No-Touch Radiofrequency Ablation for Early Hepatocellular Carcinoma: 2023 Korean Society of Image-Guided Tumor Ablation Guidelines

被引：12

作者：

Han, Seungchul ^{[1
,2
]}

Lee, Min Woo ^{[1
,2
,3
]}

Lee, Young Joon ^{[4
]}

Hong, Hyun Pyo ^{[5
]}

Lee, Dong Ho ^{[6
,7
]}

Lee, Jeong Min ^{[6
,7
,8
,9
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Dept Radiol, Seoul, South Korea

[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Ctr Imaging Sci, Seoul, South Korea

[3] Sungkyunkwan Univ, Samsung Adv Inst Hlth Sci & Technol, Dept Hlth Sci & Technol, Seoul, South Korea

[4] Catholic Univ Korea, Eunpyeong St Marys Hosp, Coll Med, Dept Radiol, Seoul, South Korea

[5] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Sch Med, Dept Radiol, Seoul, South Korea

[6] Seoul Natl Univ Hosp, Dept Radiol, Seoul, South Korea

[7] Seoul Natl Univ, Coll Med, Dept Radiol, Seoul, South Korea

[8] Seoul Natl Univ, Med Res Ctr, Inst Radiat Med, Seoul, South Korea

[9] Seoul Natl Univ, Coll Med, Dept Radiol, 103 Daehak Ro, Seoul 03080, South Korea

来源：

KOREAN JOURNAL OF RADIOLOGY | 2023年 / 24卷 / 08期

关键词：

Hepatocellular carcinoma; No-touch radiofrequency ablation; Guideline; MULTIPLE ELECTRODES; ARTIFICIAL ASCITES; LIVER-TUMORS; GRADE; SONOGRAPHY; MONOPOLAR; QUALITY; US; CT; MALIGNANCIES;

D O I：

10.3348/kjr.2023.0423

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Radiofrequency ablation (RFA) has been widely used to manage hepatocellular carcinomas (HCCs) equal to or smaller than 3 cm. No-touch RFA has gained attention and has recently been implemented in local ablation therapy for HCCs, despite its technical complexity, as it provides improved local tumor control compared to conventional tumor-puncturing RFA. This article presents the practice guidelines for performing no-touch RFA for HCCs, which have been endorsed by the Korean Society of Image-Guided Tumor Ablation (KSITA). The guidelines are primarily designed to assist interventional oncologists and address the limitations of conventional tumor-puncturing RFA with describing the fundamental principles, various energy delivery methods, and clinical outcomes of no-touch RFA. The clinical outcomes include technical feasibility, local tumor progression rates, survival outcomes, and potential complications.

引用

页码：719 / 728

页数：10

共 57 条

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