Percutaneous sonographically guided radiofrequency ablation with artificial pleural effusion for hepatocellular carcinoma located under the diaphragm

AJR. American Journal of Roentgenology
Masahiko KodaYoshikazu Murawaki

Abstract

Sonographically guided radiofrequency ablation is usually one of the most effective treatments for hepatocellular carcinoma. However, the localization of the tumor is a major limiting factor in the use of a sonographically guided procedure. In our experience, sonographic examination with artificial pleural effusion has improved the visualization of hepatocellular carcinomas under the diaphragm. We investigated the safety, benefits, and local efficacy of radiofrequency ablation with artificial pleural effusion. Twenty-five lesions in 23 patients were treated using radiofrequency ablation with artificial pleural effusion, for which 5% glucose solution was injected into the pleural cavity. Artificial pleural effusion allowed us to visualize the whole tumor on gray-scale sonography in 22 lesions that were not detectable or were poorly visible and to obtain a safer and easier puncture line in 14 lesions. In 23 (92%) of the 25 lesions, artificial pleural effusion was helpful in performing percutaneous radiofrequency ablation. Complete necrosis after radiofrequency ablation was obtained in 22 (88%) of the 25 lesions. During a mean (+/- SD) follow-up period of 10.6 +/- 6.5 months, local recurrence at the ablation site was diagnosed in ...Continue Reading

Citations

Aug 21, 2008·Journal of Gastroenterology and Hepatology·Hyunchul RhimWon Jae Lee
Feb 22, 2008·AJR. American Journal of Roentgenology·Stephen N WongShi-Ming Lin
Mar 29, 2014·Journal of Clinical Imaging Science·Martha-Grace KnuttinenChristopher Straus
Mar 4, 2014·Journal of Visceral Surgery·A StoltzM Rivoire
Feb 20, 2009·Journal of Gastroenterology·Shuichiro Shiina
Oct 2, 2012·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·J W WijlemansM A A J van den Bosch
Jul 1, 2010·Journal of Medical Ultrasonics·Takaaki SugiharaToshio Kaminou
Jul 31, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Shunkang RongJing Huang
Mar 8, 2011·Surgical Oncology Clinics of North America·Tito Livraghi
Apr 15, 2006·Journal of Vascular and Interventional Radiology : JVIR·Kenji OhmotoShinichiro Yamamoto
Mar 31, 2009·Journal of Vascular and Interventional Radiology : JVIR·Beom Jin ParkPyo Nyun Kim
May 16, 2012·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Masahiko KodaAkemi Tsutsui
Oct 10, 2013·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Dezhi ZhangFangyi Liu
Oct 14, 2011·International Journal of Hepatology·Yasunori Minami, Masatoshi Kudo
Nov 16, 2006·Liver International : Official Journal of the International Association for the Study of the Liver·Yoshiyasu KisakaMorikazu Onji
Apr 22, 2006·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Takuma TerataniMasao Omata
Feb 3, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Tae Wook KangHyo K Lim
Nov 18, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jin Woong KimHeoung Keun Kang
Mar 24, 2007·The Journal of Medical Investigation : JMI·Hiroshi FukunoKen Saito
Jul 30, 2011·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Fangyi LiuBaowei Dong
Feb 11, 2015·World Journal of Gastroenterology : WJG·Wei YangMin-Hua Chen

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