Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma
Purpose: To determine prognostic factors for the development of liver abscess formation in patients with hepatocellular carcinoma (HCC) treated with radiofrequency ablation (RFA) focusing on the history of multiple prior sessions of transarterial chemoembolization (TACE). Materials and Methods: P...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2017-10-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2017.77.4.229 |
| _version_ | 1818599573411594240 |
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| author | Juwon Kim Mi Young Kim Yun Ku Cho |
| author_facet | Juwon Kim Mi Young Kim Yun Ku Cho |
| author_sort | Juwon Kim |
| collection | DOAJ |
| description | Purpose: To determine prognostic factors for the development of liver abscess formation in patients with hepatocellular carcinoma (HCC) treated with radiofrequency
ablation (RFA) focusing on the history of multiple prior sessions of transarterial
chemoembolization (TACE).
Materials and Methods: Patients were included if RFA was performed from January
2005 to July 2016 for a single HCC nodule smaller than or equal to 5 cm or up to
three nodules with each nodule smaller than or equal to 3 cm. Univariate and multivariate logistic regression analyses were conducted and propensity score matching
was performed between those without multiple prior sessions of TACE before ablation (Group 1) and those with such a history (Group 2).
Results: Overall, 694 patients were included in this study. Liver abscesses were developed in four patients, all in Group 2. After performing 2:1 propensity score matching,
149 and 81 patients were selected for Group 1 and 2, respectively. Among these
matched patients, rates of liver abscess development were 0% and 5.1% in Group 1
and 2, respectively. The difference in rate of liver abscess development between the
two groups was statistically significant (p = 0.014).
Conclusion: A history of multiple prior TACE sessions was a potent predictor for liver
abscess formation in patients with HCC after performing RFA. |
| first_indexed | 2024-12-16T12:21:44Z |
| format | Article |
| id | doaj.art-d97c8084a8c14c7f84cc04922443c36d |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-12-16T12:21:44Z |
| publishDate | 2017-10-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-d97c8084a8c14c7f84cc04922443c36d2022-12-21T22:31:56ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282017-10-01774229236https://doi.org/10.3348/jksr.2017.77.4.229Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular CarcinomaJuwon Kim0Mi Young Kim1Yun Ku Cho2Department of Radiology, Seoul Veterans Hospital, Seoul, KoreaDepartment of Radiology, Seoul Veterans Hospital, Seoul, KoreaDepartment of Radiology, Seoul Veterans Hospital, Seoul, KoreaPurpose: To determine prognostic factors for the development of liver abscess formation in patients with hepatocellular carcinoma (HCC) treated with radiofrequency ablation (RFA) focusing on the history of multiple prior sessions of transarterial chemoembolization (TACE). Materials and Methods: Patients were included if RFA was performed from January 2005 to July 2016 for a single HCC nodule smaller than or equal to 5 cm or up to three nodules with each nodule smaller than or equal to 3 cm. Univariate and multivariate logistic regression analyses were conducted and propensity score matching was performed between those without multiple prior sessions of TACE before ablation (Group 1) and those with such a history (Group 2). Results: Overall, 694 patients were included in this study. Liver abscesses were developed in four patients, all in Group 2. After performing 2:1 propensity score matching, 149 and 81 patients were selected for Group 1 and 2, respectively. Among these matched patients, rates of liver abscess development were 0% and 5.1% in Group 1 and 2, respectively. The difference in rate of liver abscess development between the two groups was statistically significant (p = 0.014). Conclusion: A history of multiple prior TACE sessions was a potent predictor for liver abscess formation in patients with HCC after performing RFA.https://doi.org/10.3348/jksr.2017.77.4.229liverhepatocellular carcinomacatheter ablationabscesstherapeutic chemoembolization |
| spellingShingle | Juwon Kim Mi Young Kim Yun Ku Cho Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma 대한영상의학회지 liver hepatocellular carcinoma catheter ablation abscess therapeutic chemoembolization |
| title | Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma |
| title_full | Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma |
| title_fullStr | Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma |
| title_full_unstemmed | Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma |
| title_short | Liver Abscess Formation after Radiofrequency Ablation of Hepatocellular Carcinoma |
| title_sort | liver abscess formation after radiofrequency ablation of hepatocellular carcinoma |
| topic | liver hepatocellular carcinoma catheter ablation abscess therapeutic chemoembolization |
| url | https://doi.org/10.3348/jksr.2017.77.4.229 |
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