11733

The Role of Diffusion Weighted MR Imaging in Assessment of Hepatocellular Carcinoma after Radiofrequency Ablation

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Last updated: 03 Jan 2025

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Abstract

Background: hepatocellular carcinoma (HCC) is the most common primary liver malignancy. Surgical resection and local ablative therapies represent the most frequent first lines therapies adopted when liver transplantation cannot be offered. Aim of the work:this study aimedto evaluate the feasibility of DWI and the corresponding ADC values to detect tumor response after radiofrequency ablation for hepatocellular carcinoma. Patients and methods: MR examinations were done for 20 HCC patients post-RFA. Pre and post gadolinium enhanced images as well as DW sequences were performed. ADC values of ablation zones and liver parenchyma were assessed. ADC values of ablation zones and adjacent signal alterations identified in DWI were analyzed. Results:residual or recurrent lesions were detected in 4 patients (20%). The mean ADC value of ablated zones differed significantly from that of normal liver parenchyma. The corresponding ADC values were significantly lower in patients with residual lesion than in patients without residual lesion. Conclusion: it can be concluded that DWI is a feasible follow-up tool for post ablation liver contributing in detection of residual lesion.    

DOI

10.12816/0040621

Keywords

MRI, carcinoma, Radiofrequency ablation, liver tumor

Authors

First Name

Hana Hamdy

Last Name

Nassef

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Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

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First Name

Aliaa Sayed

Last Name

Sheha

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Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

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First Name

Ali Abbass

Last Name

Radhi

MiddleName

-

Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

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Volume

69

Article Issue

2

Related Issue

2165

Issue Date

2017-10-01

Receive Date

2018-08-28

Publish Date

2017-10-01

Page Start

1,908

Page End

1,910

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11733.html

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https://ejhm.journals.ekb.eg/service?article_code=11733

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20

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of Diffusion Weighted MR Imaging in Assessment of Hepatocellular Carcinoma after Radiofrequency Ablation

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Article

Created At

22 Jan 2023