Coil-Assisted RFA of Poorly Visible Liver Tumors: Effectiveness and Risk Factors of Local Tumor Progression

详细信息    查看全文

• 作者：Geoffroy Farouil (1)
  Frederic Deschamps (1)
  Antoine Hakime (1)
  Thierry de Baere (1)
  
• 关键词：Coils ; Radiofrequency ablation ; Computed tomography ; Ultrasound ; Invisible
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：37
• 期：3
• 页码：716-722
• 全文大小：
• 参考文献：1. Feng K, Yan J, Li X et al (2012) A randomized controlled trial of radiofrequency ablation and surgical resection in the treatment of small hepatocellular carcinoma. J Hepatol 57(4):794-02 CrossRef
  2. Cirocchi R, Trastulli S, Boselli C et al (2012) Radiofrequency ablation in the treatment of liver metastases from colorectal cancer. Cochrane Database Syst Rev 6:CD006317
  3. Sato M, Watanabe Y, Tokui K, Kawachi K, Sugata S, Ikezoe J (2000) CT-guided treatment of ultrasonically invisible hepatocellular carcinoma. Am J Gastroenterol 95(8):2102-106 CrossRef
  4. Park BJ, Byun JH, Jin YH et al (2009) CT-guided radiofrequency ablation for hepatocellular carcinomas that were undetectable at US: therapeutic effectiveness and safety. J Vasc Interv Radiol 20(4):490-99 CrossRef
  5. Stattaus J, Kuehl H, Ladd S et al (2007) CT-guided biopsy of small liver lesions: visibility, artifacts, and corresponding diagnostic accuracy. Cardiovasc Intervent Radiol 30(5):928-35 CrossRef
  6. Adam A, Hatzidakis A, Hamady M, Sabharwal T, Gangi A (2004) Percutaneous coil placement prior to radiofrequency ablation of poorly visible hepatic tumors. Eur Radiol 14(9):1688-691 CrossRef
  7. Goldberg SN, Grassi CJ, Cardella JF et al (2009) Image-guided tumor ablation: standardization of terminology and reporting criteria. J Vasc Interv Radiol 20(7 Suppl):S377–S390 CrossRef
  8. Boll DT, Lewin JS, Duerk JL, Merkle EM (2003) Do surgical clips interfere with radiofrequency thermal ablation? AJR Am J Roentgenol 180(6):1557-560 CrossRef
  9. Hohmann J, Albrecht T, Hoffmann CW, Wolf KJ (2003) Ultrasonographic detection of focal liver lesions: increased sensitivity and specificity with microbubble contrast agents. Eur J Radiol 46(2):147-59 CrossRef
  10. Rhim H, Lee MH, Kim YS, Choi D, Lee WJ, Lim HK (2008) Planning sonography to assess the feasibility of percutaneous radiofrequency ablation of hepatocellular carcinomas. AJR Am J Roentgenol 190(5):1324-330 CrossRef
  11. Lee MW, Kim YJ, Park HS et al (2010) Targeted sonography for small hepatocellular carcinoma discovered by CT or MRI: factors affecting sonographic detection. AJR Am J Roentgenol 194(5):W396–W400 CrossRef
  12. Kim PN, Choi D, Rhim H et al (2012) Planning ultrasound for percutaneous radiofrequency ablation to treat small (??cm) hepatocellular carcinomas detected on computed tomography or magnetic resonance imaging: a multicenter prospective study to assess factors affecting ultrasound visibility. J Vasc Interv Radiol 23(5):627-34 CrossRef
  13. de Baere T, Dromain C, Lapeyre M et al (2005) Artificially induced pneumothorax for percutaneous transthoracic radiofrequency ablation of tumors in the hepatic dome: initial experience. Radiology 236(2):666-70 CrossRef
  14. Wang ZY, Sun WB, Li MY, Zhang XX, Ding XM (2008) Percutaneous extrapulmonary radiofrequency ablation for tumors in the hepatic dome. Hepatogastroenterology 55(85):1164-166
  15. Schweiger GD, Brown BP, Pelsang RE, Dhadha RS, Barloon TJ, Wang G (2000) CT fluoroscopy: technique and utility in guiding biopsies of transiently enhancing hepatic masses. Abdom Imaging 25(1):81-5 CrossRef
  16. Solomon SB, Bohlman ME, Choti MA (2002) Percutaneous gadolinium injection under MR guidance to mark target for CT-guided radiofrequency ablation. J Vasc Interv Radiol 13(4):419-21 CrossRef
  17. Prior JO, Kosinski M, Delaloye AB, Denys A (2007) Initial report of PET/CT-guided radiofrequency ablation of liver metastases. J Vasc Interv Radiol 18(6):801-03 CrossRef
  18. Hakime A, Deschamps F, De Carvalho EG, Teriitehau C, Auperin A, De Baere T (2011) Clinical evaluation of spatial accuracy of a fusion imaging technique combining previously acquired computed tomography and real-time ultrasound for imaging of liver metastases. Cardiovasc Intervent Radiol 34(2):338-44 CrossRef
  19. Lee MW, Rhim H, Cha DI et al (2012) Percutaneous radiofrequency ablation of hepatocellular carcinoma: fusion imaging guidance for management of lesions with poor conspicuity at conventional sonography. AJR Am J Roentgenol 198(6):1438-444 CrossRef
  20. Minami Y, Chung H, Kudo M et al (2008) Radiofrequency ablation of hepatocellular carcinoma: value of virtual CT sonography with magnetic navigation. AJR Am J Roentgenol 190(6):W335–W341 CrossRef
  21. Nakai M, Sato M, Sahara S et al (2009) Radiofrequency ablation assisted by real-time virtual sonography and CT for hepatocellular carcinoma undetectable by conventional sonography. Cardiovasc Intervent Radiol 32(1):62-9 CrossRef
  22. Pietryga JA, Beland MD, Dupuy DE, Mayo-Smith WW (2012) Placement of marker coils at biopsy: usefulness in the localization of poorly visualized renal neoplasms for subsequent CT-guided radiofrequency ablation. Radiology 263(2):555-61 CrossRef
  23. de Baere T, Deschamps F, Briggs P et al (2008) Hepatic malignancies: percutaneous radiofrequency ablation during percutaneous portal or hepatic vein occlusion. Radiology 248(3):1056-066 CrossRef
  24. de Baere T, Elias D, Dromain C et al (2000) Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1?year. AJR Am J Roentgenol 175(6):1619-625 CrossRef
  25. Nakazawa T, Kokubu S, Shibuya A et al (2007) Radiofrequency ablation of hepatocellular carcinoma: correlation between local tumor progression after ablation and ablative margin. AJR Am J Roentgenol 188(2):480-88 CrossRef
  26. Petsas T, Tsota I, Kalogeropoulou CP, Liatsikos EN (2007) Application of a new guiding system in percutaneous biopsies. Cardiovasc Intervent Radiol 30(2):276-80 CrossRef
  
• 作者单位：Geoffroy Farouil (1)
  Frederic Deschamps (1)
  Antoine Hakime (1)
  Thierry de Baere (1)
  
  1. Department of Interventional Radiology, Institut Gustave Roussy, 114 Rue Edouard Vaillant, 94805, Villejuif Cedex, France
  
• ISSN：1432-086X

文摘

Objectives This study was designed to determine the effectiveness of a percutaneously inserted coil as a landmark before radiofrequency ablation (RFA) of poorly visible liver tumors on unenhanced computed tomography and ultrasound. Methods This was a single-center, retrospective study of 46 consecutive patients treated from January 2008 to June 2012 with RFA under CT guidance for 57 poorly visible liver tumors after percutaneous coil insertion. Effectiveness was evaluated by the rate of local tumor progression (LTP), and the risk factors of LTP were evaluated by multiple univariate analysis. Results After a mean follow-up of 15.9?months, the overall rate of LTP was 22.8?% (13/57). An increase in the distance between the coil and the center of the tumor was a predictive factor of LTP (p?=?0.005) and resulted in an increase in time to place the RFA probe. LTP was significantly reduced in case of coil placed within the tumor (10 vs. 43.5?%, p?=?0.009). Conclusions The effectiveness of the “coil-assisted-RFA for poorly visible liver tumors is improved by centering the coil in the tumor in order to facilitate the placement of the RFA probe and equal to the results of RFA under direct image guidance.