Assessment of the ablated area after radiofrequency ablation by contrast-enhanced sonography; comparison with virtual sonography with magnetic navigation.

This study investigated whether contrast-enhanced sonography can accurately predict the ablated area by radiofrequency ablation using virtual sonography by computed tomography as a gold standard. Thirty-one hepatocellular carcinoma nodules were treated by radiofrequency ablation and then examined. The defect of contrast-enhanced sonography (puncture direction: r=.868, P<.0001; perpendicular direction; r=.925, P<.0001) was closely correlated with the unenhanced area of virtual sonography. Contrast-enhanced sonography can be used for early and accurate prediction of the ablated area and is helpful for assessing local control of radiofrequency ablation.

[1]  P R Mueller,et al.  Treatment of intrahepatic malignancy with radiofrequency ablation , 2000, Cancer.

[2]  Wang Qi,et al.  Percutaneous Radiofrequency Ablation for Hepatocellular Carcinoma in Elderly Patients , 2009 .

[3]  Takamichi Murakami,et al.  Effectiveness of real‐time virtual sonography‐guided radiofrequency ablation treatment for patients with hepatocellular carcinomas , 2008, Hepatology research : the official journal of the Japan Society of Hepatology.

[4]  Y. Imai,et al.  Assessment of treatment efficacy in radiofrequency ablation for hepatocellular carcinoma: Comparison between multiplanar reconstruction by multi-detector row CT and contrast-enhanced ultrasonography by Truagent detection mode. , 2006, Hepatology research : the official journal of the Japan Society of Hepatology.

[5]  C D Claussen,et al.  Magnetic resonance imaging for hepatic radiofrequency ablation. , 2006, European journal of radiology.

[6]  G. Gazelle,et al.  Thermal ablation therapy for focal malignancy: a unified approach to underlying principles, techniques, and diagnostic imaging guidance. , 2000, AJR. American journal of roentgenology.

[7]  Carlo Bartolozzi,et al.  Small hepatocellular carcinoma in cirrhosis: randomized comparison of radio-frequency thermal ablation versus percutaneous ethanol injection. , 2003, Radiology.

[8]  S. Koscielny,et al.  Role of contrast-enhanced color Doppler ultrasonography and dynamic flow in the evaluation of hepatic tumors treated with radiofrequency , 2005, Cancer imaging : the official publication of the International Cancer Imaging Society.

[9]  M. Kudo,et al.  Contrast-enhanced subtraction harmonic sonography for evaluating treatment response in patients with hepatocellular carcinoma. , 2001, AJR. American journal of roentgenology.

[10]  Toshio Imada,et al.  Treatment of hepatocellular carcinoma with radiofrequency ablation: Radiologic‐histologic correlation during follow‐up periods , 2002, Hepatology.

[11]  F. Moriyasu,et al.  Analysis of flash echo from contrast agent for designing optimal ultrasound diagnostic systems. , 1999, Ultrasound in medicine & biology.

[12]  J. Bruix,et al.  Initial response to percutaneous ablation predicts survival in patients with hepatocellular carcinoma , 2004, Hepatology.

[13]  M. Kudo New sonographic techniques for the diagnosis and treatment of hepatocellular carcinoma , 2007, Hepatology Research.

[14]  K. Hosho,et al.  Qualitative assessment of tumor vascularity in hepatocellular carcinoma by contrast-enhanced coded ultrasound: comparison with arterial phase of dynamic CT and conventional color/power Doppler ultrasound , 2004, European Radiology.

[15]  J. Bruix,et al.  Is microbubble-enhanced ultrasonography sufficient for assessment of response to percutaneous treatment in patients with early hepatocellular carcinoma? , 2006, European Radiology.

[16]  D. Lu,et al.  Interpretation of CT and MRI after radiofrequency ablation of hepatic malignancies. , 2003, AJR. American journal of roentgenology.

[17]  P. Burns,et al.  Radiofrequency ablation of hepatocellular carcinoma: predicting success using contrast-enhanced sonography. , 2006, AJR. American journal of roentgenology.

[18]  A Paolicchi,et al.  Hepatocellular carcinoma treatment with percutaneous ethanol injection: evaluation with contrast-enhanced color Doppler US. , 1998, Radiology.

[19]  N. Horiike,et al.  Abdominal virtual ultrasonographic images reconstructed by multi-detector row helical computed tomography. , 2005, European journal of radiology.

[20]  Luigi Solbiati,et al.  Guidance and monitoring of radiofrequency liver tumor ablation with contrast-enhanced ultrasound. , 2004, European journal of radiology.