Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI
AbstractObjective To investigate the feasibility and efficacy of real-time 3.0 T magnetic resonance imaging (MRI) guided percutaneous microwave ablation (MWA) in the treatment of multifocal liver cancer.Methods A total of 76 lesions in 26 patients with multifocal liver cancer who underwent 3.0 T MRI...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2023.2228519 |
| _version_ | 1827397104697344000 |
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| author | Fenghai Liu Baozhou Hou Zhuofu Li Lei Zhang Yingwen Zhou Hao Bian Zhaoyang Huo |
| author_facet | Fenghai Liu Baozhou Hou Zhuofu Li Lei Zhang Yingwen Zhou Hao Bian Zhaoyang Huo |
| author_sort | Fenghai Liu |
| collection | DOAJ |
| description | AbstractObjective To investigate the feasibility and efficacy of real-time 3.0 T magnetic resonance imaging (MRI) guided percutaneous microwave ablation (MWA) in the treatment of multifocal liver cancer.Methods A total of 76 lesions in 26 patients with multifocal liver cancer who underwent 3.0 T MRI-guided microwave ablation in our hospital from April 2020 to April 2022 were retrospectively analyzed. The technical success rate, average operation time, average ablation time, and complications were evaluated. The upper abdomen was reviewed by pre- and post-contrast enhanced MRI scan every 1 months after the operation. The short-term curative effect was evaluated according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST) criteria (2020 version), and the local control rate was calculated.Results All 76 lesions were successfully operated. The technical success rate was 100%, the average operation time was 103.58 ± 18.57 min, the average ablation time of a single lesion was 11.00 ± 4.05 min, and the average ablation power was 43.03 ± 4.45 W. There were no serious complications such as massive bleeding, liver failure, and infection after the operation, except in one case with a small amount of pleural effusion and one case with right upper abdominal pain. The average follow-up time was 13.88 ± 6.62 months. One patient died due to liver failure, and one lesion developed a local recurrence. The local control rate was 98.7%.Conclusions MWA of multifocal liver cancer guided by real-time 3.0 T MRI is a safe and feasible technique and has excellent short-term efficacy. |
| first_indexed | 2024-03-08T19:02:26Z |
| format | Article |
| id | doaj.art-09fc2ebb085f446eb3af321abf843554 |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-03-08T19:02:26Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-09fc2ebb085f446eb3af321abf8435542023-12-28T04:15:43ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2228519Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRIFenghai Liu0Baozhou Hou1Zhuofu Li2Lei Zhang3Yingwen Zhou4Hao Bian5Zhaoyang Huo6Department of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Gastroenterology, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaDepartment of Magnetic Resonance Imaging, Cangzhou Central Hospital, Cangzhou City, Hebei Province, ChinaAbstractObjective To investigate the feasibility and efficacy of real-time 3.0 T magnetic resonance imaging (MRI) guided percutaneous microwave ablation (MWA) in the treatment of multifocal liver cancer.Methods A total of 76 lesions in 26 patients with multifocal liver cancer who underwent 3.0 T MRI-guided microwave ablation in our hospital from April 2020 to April 2022 were retrospectively analyzed. The technical success rate, average operation time, average ablation time, and complications were evaluated. The upper abdomen was reviewed by pre- and post-contrast enhanced MRI scan every 1 months after the operation. The short-term curative effect was evaluated according to the modified Response Evaluation Criteria in Solid Tumors (mRECIST) criteria (2020 version), and the local control rate was calculated.Results All 76 lesions were successfully operated. The technical success rate was 100%, the average operation time was 103.58 ± 18.57 min, the average ablation time of a single lesion was 11.00 ± 4.05 min, and the average ablation power was 43.03 ± 4.45 W. There were no serious complications such as massive bleeding, liver failure, and infection after the operation, except in one case with a small amount of pleural effusion and one case with right upper abdominal pain. The average follow-up time was 13.88 ± 6.62 months. One patient died due to liver failure, and one lesion developed a local recurrence. The local control rate was 98.7%.Conclusions MWA of multifocal liver cancer guided by real-time 3.0 T MRI is a safe and feasible technique and has excellent short-term efficacy.https://www.tandfonline.com/doi/10.1080/02656736.2023.2228519Efficacyliver cancermagnetic resonance imagingmicrowave ablationpercutaneous intervention |
| spellingShingle | Fenghai Liu Baozhou Hou Zhuofu Li Lei Zhang Yingwen Zhou Hao Bian Zhaoyang Huo Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI International Journal of Hyperthermia Efficacy liver cancer magnetic resonance imaging microwave ablation percutaneous intervention |
| title | Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI |
| title_full | Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI |
| title_fullStr | Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI |
| title_full_unstemmed | Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI |
| title_short | Microwave ablation of multifocal primary liver cancer guided by real-time 3.0T MRI |
| title_sort | microwave ablation of multifocal primary liver cancer guided by real time 3 0t mri |
| topic | Efficacy liver cancer magnetic resonance imaging microwave ablation percutaneous intervention |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2023.2228519 |
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