Monitoring RF ablation

被引:46
作者
Solbiati, L [1 ]
Tonolini, M [1 ]
Cova, L [1 ]
机构
[1] Gen Hosp, Dept Radiol, I-21052 Busto Arsizio, VA, Italy
关键词
RF ablation; diagnostic imaging; lesion targeting; follow-up;
D O I
10.1007/s10406-004-0089-y
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The addition of contrast-enhanced ultrasound to monitor the extent of interstitial ablation has simplified this procedure. Newer agents such as SonoVue used with microbubble-specific software (CPS) allow continuous real-time scanning at low MIs so that, if residual perfused tumour is found, complete evaluation of the extent of tissue ablation can be carried out immediately after the procedure in the same treatment session. In the initial 18-month period after the introduction of these agents, partial necrosis occurred in 5.1% of treated lesions compared to the previous rate of 16.1%, and this improved to 3.8% in the following 2 years. The method is cost-effective because it reduces the need for repeated treatment sessions under general anaesthesia. The same method is helpful in treatment planning and follow-up.
引用
收藏
页码:P34 / P42
页数:9
相关论文
共 36 条
[1]   Phase-inversion sonography during the liver-specific late phase of contrast enhancement: Improved detection of liver metastases [J].
Albrecht, T ;
Hoffmann, CW ;
Schmitz, SA ;
Schettler, S ;
Overberg, A ;
Germer, CT ;
Wolf, KJ .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (05) :1191-1198
[2]   Percutaneous radiofrequency ablation of small hepatocellular carcinoma: long-term results [J].
Buscarini, L ;
Buscarini, E ;
Di Stasi, M ;
Vallisa, D ;
Quaretti, P ;
Rocca, A .
EUROPEAN RADIOLOGY, 2001, 11 (06) :914-921
[3]   Hepatocellular carcinoma treated with percutaneous radio-frequency ablation: Usefulness of power Doppler US with a microbubble contrast agent in evaluating therapeutic response-preliminary results [J].
Choi, D ;
Lim, HK ;
Kim, SH ;
Lee, WJ ;
Jang, HJ ;
Lee, JY ;
Paik, SW ;
Koh, KC ;
Lee, JH .
RADIOLOGY, 2000, 217 (02) :558-563
[4]   Tumor recurrence after radiofrequency thermal ablation of hepatic tumors: Spectrum of findings on dual-phase contrast-enhanced CT [J].
Chopra, S ;
Dodd, GD ;
Chintapalli, KN ;
Leyendecker, JR ;
Karahan, OI ;
Rhim, H .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 177 (02) :381-387
[5]   Radiofrequency thermal ablation of hepatocellular carcinoma: Using contrast-enhanced harmonic power Doppler sonography to assess treatment outcome [J].
Cioni, D ;
Lencioni, R ;
Rossi, S ;
Garbagnati, F ;
Donati, F ;
Crocetti, L ;
Bartolozzi, C .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 177 (04) :783-788
[6]   Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year [J].
de Baere, T ;
Elias, D ;
Dromain, C ;
El Din, MG ;
Kuoch, V ;
Ducreux, M ;
Boige, V ;
Lassau, N ;
Marteau, V ;
Lasser, P ;
Roche, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 175 (06) :1619-1625
[7]   Evaluation of posttreatment response of hepatocellular carcinoma with contrast-enhanced coded phase-inversion harmonic US: Comparison with dynamic CT [J].
Ding, H ;
Kudo, M ;
Onda, H ;
Suetomi, Y ;
Minami, Y ;
Chung, H ;
Kawasaki, T ;
Maekawa, K .
RADIOLOGY, 2001, 221 (03) :721-730
[8]   Minimally invasive treatment of malignant hepatic tumors: At the threshold of a major breakthrough [J].
Dodd, GD ;
Soulen, MC ;
Kane, RA ;
Livraghi, T ;
Lees, WR ;
Yamashita, Y ;
Gillams, AR ;
Karahan, OI ;
Rhim, H .
RADIOGRAPHICS, 2000, 20 (01) :9-27
[9]   Percutaneous radiofrequency tissue ablation: Optimization of pulsed radiofrequency technique to increase coagulation necrosis [J].
Goldberg, SN ;
Stein, MC ;
Gazelle, GS ;
Sheiman, RG ;
Kruskal, JB ;
Clouse, ME .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1999, 10 (07) :907-916
[10]   Large-volume tissue ablation with radio frequency by using a clustered, internally cooled electrode technique: Laboratory and clinical experience in liver metastases [J].
Goldberg, SN ;
Solbiati, L ;
Hahn, PF ;
Cosman, E ;
Conrad, JE ;
Fogle, R ;
Gazelle, GS .
RADIOLOGY, 1998, 209 (02) :371-379