for Adverse Events (CTCAE), survival, and tumour response was compared among three groups. RESULTS:Thirty-day mortality rates were 14.3% (n=3), 17.6% (n=3), and 7.1% (n=1) for effective, ineffective, and non-drainage groups, respectively, and did not differ significantly among groups (p=0.780). The mean length of hospitalisation was shorter in non-drainage group compared to ineffective drainage group (12.1±11.4 vs 34.1±29.6 days, p=0.012). Mean differences in CTCAE grade for laboratory parameters before and after chemoembolisation were not significantly different among three groups. Survival among three groups was not significantly different (p=0.239-0.825). The tumour response was also not significantly different among three groups (p=0.679). CONCLUSION:Biliary drainage may not be mandatory prior to chemoembolisation in patients with HCC invading the bile duct. KEY POINTS:• Chemoembolisation without biliary drainage can be performed for icteric HCC. • Chemoembolisation without biliary drainage is not accompanied by increased adverse events. • Preprocedural biliary drainage may not be mandatory for chemoembolisation for icteric HCC.
journal_name
Eur Radioljournal_title
European radiologyauthors
Park J,Kim HC,Lee JH,Cho E,Kim M,Hur S,Jae HJ,Lee M,Chung JWdoi
10.1007/s00330-017-5110-7subject
Has Abstractpub_date
2018-04-01 00:00:00pages
1540-1550issue
4eissn
0938-7994issn
1432-1084pii
10.1007/s00330-017-5110-7journal_volume
28pub_type
杂志文章abstract::The purpose of this study was to compare moving-table three-dimensional contrast-enhanced magnetic resonance angiography (CE MRA), using 1.0-mol gadobutrol, with intra-arterial digital subtraction angiography (i.a. DSA) for evaluation of pelvic and peripheral arteries in patients with peripheral arterial occlusive dis...
journal_title:European radiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1007/s00330-003-1844-5
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:To study the effect of patient size, body region and modulation strength on tube current and image quality on CT examinations that use automatic tube current modulation (ATCM). METHODS:Ten physical anthropomorphic phantoms that simulate an individual as neonate, 1-, 5-, 10-year-old and adult at various body...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-014-3309-4
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:To evaluate early post-operative magnetic resonance (EPMR) as a prognostic tool after resection of glioblastoma. METHODS:Sixty EPMR examinations were evaluated for perioperative infarct, tumour growth between diagnosis and EPMR, contrast enhancement pattern, and extent of resection (EOR). The EOR was approa...
journal_title:European radiology
pub_type: 杂志文章
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journal_title:European radiology
pub_type: 杂志文章,多中心研究
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-010-1796-5
更新日期:2010-09-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-010-1931-3
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pub_type: 杂志文章,评审
doi:10.1007/s10406-005-0130-9
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abstract::This discussion on developments within publishing presents further thought on green, gold and hybrid models of open access. It also discusses some of the advantages and disadvantages which may be encountered by researchers, authors, institutions, scientific organisations and publishers. ...
journal_title:European radiology
pub_type: 评论,社论
doi:10.1007/s00330-013-2777-2
更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00330-019-06034-w
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-008-0931-z
更新日期:2008-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1997-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2486-2
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pub_type: 杂志文章
doi:10.1007/s00330-014-3293-8
更新日期:2014-10-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00330-008-0958-1
更新日期:2008-09-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00240701
更新日期:1996-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1007/s00330-008-1181-9
更新日期:2009-03-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:European radiology
pub_type: 临床试验,杂志文章
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abstract:OBJECTIVES:To investigate the hepatobiliary enhancement patterns of gadoxetic acid (Gd-EOB-DTPA) MRI and the temporal evolution of focal nodular hyperplasia (FNH)-like lesions in pediatric cancer survivors. METHODS:We retrospectively included pediatric cancer survivors who had new liver lesions detected during surveil...
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pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-10-01 00:00:00
abstract::In the absence of reliable supplies of X-ray film, direct fluoroscopy is still extensively used in Albania, with chest radiology a particularly common application. This paper aims to quantify both patient skin dose and the risk-related quantity effective dose for direct fluoroscopy units based in seven different Alban...
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pub_type: 杂志文章
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更新日期:2001-01-01 00:00:00