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13584

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

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Last updated: 24 Dec 2024

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Abstract

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: was to evaluate the feasibility of DWI and the corresponding ADC values to detect tumor response after radiofrequency ablation for hepatocellular carcinoma. Materials and methods: MR examinations were done for 20 HCC patients post-RFA. Pre and postgadolinium 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 could be concluded thatDWI is a feasible follow-up tool for postablation liver contributing in detection of residual lesion.  

DOI

10.12816/0039671

Keywords

MR, Hepatocellular carcinoma, Radiofrequency ablation

Authors

First Name

Ahmed Mostafa

Last Name

Mohamed

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Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University

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First Name

Amir Louis

Last Name

Louka

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-

Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Akeel Faisal

Last Name

Ghazee

MiddleName

-

Affiliation

Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University ABSTRACT

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Volume

68

Article Issue

3

Related Issue

2617

Issue Date

2017-07-01

Receive Date

2018-09-13

Publish Date

2017-07-01

Page Start

1,339

Page End

1,341

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13584.html

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https://ejhm.journals.ekb.eg/service?article_code=13584

Order

6

Type

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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Type

Article

Created At

22 Jan 2023