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American Journal of Roentgenology, Vol 167, 759-768, Copyright © 1996 by American Roentgen Ray Society

ARTICLES

Percutaneous RF interstitial thermal ablation in the treatment of hepatic cancer

S Rossi, M Di Stasi, E Buscarini, P Quaretti, F Garbagnati, L Squassante, CT Paties, DE Silverman and L Buscarini
Department of Gastroenterology, Hospital of Piacenza, Italy.

OBJECTIVE: The aim of this study was to evaluate the usefulness of RF interstitial thermal ablation for treating hepatic cancer. SUBJECTS AND METHODS: Fifty patients, 39 who had 41 hepatocellular carcinoma nodules and 11 who had 13 hepatic metastatic nodules, underwent RF interstitial thermal ablation. In all but one, a thermal necrosis volume greater than the tumoral nodule volume was created to obtain total tumor destruction. One large tumor was treated for debulking purposes. RESULTS: Hepatocellular carcinoma nodule destruction was achieved in a mean of 3.3 sessions of RF interstitial thermal ablation. During a mean follow-up of 22.6 months (range, 3-66 months), 16 (41%) of 39 patients had recurrences; two (5%) of these patients showed local recurrences and the remaining 14 (36%) had new lesions. Nine of these 16 patients underwent further RF interstitial thermal ablation that proved effective. RF interstitial thermal ablation was also successfully repeated in four patients who had a second recurrence. With RF interstitial thermal ablation, we treated 54 hepatocellular carcinoma nodules in 39 patients. Eleven (28%) of the 39 patients died: five from hepatic failure due to advanced cancer and six from causes other than cancer. Autopsy was performed on three patients who died from causes other than cancer, one had had two new courses of RF interstitial thermal ablation for two new lesions. Gross examination failed to detect two treated tumor nodules; histologic examination of three other treated tumor nodules showed total necrosis in two nodules and a 3-mm focus of viable cancer cells in the other nodule. Cumulative survival curves showed the median survival time to be 44 months. The survival rate for the first year was 0.94, 0.86 for the second year, 0.68 for the third year, and 0.40 for the fourth and fifth years. In the patients treated for metastatic nodules, posttreatment imaging studies showed necrosis that varied from 80% to 100% in all cases. Pathologic studies performed on two patients who underwent surgery after RF interstitial thermal ablation showed 100% necrosis in one case and 80% necrosis in the other. CONCLUSION: RF interstitial thermal ablation is a useful percutaneous treatment for hepatic cancer.
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A. J. Aschoff, A. Sulman, M. Martinez, J. L. Duerk, M. I. Resnick, G. T. MacLennan, and J. S. Lewin
Perfusion-Modulated MR Imaging--Guided Radiofrequency Ablation of the Kidney in a Porcine Model
Am. J. Roentgenol., July 1, 2001; 177(1): 151 - 158.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
T. Livraghi, S. N. Goldberg, L. Solbiati, F. Meloni, T. Ierace, and G. S. Gazelle
Percutaneous Radio-frequency Ablation of Liver Metastases from Breast Cancer: Initial Experience in 24 Patients
Radiology, July 1, 2001; 220(1): 145 - 149.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
M. Nakai, M. Sato, N. Kawai, H. Minamiguchi, M. Masuda, H. Tanihata, T. Takeuchi, M. Terada, and K. Kishi
Hepatocellular Carcinoma: Involvement of the Internal Mammary Artery
Radiology, April 1, 2001; 219(1): 147 - 152.
[Abstract] [Full Text]

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H. Rhim, F. T. Lee Jr., C. Cha, and D. M. Mahvi
Sonography Versus CT for Monitoring Radiofrequency Ablation
Am. J. Roentgenol., April 1, 2001; 176(4): 1077 - 1078.
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A. Cuschieri
In Situ Ablation of Hepatic Tumors
Surgical Innovation, March 1, 2001; 8(1): 25 - 41.
[Abstract] [PDF]

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 The OncologistHome page
A. J. Bilchik, T. F. Wood, and D. P. Allegra
Radiofrequency Ablation of Unresectable Hepatic Malignancies: Lessons Learned
Oncologist, February 1, 2001; 6(1): 24 - 33.
[Abstract] [Full Text]

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J. P. McGahan and G. D. Dodd III
Radiofrequency Ablation of the Liver: Current Status
Am. J. Roentgenol., January 1, 2001; 176(1): 3 - 16.
[Full Text]

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 RadiologyHome page
G. S. Gazelle, S. N. Goldberg, L. Solbiati, and T. Livraghi
Tumor Ablation with Radio-frequency Energy
Radiology, December 1, 2000; 217(3): 633 - 646.
[Abstract] [Full Text]

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 RadiologyHome page
B. S. Kuszyk, J. K. Boitnott, M. A. Choti, D. A. Bluemke, S. Sheth, C. A. Magee, K. M. Horton, J. Eng, and E. K. Fishman
Local Tumor Recurrence Following Hepatic Cryoablation: Radiologic-histopathologic Correlation in a Rabbit Model
Radiology, November 1, 2000; 217(2): 477 - 486.
[Abstract] [Full Text]

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D. Choi, H. K. Lim, S. H. Kim, W. J. Lee, H.-J. Jang, J. Y. Lee, S. W. Paik, K. C. Koh, and J. H. Lee
Hepatocellular Carcinoma Treated with Percutaneous Radio-frequency Ablation: Usefulness of Power Doppler US with a Microbubble Contrast Agent in Evaluating Therapeutic Response-Preliminary Results
Radiology, November 1, 2000; 217(2): 558 - 563.
[Abstract] [Full Text]

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S. S. Raman, D. S. K. Lu, D. J. Vodopich, J. Sayre, and C. Lassman
Creation of Radiofrequency Lesions in a Porcine Model: Correlation with Sonography, CT, and Histopathology
Am. J. Roentgenol., November 1, 2000; 175(5): 1253 - 1258.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
S. Rossi, F. Garbagnati, R. Lencioni, H.-P. Allgaier, A. Marchianò, F. Fornari, P. Quaretti, G. D. Tolla, C. Ambrosi, V. Mazzaferro, et al.
Percutaneous Radio-frequency Thermal Ablation of Nonresectable Hepatocellular Carcinoma after Occlusion of Tumor Blood Supply
Radiology, October 1, 2000; 217(1): 119 - 126.
[Abstract] [Full Text]

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C. H. Cha, F. T. Lee Jr., J. M. Gurney, B. K. Markhardt, T. F. Warner, F. Kelcz, and D. M. Mahvi
CT Versus Sonography for Monitoring Radiofrequency Ablation in a Porcine Liver
Am. J. Roentgenol., September 1, 2000; 175(3): 705 - 711.
[Abstract] [Full Text] [PDF]

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 Arch SurgHome page
A. J. Bilchik, T. F. Wood, D. Allegra, G. J. Tsioulias, M. Chung, D. M. Rose, K. P. Ramming, and D. L. Morton
Cryosurgical Ablation and Radiofrequency Ablation for Unresectable Hepatic Malignant Neoplasms: A Proposed Algorithm
Arch Surg, June 1, 2000; 135(6): 657 - 664.
[Abstract] [Full Text] [PDF]

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G. D. Dodd III, M. C. Soulen, R. A. Kane, T. Livraghi, W. R. Lees, Y. Yamashita, A. R. Gillams, O. I. Karahan, and H. Rhim
Minimally Invasive Treatment of Malignant Hepatic Tumors: At the Threshold of a Major Breakthrough
RadioGraphics, January 1, 2000; 20(1): 9 - 27.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
E. M. Merkle, J. R. Haaga, J. L. Duerk, G. H. Jacobs, H.-J. Brambs, and J. S. Lewin
MR Imaging-guided Radio-frequency Thermal Ablation in the Pancreas in a Porcine Model with a Modified Clinical C-Arm System
Radiology, November 1, 1999; 213(2): 461 - 467.
[Abstract] [Full Text]

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 RadiologyHome page
L. Solbiati, S. N. Goldberg, T. Ierace, M. Dellanoce, T. Livraghi, and G. S. Gazelle
Radio-frequency Ablation of Hepatic Metastases: Postprocedural Assessment with a US Microbubble Contrast Agent—Early Experience
Radiology, June 1, 1999; 211(3): 643 - 649.
[Abstract] [Full Text]

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 RadiologyHome page
F. T. Lee Jr, S. G. Chosy, P. J. Littrup, T. F. Warner, J. E. Kuhlman, and D. M. Mahvi
CT-monitored Percutaneous Cryoablation in a Pig Liver Model: Pilot Study
Radiology, June 1, 1999; 211(3): 687 - 692.
[Abstract] [Full Text]

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S. S. Yoon and K. K. Tanabe
Surgical Treatment and Other Regional Treatments for Colorectal Cancer Liver Metastases
Oncologist, June 1, 1999; 4(3): 197 - 208.
[Abstract] [Full Text]

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 RadiologyHome page
T. Livraghi, S. N. Goldberg, S. Lazzaroni, F. Meloni, L. Solbiati, and G. S. Gazelle
Small Hepatocellular Carcinoma: Treatment with Radio-frequency Ablation versus Ethanol Injection
Radiology, March 1, 1999; 210(3): 655 - 661.
[Abstract] [Full Text]

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 SURG INNOVHome page
L. Buscarini and S. Rossi
Technology for Radiofrequency Thermal Ablation of Liver Tumors
Surgical Innovation, June 1, 1997; 4(2): 96 - 101.
[Abstract] [PDF]

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 RadiologyHome page
H. K. Lim, D. Choi, W. J. Lee, S. H. Kim, S. J. Lee, H.-J. Jang, J.-H. Lee, J. H. Lim, and I. W. Choo
Hepatocellular Carcinoma Treated with Percutaneous Radio-frequency Ablation: Evaluation with Follow-up Multiphase Helical CT
Radiology, November 1, 2001; 221(2): 447 - 454.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
C. M. Pacella, G. Bizzarri, F. Magnolfi, P. Cecconi, B. Caspani, V. Anelli, A. Bianchini, D. Valle, S. Pacella, G. Manenti, et al.
Laser Thermal Ablation in the Treatment of Small Hepatocellular Carcinoma: Results in 74 Patients
Radiology, December 1, 2001; 221(3): 712 - 720.
[Abstract] [Full Text] [PDF]

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 RadiologyHome page
C. Dromain, T. de Baere, D. Elias, V. Kuoch, M. Ducreux, V. Boige, P. Petrow, A. Roche, and R. Sigal
Hepatic Tumors Treated with Percutaneous Radio-frequency Ablation: CT and MR Imaging Follow-up
Radiology, April 1, 2002; 223(1): 255 - 262.
[Abstract] [Full Text] [PDF]

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T. Shibata, Y. Iimuro, Y. Yamamoto, Y. Maetani, F. Ametani, K. Itoh, and J. Konishi
Small Hepatocellular Carcinoma: Comparison of Radio-frequency Ablation and Percutaneous Microwave Coagulation Therapy
Radiology, May 1, 2002; 223(2): 331 - 337.
[Abstract] [Full Text] [PDF]


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