Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography

Irreversible electroporation (IRE) is a novel form of soft tissue ablation therapy that uses high-current electrical pulses to induce the formation of pores in the cell membrane, leading to cell death. Although outcome data for the ablation of hepatocellular carcinoma (HCC) by IRE are limited, early...

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Main Authors: Katsutoshi Sugimoto, Masakazu Abe, Yu Yoshimasu, Hirohito Takeuchi, Yoshitaka Kasai, Takao Itoi
Format: Article
Language:English
Published: Korean Society of Ultrasound in Medicine 2020-07-01
Series:Ultrasonography
Subjects:
Online Access:http://www.e-ultrasonography.org/upload/usg-20023.pdf
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author Katsutoshi Sugimoto
Masakazu Abe
Yu Yoshimasu
Hirohito Takeuchi
Yoshitaka Kasai
Takao Itoi
author_facet Katsutoshi Sugimoto
Masakazu Abe
Yu Yoshimasu
Hirohito Takeuchi
Yoshitaka Kasai
Takao Itoi
author_sort Katsutoshi Sugimoto
collection DOAJ
description Irreversible electroporation (IRE) is a novel form of soft tissue ablation therapy that uses high-current electrical pulses to induce the formation of pores in the cell membrane, leading to cell death. Although outcome data for the ablation of hepatocellular carcinoma (HCC) by IRE are limited, early results are encouraging and may suggest equivalency to the outcomes achieved by thermal ablation methods such as radiofrequency ablation (RFA) and microwave ablation (MWA). However, IRE can be a challenging and very time-consuming procedure compared to RFA and MWA. In this review article, we not only evaluate the efficacy and safety of IRE for the treatment of HCC, but also discuss imaging guidance, ablation monitoring, and endpoint assessment, with a particular focus on ultrasonography.
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spelling doaj.art-83849da74f4940a6a026900e5e70a3eb2022-12-21T23:55:03ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59192288-59432020-07-0139322923710.14366/usg.200231104Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonographyKatsutoshi SugimotoMasakazu AbeYu YoshimasuHirohito TakeuchiYoshitaka KasaiTakao ItoiIrreversible electroporation (IRE) is a novel form of soft tissue ablation therapy that uses high-current electrical pulses to induce the formation of pores in the cell membrane, leading to cell death. Although outcome data for the ablation of hepatocellular carcinoma (HCC) by IRE are limited, early results are encouraging and may suggest equivalency to the outcomes achieved by thermal ablation methods such as radiofrequency ablation (RFA) and microwave ablation (MWA). However, IRE can be a challenging and very time-consuming procedure compared to RFA and MWA. In this review article, we not only evaluate the efficacy and safety of IRE for the treatment of HCC, but also discuss imaging guidance, ablation monitoring, and endpoint assessment, with a particular focus on ultrasonography.http://www.e-ultrasonography.org/upload/usg-20023.pdfirreversible electroporationhepatocellular carcinomaultrasonographyablation
spellingShingle Katsutoshi Sugimoto
Masakazu Abe
Yu Yoshimasu
Hirohito Takeuchi
Yoshitaka Kasai
Takao Itoi
Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
Ultrasonography
irreversible electroporation
hepatocellular carcinoma
ultrasonography
ablation
title Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
title_full Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
title_fullStr Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
title_full_unstemmed Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
title_short Irreversible electroporation of hepatocellular carcinoma: the role of ultrasonography
title_sort irreversible electroporation of hepatocellular carcinoma the role of ultrasonography
topic irreversible electroporation
hepatocellular carcinoma
ultrasonography
ablation
url http://www.e-ultrasonography.org/upload/usg-20023.pdf
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AT masakazuabe irreversibleelectroporationofhepatocellularcarcinomatheroleofultrasonography
AT yuyoshimasu irreversibleelectroporationofhepatocellularcarcinomatheroleofultrasonography
AT hirohitotakeuchi irreversibleelectroporationofhepatocellularcarcinomatheroleofultrasonography
AT yoshitakakasai irreversibleelectroporationofhepatocellularcarcinomatheroleofultrasonography
AT takaoitoi irreversibleelectroporationofhepatocellularcarcinomatheroleofultrasonography