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CT Assessment of Diagnostic Findings in Patients with Hepatocellular Carcinoma (HCC)

Natalia Yosifova, Mariya Leonidova, Miryana Kondakova

Abstract

This article evaluates the role of radiofrequency ablation (RFA) in the management of hepatocellular carcinoma (HCC) in patients with hepatitis B-associated cirrhosis. RFA has emerged as a favored therapeutic approach due to its low recurrence rates and applicability in patients unfit for surgical resection. The case report details a patient with a 30 mm lesion, which was effectively treated with RFA under ultrasound guidance, resulting in a significant reduction in size and absence of complications at six-month follow-up. The findings highlight the importance of individualized treatment approaches, interdisciplinary collaboration, and the use of advanced imaging techniques in monitoring therapeutic outcomes.

Keywords

radiofrequency ablation (RFA), hepatocellular carcinoma (HCC), imaging diagnostics, thermal ablation

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References

Zhou Y, Yang Y, Zhou B, Wang Z, Zhu R, Chen X, Ouyang J, Li Q, Zhou J. Challenges facing percutaneous ablation in the treatment of hepatocellular carcinoma: extension of ablation criteria. J Hepatocell Carcinoma. 2021;8:625-44. doi: 10.2147/JHC.S298709.

Hui TC, Kwan J, Pua U. Advanced techniques in the percutaneous ablation of liver tumours. Diagnostics (Basel). 2021 Mar 24;11(4):585. doi: 10.3390/diagnostics11040585.

De Muzio F, Cutolo C, Dell'Aversana F, Grassi F, Ravo L, Ferrante M, Danti G, Flammia F, Simonetti I, Palumbo P, Bruno F, Pierpaoli L, Fusco R, Giovagnoni A, Miele V, Barile A, Granata V. Complications after thermal ablation of hepatocellular carcinoma and liver metastases: imaging findings. Diagnostics (Basel). 2022 May 5;12(5):1151. doi: 10.3390/diagnostics12051151.

Covey AM, Hussain S. Liver-directed therapy for hepatocellular carcinoma: an overview of techniques, outcomes, and post-treatment imaging findings. AJR Am J Roentgenol. 2017;209(1):67-76. doi: 10.2214/AJR.17.17799.

Seror O. Ablative therapies: advantages and disadvantages of radiofrequency, cryotherapy, microwave, and electroporation methods, or how to choose the right method for an individual patient. Diagn Interv Imaging. 2015;96(6):617-24. doi: 10.1016/j.diii.2015.04.007.

Di Muzio B, Chieng R, Knipe H, et al. Percutaneous liver tumor ablation. Radiopaedia.org. Available from: https://doi.org/10.53347/rID-76211.

Ndhlovu E, Zhang B-X, Chen X-P, Zhu P. Thermal ablation for hepatic tumors in high-risk locations. Clin Res Hepatol Gastroenterol. 2024;48(3):102300. doi: 10.1016/j.clinre.2024.102300.

Kinoshita A, Onoda H, Fushiya N, Koike K, Nishino H, Tajiri H. Staging systems for hepatocellular carcinoma: current status and future perspectives. World J Hepatol. 2015 Mar 27;7(3):406-24. doi: 10.4254/wjh.v7.i3.406.

Laimer G, Schullian P, Bale R. Stereotactic thermal ablation of liver tumors: 3D planning, multiple needle approach, and intraprocedural image fusion are the key to success—a narrative review. Biology (Basel). 2021 Jul 10;10(7):644. doi: 10.3390/biology10070644.

Dyankova M. Possible diagnostic pitfalls in 68Ga-PSMA PET/CT interpretation. Varna Med Forum. 2021;10(1):42-49. Proceedings from IX Scientific Session of Medical College of Varna, Suppl. 1.


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