Document Detail


Real-time evaluation of the effectiveness of microwave coagulation therapy for hepatocellular carcinoma using color Doppler imaging.
MedLine Citation:
PMID:  9810435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous microwave coagulation therapy (PMCT) is a new technique for the treatment of hepatocellular carcinoma (HCC). However, it is difficult to distinguish those lesions in which necrosis has been induced from the viable residual lesions during the procedure, because the margin of the tumor becomes unclear during PMCT. We determined the area of necrotic lesions during the procedure using color Doppler imaging. PMCT was performed on 10 patients (17 lesions) with recurrent HCC. The electrode of the microwave delivery system was moved around the tumor and the surrounding area until color mosaic images disappeared from the entire area of the tumor. The areas in which necrotic tissue was indicated by color Doppler imaging were later confirmed by other modalities such as angiography or contrast-enhanced computed tomography. This leads us to believe that real-time, effective evaluation of PMCT is possible with color Doppler imaging.
Authors:
H Takeuchi; R Tamura; T Baba; T Kawashima; T Fukazawa; Y Yunoki; K Tanakaya; Y Yasui; E Konaga
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Acta medica Okayama     Volume:  52     ISSN:  0386-300X     ISO Abbreviation:  Acta Med. Okayama     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-22     Completed Date:  1999-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417611     Medline TA:  Acta Med Okayama     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  255-60     Citation Subset:  IM    
Affiliation:
Department of Surgery, Iwakuni National Hospital, Yamaguchi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography
Animals
Carcinoma, Hepatocellular / surgery*,  ultrasonography
Cattle
Computer Systems*
Electrocoagulation / methods*
Female
Humans
Liver / radiography
Liver Neoplasms / surgery*,  ultrasonography
Male
Microwaves / therapeutic use*
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Color*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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