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Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience
Percutaneous image-guided thermal ablation is included in most society guidelines for treatment of hepatocellular carcinoma (HCC). The results of this treatment in terms of efficacy depend on the ability to precisely place the device into the target tumor. Ultrasound (US) is a commonly used imaging...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378322/ https://www.ncbi.nlm.nih.gov/pubmed/37510092 http://dx.doi.org/10.3390/diagnostics13142349 |
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author | Biondetti, Pierpaolo Ascenti, Velio Shehab, Anas Ierardi, Anna Maria Carriero, Serena Lanza, Carolina Angileri, Salvatore Alessio Guzzardi, Giuseppe Carrafiello, Gianpaolo |
author_facet | Biondetti, Pierpaolo Ascenti, Velio Shehab, Anas Ierardi, Anna Maria Carriero, Serena Lanza, Carolina Angileri, Salvatore Alessio Guzzardi, Giuseppe Carrafiello, Gianpaolo |
author_sort | Biondetti, Pierpaolo |
collection | PubMed |
description | Percutaneous image-guided thermal ablation is included in most society guidelines for treatment of hepatocellular carcinoma (HCC). The results of this treatment in terms of efficacy depend on the ability to precisely place the device into the target tumor. Ultrasound (US) is a commonly used imaging guidance modality for its real-time feedback. However, an accurate device deployment remains challenging in some clinical scenarios, including cases of tumors that are undetectable or not clearly visible by US. To overcome this problem, fusion imaging techniques have been developed, which combine images from different modalities. The most widely known technique combines pre-procedural contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) with real-time US scans. Cone beam CT (CBCT) is a technology that can provide intra-procedural cross-sectional images, which can be registered to images from other modalities, including preprocedural CT/MR scans. The aim of our study is to report the preliminary experience on percutaneous microwave ablation (MWA) of patients with HCC that were treated using the “double fusion“ technique, which combines the use of US fusion imaging and CBCT fusion imaging. We describe the technical details, feasibility, safety and short-term efficacy of this technique in a small series of eight patients with 11 HCCs. |
format | Online Article Text |
id | pubmed-10378322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103783222023-07-29 Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience Biondetti, Pierpaolo Ascenti, Velio Shehab, Anas Ierardi, Anna Maria Carriero, Serena Lanza, Carolina Angileri, Salvatore Alessio Guzzardi, Giuseppe Carrafiello, Gianpaolo Diagnostics (Basel) Technical Note Percutaneous image-guided thermal ablation is included in most society guidelines for treatment of hepatocellular carcinoma (HCC). The results of this treatment in terms of efficacy depend on the ability to precisely place the device into the target tumor. Ultrasound (US) is a commonly used imaging guidance modality for its real-time feedback. However, an accurate device deployment remains challenging in some clinical scenarios, including cases of tumors that are undetectable or not clearly visible by US. To overcome this problem, fusion imaging techniques have been developed, which combine images from different modalities. The most widely known technique combines pre-procedural contrast-enhanced computed tomography (CT) or magnetic resonance imaging (MRI) with real-time US scans. Cone beam CT (CBCT) is a technology that can provide intra-procedural cross-sectional images, which can be registered to images from other modalities, including preprocedural CT/MR scans. The aim of our study is to report the preliminary experience on percutaneous microwave ablation (MWA) of patients with HCC that were treated using the “double fusion“ technique, which combines the use of US fusion imaging and CBCT fusion imaging. We describe the technical details, feasibility, safety and short-term efficacy of this technique in a small series of eight patients with 11 HCCs. MDPI 2023-07-12 /pmc/articles/PMC10378322/ /pubmed/37510092 http://dx.doi.org/10.3390/diagnostics13142349 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Technical Note Biondetti, Pierpaolo Ascenti, Velio Shehab, Anas Ierardi, Anna Maria Carriero, Serena Lanza, Carolina Angileri, Salvatore Alessio Guzzardi, Giuseppe Carrafiello, Gianpaolo Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title | Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title_full | Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title_fullStr | Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title_full_unstemmed | Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title_short | Percutaneous Microwave Ablation of Hepatocellular Carcinoma with “Double Fusion” Technique: Technical Note and Single-Center Preliminary Experience |
title_sort | percutaneous microwave ablation of hepatocellular carcinoma with “double fusion” technique: technical note and single-center preliminary experience |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378322/ https://www.ncbi.nlm.nih.gov/pubmed/37510092 http://dx.doi.org/10.3390/diagnostics13142349 |
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