Ablation therapy of hepatocellular carcinoma: a comparative study between radiofrequency and microwave ablation

Verfasser / Beitragende:
[Thomas Vogl, Parviz Farshid, Nagy Naguib, Stefan Zangos, Boris Bodelle, Jijo Paul, Emannuel Mbalisike, Martin Beeres, Nour-Eldin Nour-Eldin]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1829-1837
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0355-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0355-6 
245 0 0 |a Ablation therapy of hepatocellular carcinoma: a comparative study between radiofrequency and microwave ablation  |h [Elektronische Daten]  |c [Thomas Vogl, Parviz Farshid, Nagy Naguib, Stefan Zangos, Boris Bodelle, Jijo Paul, Emannuel Mbalisike, Martin Beeres, Nour-Eldin Nour-Eldin] 
520 3 |a Purpose: The aim of the study is to retrospectively evaluate and compare the therapeutic response of Radiofrequency (RF) and Microwave (MW) ablation therapy of hepatocellular carcinoma (HCC). Materials and Methods: 53 consecutive patients (42 males, 11 females; mean age 59years, range: 40-68, SD: 4.2) underwent CT-guided percutaneous RF and MW ablation of 68 HCC liver lesions. The morphologic tumor response (number, location and size) was evaluated by magnetic resonance imaging. The follow-up protocol was 24h post-ablation then within 3 monthly intervals post-ablation in the first year and 6 monthly intervals thereafter. Results: Complete therapeutic response was noted in 84.4% (27/32) of lesions treated with RFA and in 88.9% (32/36) of lesions treated with MW ablation (P=0.6). Complete response was achieved in all lesions ≤2.0cm in diameter in both groups. There was no significant difference in rates of residual foci of HCC lesions between RF and MW ablation groups (P=0.15, Log-rank test). Recurrence rate for 3, 6, 9, and 12months in patients with HCC who underwent RF ablation compared with MW ablation were 6.3%, 3.1%, 3.1% versus 0%, 5.6%, 2.8%, and 2.8%. Progression-Free Survival rates for treated patients with RF ablation of 1, 2, and 3years were 96.9%, 93.8%, and 90.6% and treated with MW ablation therapy were 97.2%, 94.5%, and 91.7, respectively (P=0.98). Conclusion: In conclusion, RF and MW ablation therapy showed no significant difference in the treatment of HCC regarding the complete response, rates of residual foci of untreated disease, and recurrence rate. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Microwave  |2 nationallicence 
690 7 |a Radiofrequency  |2 nationallicence 
690 7 |a Ablation  |2 nationallicence 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
700 1 |a Vogl  |D Thomas  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Farshid  |D Parviz  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Naguib  |D Nagy  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Zangos  |D Stefan  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Bodelle  |D Boris  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Paul  |D Jijo  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Mbalisike  |D Emannuel  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Beeres  |D Martin  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
700 1 |a Nour-Eldin  |D Nour-Eldin  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1829-1837  |x 0942-8925  |q 40:6<1829  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0355-6  |q text/html  |z Onlinezugriff via DOI 
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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/s00261-015-0355-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vogl  |D Thomas  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Farshid  |D Parviz  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naguib  |D Nagy  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zangos  |D Stefan  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bodelle  |D Boris  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Paul  |D Jijo  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mbalisike  |D Emannuel  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Beeres  |D Martin  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nour-Eldin  |D Nour-Eldin  |u Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1829-1837  |x 0942-8925  |q 40:6<1829  |1 2015  |2 40  |o 261