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1.
Minim Invasive Ther Allied Technol ; 31(6): 894-901, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34726557

ABSTRACT

INTRODUCTION: We evaluated the safety margin in patients with hepatocellular carcinoma (HCC) in the hepatic dome who underwent computed tomography (CT)- or ultrasound (US)-guided radiofrequency ablation (RFA). MATERIAL AND METHODS: Included in this single-center study were 46 patients with 56 HCCs in the hepatic dome undergoing RFA after transarterial chemoembolization from January 2009 to December 2016. Thirty were addressed with CT fluoroscopy and 26 with US guidance. The technical success, safety margin, and local tumor progression (LTP) were evaluated. RESULTS: Technical success rate was 100% in the CT-RFA and 84.6% in the US-RFA group (p = .04). The average safety margin was 4.8 mm in the CT-RFA and 3.0 mm in the US-RFA group (p = .01). There was no LTP among the HCCs with a safety margin >3 mm achieved in 73.3% CT-RFA and 42.3% US-RFA group tumors (p = .03). Of the US-RFA group, six required additional RFA. There was no significant inter-group difference in LTP (p = .36). CONCLUSION: CT-guided RFA was superior to US-guided RFA with respect to the technical success rate and the acquisition of an appropriate safety margin in patients with HCC in the hepatic dome.


Subject(s)
Carcinoma, Hepatocellular , Catheter Ablation , Chemoembolization, Therapeutic , Liver Neoplasms , Radiofrequency Ablation , Carcinoma, Hepatocellular/pathology , Carcinoma, Hepatocellular/surgery , Catheter Ablation/methods , Chemoembolization, Therapeutic/methods , Humans , Liver Neoplasms/pathology , Liver Neoplasms/surgery , Retrospective Studies , Tomography, X-Ray Computed/methods , Treatment Outcome
2.
Radiology ; 249(1): 294-300, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18695206

ABSTRACT

The purpose of the study was to determine the accuracy of half-Fourier single-shot rapid acquisition with relaxation enhancement high-spatial-resolution magnetic resonance (MR) imaging performed with a microscopy coil in the diagnosis of narrow anterior chamber angle in patients with glaucoma. Slit-lamp biomicroscopy served as the reference standard. The institutional review board approved this study, and written informed consent was obtained from the 20 recruited patients. There was excellent agreement between MR gonioscopy and slit-lamp biomicroscopy in the classification of anterior chamber angles as narrow or open (kappa = 0.89 [95% confidence interval: 0.69, 1.10]). MR gonioscopy has substantial potential as a technique used to evaluate glaucoma.


Subject(s)
Anterior Chamber/pathology , Glaucoma/pathology , Gonioscopy/methods , Magnetic Resonance Imaging/methods , Adult , Aged , Aged, 80 and over , Diagnostic Techniques, Ophthalmological , Female , Fourier Analysis , Humans , Male , Middle Aged
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