Abstract
During the last years, interventional radiological treatment of hepatocellular cancer has changed dramatically. The percutaneous ethanol infiltration is partly replaced by thermoablative methods, mainly by radiofrequency ablation. Cooled-tip electrodes and volumetric therapy planning increased the treatment success. Embolisation beads made vessel occlusion more precise and predictable, while the development of the drug eluting beads led to the most effective way of chemoembolisation. The so called radioembolisation with Yttrium 90 isotopes filled into glass microbeads is slowly gaining acceptance worldwide. Thermoablation and embolisation or chemoembolisation are the main tools for downstaging tumors, or avoiding disease progression in liver transplant recipients on the waiting list. All of these therapeutic options have their well established places in well known and worldwide accepted protocols, such as the algorithm of the Barcelona group (BCLC). In the near future, further results can be expected from the combination of available treatments, including sorafenib medication.
References
Mar 14, 1996·The New England Journal of Medicine·V MazzaferroL Gennari
Jun 7, 2002·Lancet·Josep M LlovetUNKNOWN Barcelona Liver Cancer Group
Apr 16, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Paul H HayashiGregory T Everson
Sep 1, 2007·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Reto Bale, Gerlig Widmann
Jan 8, 2008·The American Journal of Gastroenterology·Adriana SergioFabio Farinati
Apr 23, 2008·Magyar sebészet·Zoltán Bánsághi
Aug 30, 2008·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·F Y Yao
Oct 23, 2008·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Xiuguo ZhangEldo E Frezza
Dec 17, 2008·World Journal of Gastroenterology : WJG·Antony Lawrence Gough-Palmer, Wladyslaw Michal Witold Gedroyc
Feb 20, 2009·Journal of Gastroenterology·Ryosuke TateishiMasao Omata
Mar 24, 2009·Radiology·Ping LiangBaowei Dong
Jun 24, 2009·Digestive Diseases·Bruno SangroAntonio Martinez-Cuesta
Jun 25, 2009·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Zhaocai YuXiaoming Si
Jul 9, 2009·Journal of Vascular and Interventional Radiology : JVIR·Debra A GervaisDheeraj K Rajan
Jul 2, 2009·Radiology·Toshiya ShibataKaori Togashi
Nov 13, 2009·Cardiovascular and Interventional Radiology·Johannes LammerUNKNOWN PRECISION V Investigators
Citations
Jun 22, 2011·Clinics in Liver Disease·Marcelo Guimaraes, Renan Uflacker
May 21, 2013·Ultrasound in Medicine & Biology·Eli VlaisavljevichZhen Xu
Apr 30, 2015·Clinics in Liver Disease·Ali HabibRiad Salem
Dec 15, 2012·Cryobiology·Feng MuKecheng Xu