Comparative evaluation of three-dimensional Gd-EOB-DTPA-enhanced MR fusion imaging with CT fusion imaging in the assessment of treatment effect of radiofrequency ablation of hepatocellular carcinoma

Verfasser / Beitragende:
[Yuki Makino, Yasuharu Imai, Takumi Igura, Masatoshi Hori, Kazuto Fukuda, Yoshiyuki Sawai, Sachiyo Kogita, Norihiko Fujita, Tetsuo Takehara, Takamichi Murakami]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/1(2015-01-01), 102-111
Format:
Artikel (online)
ID: 605492115
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024 7 0 |a 10.1007/s00261-014-0201-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0201-2 
245 0 0 |a Comparative evaluation of three-dimensional Gd-EOB-DTPA-enhanced MR fusion imaging with CT fusion imaging in the assessment of treatment effect of radiofrequency ablation of hepatocellular carcinoma  |h [Elektronische Daten]  |c [Yuki Makino, Yasuharu Imai, Takumi Igura, Masatoshi Hori, Kazuto Fukuda, Yoshiyuki Sawai, Sachiyo Kogita, Norihiko Fujita, Tetsuo Takehara, Takamichi Murakami] 
520 3 |a Purpose: To assess the feasibility of fusion of pre- and post-ablation gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging (Gd-EOB-DTPA-MRI) to evaluate the effects of radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC), compared with similarly fused CT images Patients and methods: This retrospective study included 67 patients with 92 HCCs treated with RFA. Fusion images of pre- and post-RFA dynamic CT, and pre- and post-RFA Gd-EOB-DTPA-MRI were created, using a rigid registration method. The minimal ablative margin measured on fusion imaging was categorized into three groups: (1) tumor protruding outside the ablation zone boundary, (2) ablative margin 0-<5.0mm beyond the tumor boundary, and (3) ablative margin ≥5.0mm beyond the tumor boundary. The categorization of minimal ablative margins was compared between CT and MR fusion images. Results: In 57 (62.0%) HCCs, treatment evaluation was possible both on CT and MR fusion images, and the overall agreement between them for the categorization of minimal ablative margin was good (κ coefficient=0.676, P<0.01). MR fusion imaging enabled treatment evaluation in a significantly larger number of HCCs than CT fusion imaging (86/92 [93.5%] vs. 62/92 [67.4%], P<0.05). Conclusions: Fusion of pre- and post-ablation Gd-EOB-DTPA-MRI is feasible for treatment evaluation after RFA. It may enable accurate treatment evaluation in cases where CT fusion imaging is not helpful. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Radiofrequency ablation  |2 nationallicence 
690 7 |a Fusion imaging  |2 nationallicence 
690 7 |a Ablative margin  |2 nationallicence 
690 7 |a Gd-EOB-DTPA  |2 nationallicence 
700 1 |a Makino  |D Yuki  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Imai  |D Yasuharu  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Igura  |D Takumi  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Hori  |D Masatoshi  |u Department of Radiology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
700 1 |a Fukuda  |D Kazuto  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Sawai  |D Yoshiyuki  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Kogita  |D Sachiyo  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Fujita  |D Norihiko  |u Department of Radiology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
700 1 |a Takehara  |D Tetsuo  |u Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
700 1 |a Murakami  |D Takamichi  |u Department of Radiology, Kinki University Faculty of Medicine, 377-2, Ohnohigashi, 589-8511, Osaka-sayama, Osaka, Japan  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/1(2015-01-01), 102-111  |x 0942-8925  |q 40:1<102  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0201-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0201-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Makino  |D Yuki  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imai  |D Yasuharu  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Igura  |D Takumi  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hori  |D Masatoshi  |u Department of Radiology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fukuda  |D Kazuto  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sawai  |D Yoshiyuki  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kogita  |D Sachiyo  |u Department of Gastroenterology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fujita  |D Norihiko  |u Department of Radiology, Ikeda Municipal Hospital, 3-1-18, Johnan, 563-8510, Ikeda, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takehara  |D Tetsuo  |u Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Murakami  |D Takamichi  |u Department of Radiology, Kinki University Faculty of Medicine, 377-2, Ohnohigashi, 589-8511, Osaka-sayama, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/1(2015-01-01), 102-111  |x 0942-8925  |q 40:1<102  |1 2015  |2 40  |o 261