Rhim H, Goldberg S N, Dodd G D, Solbiati L, Lim H K, Tonolini M, Cho O K
Department of Diagnostic Radiology, Hanyang University Hospital, 17 Haengdang-Dong, Sungdong-Ku, 133-792 Seoul, Korea.
Radiographics. 2001 Oct;21 Spec No:S17-35; discussion S36-9. doi: 10.1148/radiographics.21.suppl_1.g01oc11s17.
Radio-frequency thermal ablation is one of the most promising minimally invasive techniques for the treatment of nonresectable hepatic tumors. Essential technical tips to successful radio-frequency ablation therapy were collected from five international experts. They were organized into five categories: understanding the mechanisms and principles of radio-frequency ablation, modulation of tissue physiologic characteristics to increase tumor destruction, strategies of overlapping ablations, strategies to improve ablation according to tumor location, and imaging strategies after ablation to ensure adequate therapy. Established factors for optimal ablation, as well as emerging technical tips, are addressed with illustrations in each section. These essential tips will be very helpful for physicians performing radio-frequency ablation of hepatic tumors.
射频热消融是治疗不可切除性肝肿瘤最有前景的微创技术之一。从五位国际专家那里收集了成功进行射频消融治疗的关键技术要点。这些要点被归纳为五类：了解射频消融的机制和原理、调节组织生理特性以增强肿瘤破坏、重叠消融策略、根据肿瘤位置改进消融的策略以及消融后成像策略以确保充分治疗。每一部分都通过实例阐述了实现最佳消融的既定因素以及新出现的技术要点。这些关键要点对进行肝肿瘤射频消融的医生将非常有帮助。
