Abstract:
OBJECTIVES:To evaluate the therapeutic efficacy of and vascular complications associated with percutaneous cryoablation for the treatment of perivascular HCC. METHODS:Between August 2015 and September 2017, 58 consecutive patients (48 men, 10 women; mean age, 61.1 years; age range, 44-84 years) who underwent percutaneous cryoablation were included. All patients had a single perivascular HCC (mean size, 1.3 cm; Barcelona clinic liver cancer-stage 0 or A) that was in contact with hepatic vessels, ≥ 3 mm or larger in axial diameter. Local tumour progression (LTP) was estimated by the Kaplan-Meier method. In addition, several procedure-related vascular complications were evaluated immediately after treatment and during follow-up CT: peritumoral vessel thrombosis; infarction; aggressive intrasegmental recurrence (AIR) (the simultaneous development of ≥ 3 nodular or infiltrative tumours). The follow-up CT was performed in all patients 1 month after the procedure, and every 3 months thereafter. RESULTS:The median follow-up period was 22 months (range, 3-29 months). The technical success rate of cryoablation was 96.6% (56/58). The 1- and 2-year cumulative LTP rates were 3.6% and 14.6%, respectively. Although peritumoral vessel thrombosis occurred in 6.9% of cases (4/58), no cases of hepatic infarction were observed and AIR did not develop during follow-up. Half of the thombi in the peritumoral vessels immediately after cryoablation disappeared on follow-up CT images. CONCLUSION:Cryoablation could be an effective tool for the treatment of perivascular HCC with a very low risk of vascular complications. KEY POINTS:• Cryoablation allowed a high technical success rate for perivascular HCC. • Only 6.9% developed peritumoral vessel thrombosis without major vascular complications like infarction. • Two-year cumulative LTP rate was 14.6%, without aggressive tumour recurrence on follow-up.
journal_name
Eur Radioljournal_title
European radiologyauthors
Kim R,Kang TW,Cha DI,Song KD,Lee MW,Rhim H,Lim HK,Sinn DHdoi
10.1007/s00330-018-5617-6subject
Has Abstractpub_date
2019-02-01 00:00:00pages
654-662issue
2eissn
0938-7994issn
1432-1084pii
10.1007/s00330-018-5617-6journal_volume
29pub_type
杂志文章abstract::The spectrum of radiographic findings in pulmonary infections due to M. tuberculosis (TB) and non-tuberculous mycobacteria (NTM) are being increasingly discussed, primarily as a result of the increasing prevalence of these infections. The NTM organisms are often overlooked as potential infecting organisms, diagnosis i...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s00330-003-2042-1
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abstract:OBJECTIVES:To evaluate an image-navigated isotropic high-resolution 3D late gadolinium enhancement (LGE) prototype sequence with compressed sensing and Dixon water-fat separation in a clinical routine setting. MATERIAL AND METHODS:Forty consecutive patients scheduled for cardiac MRI were enrolled prospectively and exa...
journal_title:European radiology
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journal_title:European radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/pl00006884
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abstract:OBJECTIVES:To investigate the repeatability, reproducibility, and staging and monitoring of the performance of native T1 mapping for noninvasively assessing liver fibrosis in comparison with acoustic radiation force impulse (ARFI) elastography. METHODS:The repeatability and reproducibility were explored in 8 male Spra...
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journal_title:European radiology
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journal_title:European radiology
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/BF00182478
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journal_title:European radiology
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journal_title:European radiology
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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journal_title:European radiology
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-015-4026-3
更新日期:2016-06-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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abstract::The aim of this study was to describe the MRI findings and clinical observations in a fatigue stress fracture of the sacrum. In this retrospective study, 380 conscripts (53 women, 327 men; age range 18-29 years, mean age 20.7 years) who suffered from stress-related hip pain were studied with MRI of the pelvis. The fin...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-003-1989-2
更新日期:2004-03-01 00:00:00
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