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- Publisher Website: 10.21037/hbsn.2020.03.11
- PMID: 33898560
- WOS: WOS:000637752000006
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Article: A review on radiofrequency, microwave and high-intensity focused ultrasound ablations for hepatocellular carcinoma with cirrhosis
Title | A review on radiofrequency, microwave and high-intensity focused ultrasound ablations for hepatocellular carcinoma with cirrhosis |
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Authors | |
Keywords | High-intensity focused ultrasound (HIFU) Hepatocellular carcinoma (HCC) Liver cancer Radiofrequency ablation (RFA) Microwave ablation (MWA) |
Issue Date | 2021 |
Publisher | AME Publishing Company. The Journal's web site is located at https://hbsn.amegroups.com/ |
Citation | Hepatobiliary Surgery and Nutrition, 2021, v. 10 n. 2, p. 193-209 How to Cite? |
Abstract | Hepatocellular carcinoma (HCC) is usually accompanied by liver cirrhosis, which makes treatment of this disease challenging. Liver transplantation theoretically provides an ultimate solution to the disease, but the maximal surgical stress and the scarcity of liver graft make this treatment option impossible for some patients. In an ideal situation, a treatment that is safe and effective should provide a better outcome for patients with the dilemma.
Objective
This article aims to give a comprehensive review of various types of loco-ablative treatment for HCC.
Evidence Review
Loco-ablative treatment bridges the gap between surgical resection and transarterial chemotherapy. Various types of ablative therapy have their unique ability, and evidence-based outcome analysis is the most important key to assisting clinicians to choose the most suitable treatment modality for their patients.
Findings
Radiofrequency ablation (RFA) has a relatively longer history and more evidence to support its effectiveness. Microwave ablation (MWA) is gaining momentum because of its shorter ablation time and consistent ablation zone. High-intensity focused ultrasound (HIFU) ablation is a relatively new technology that provides non-invasive treatment for patients with HCC. It has been carried out at centers of excellence and it is a safe and effective treatment option for selected patients with HCC and liver cirrhosis.
Conclusion and Relevance
Selective use of different loco-ablative therapies will enhance clinicians’ treatment options for treatment of HCC. |
Persistent Identifier | http://hdl.handle.net/10722/304759 |
ISSN | 2023 Impact Factor: 6.1 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Cheung, TT | - |
dc.contributor.author | Ma, KW | - |
dc.contributor.author | She, WH | - |
dc.date.accessioned | 2021-10-05T02:34:46Z | - |
dc.date.available | 2021-10-05T02:34:46Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | Hepatobiliary Surgery and Nutrition, 2021, v. 10 n. 2, p. 193-209 | - |
dc.identifier.issn | 2304-389X | - |
dc.identifier.uri | http://hdl.handle.net/10722/304759 | - |
dc.description.abstract | Hepatocellular carcinoma (HCC) is usually accompanied by liver cirrhosis, which makes treatment of this disease challenging. Liver transplantation theoretically provides an ultimate solution to the disease, but the maximal surgical stress and the scarcity of liver graft make this treatment option impossible for some patients. In an ideal situation, a treatment that is safe and effective should provide a better outcome for patients with the dilemma. Objective This article aims to give a comprehensive review of various types of loco-ablative treatment for HCC. Evidence Review Loco-ablative treatment bridges the gap between surgical resection and transarterial chemotherapy. Various types of ablative therapy have their unique ability, and evidence-based outcome analysis is the most important key to assisting clinicians to choose the most suitable treatment modality for their patients. Findings Radiofrequency ablation (RFA) has a relatively longer history and more evidence to support its effectiveness. Microwave ablation (MWA) is gaining momentum because of its shorter ablation time and consistent ablation zone. High-intensity focused ultrasound (HIFU) ablation is a relatively new technology that provides non-invasive treatment for patients with HCC. It has been carried out at centers of excellence and it is a safe and effective treatment option for selected patients with HCC and liver cirrhosis. Conclusion and Relevance Selective use of different loco-ablative therapies will enhance clinicians’ treatment options for treatment of HCC. | - |
dc.language | eng | - |
dc.publisher | AME Publishing Company. The Journal's web site is located at https://hbsn.amegroups.com/ | - |
dc.relation.ispartof | Hepatobiliary Surgery and Nutrition | - |
dc.rights | Creative Commons: Attribution 3.0 Hong Kong License | - |
dc.subject | High-intensity focused ultrasound (HIFU) | - |
dc.subject | Hepatocellular carcinoma (HCC) | - |
dc.subject | Liver cancer | - |
dc.subject | Radiofrequency ablation (RFA) | - |
dc.subject | Microwave ablation (MWA) | - |
dc.title | A review on radiofrequency, microwave and high-intensity focused ultrasound ablations for hepatocellular carcinoma with cirrhosis | - |
dc.type | Article | - |
dc.identifier.email | Cheung, TT: cheung68@hku.hk | - |
dc.identifier.authority | Cheung, TT=rp02129 | - |
dc.identifier.authority | Ma, KW=rp02758 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.21037/hbsn.2020.03.11 | - |
dc.identifier.pmid | 33898560 | - |
dc.identifier.pmcid | PMC8050587 | - |
dc.identifier.hkuros | 326082 | - |
dc.identifier.volume | 10 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 193 | - |
dc.identifier.epage | 209 | - |
dc.identifier.isi | WOS:000637752000006 | - |
dc.publisher.place | China | - |