Enhancement of radiofrequency ablation of the liver combined with transarterial embolization using various embolic agents

Verfasser / Beitragende:
[Kuniyasu Irie, Manabu Morimoto, Kazushi Numata, Masaaki Kondo, Satoshi Moriya, Yu Shimoyama, Akito Nozaki, Yoshihiro Goda, Satoshi Kobayashi, Makoto Ueno, Shinichi Ohkawa, Katsuaki Tanaka, Shin Maeda]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1821-1828
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0332-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0332-5 
245 0 0 |a Enhancement of radiofrequency ablation of the liver combined with transarterial embolization using various embolic agents  |h [Elektronische Daten]  |c [Kuniyasu Irie, Manabu Morimoto, Kazushi Numata, Masaaki Kondo, Satoshi Moriya, Yu Shimoyama, Akito Nozaki, Yoshihiro Goda, Satoshi Kobayashi, Makoto Ueno, Shinichi Ohkawa, Katsuaki Tanaka, Shin Maeda] 
520 3 |a Purpose: Reducing blood flow in the liver during radiofrequency ablation causes enlargement of the ablation area. In this animal study, we evaluated the extended effects of radiofrequency ablation combined with transarterial embolization using various embolic agents. Methods: We treated 38 radiofrequency ablation lesions after embolization in 13 pigs using the following embolic agents: gelatin sponge (Group A); iodized oil followed by gelatin sponge (Group B); 700-900µm calibrated microspheres (Group C); and 100-300µm calibrated microspheres (Group D). Lesion size and pathological evaluations of these ablation lesions were compared with those receiving radiofrequency ablation alone (control). Results: Both the long- and short-axis diameters of the ablation lesions for Groups A, B, C, and D were significantly longer than those of controls (long axis/short axis for Groups A, B, C, D, and controls were 27.2/23.2, 30.2/26.0, 28.2/22.2, 32.0/24.4, and 23.2mm/18.5mm, respectively) (P<0.05). The long-axis of the ablation lesion for Group D was significantly longer than those for both Groups A and C (P<0.05). At pathological examination, the central ablation lesions showed coagulative necrosis with a surrounding hemorrhagic rim, and the microspheres were fitted to occlude the small arteries in peripheral liver parenchyma in Groups C and D. Conclusions: The extended effects of embolization with small microspheres may be stronger than those with large microspheres and were equal to those with iodized oil followed by gelatin sponge. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Radiofrequency  |2 nationallicence 
690 7 |a Embolization  |2 nationallicence 
690 7 |a Microspheres  |2 nationallicence 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Coagulation  |2 nationallicence 
690 7 |a Combination  |2 nationallicence 
700 1 |a Irie  |D Kuniyasu  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Morimoto  |D Manabu  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Numata  |D Kazushi  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
700 1 |a Kondo  |D Masaaki  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
700 1 |a Moriya  |D Satoshi  |u Division of Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan  |4 aut 
700 1 |a Shimoyama  |D Yu  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
700 1 |a Nozaki  |D Akito  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
700 1 |a Goda  |D Yoshihiro  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Kobayashi  |D Satoshi  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Ueno  |D Makoto  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Ohkawa  |D Shinichi  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
700 1 |a Tanaka  |D Katsuaki  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
700 1 |a Maeda  |D Shin  |u Division of Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1821-1828  |x 0942-8925  |q 40:6<1821  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0332-5  |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/s00261-014-0332-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Irie  |D Kuniyasu  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morimoto  |D Manabu  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Numata  |D Kazushi  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kondo  |D Masaaki  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moriya  |D Satoshi  |u Division of Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimoyama  |D Yu  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nozaki  |D Akito  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Goda  |D Yoshihiro  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kobayashi  |D Satoshi  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ueno  |D Makoto  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ohkawa  |D Shinichi  |u Department of Hepatobiliary and Pancreatic Oncology, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, 241-8515, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanaka  |D Katsuaki  |u Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maeda  |D Shin  |u Division of Gastroenterology, Yokohama City University Graduate School of Medicine, Yokohama, Japan  |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), 1821-1828  |x 0942-8925  |q 40:6<1821  |1 2015  |2 40  |o 261