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肝脏射频消融:使用羧基麦芽糖铁清除受损的磁共振成像确定消融边缘——可行性研究

Radiofrequency ablation of the liver: determination of ablative margin at MR imaging with impaired clearance of ferucarbotran--feasibility study.

作者信息

Mori Kensaku, Fukuda Kuniaki, Asaoka Hitoshi, Ueda Takuya, Kunimatsu Akira, Okamoto Yoshikazu, Nasu Katsuhiro, Fukunaga Kiyoshi, Morishita Yukio, Minami Manabu

机构信息

Department of Diagnostic and Interventional Radiology, Institute of Clinical Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki 305-8575, Japan.

出版信息

Radiology. 2009 May;251(2):557-65. doi: 10.1148/radiol.2512081161. Epub 2009 Feb 27.

Abstract

Institutional review board approval and informed consent were obtained. The feasibility of magnetic resonance (MR) imaging with impaired clearance of ferucarbotran to visualize ablated liver parenchyma surrounding a tumor (ablative margin [AM]) was evaluated after radiofrequency (RF) ablation of the liver. Twenty-one patients with hepatocellular carcinomas underwent RF ablation 2-7 hours after ferucarbotran-enhanced MR imaging. On unenhanced T2*-weighted images acquired after 3-5 days, AMs appeared as hypointense rims. The AM status was related to incidence of residual or recurrent tumors. This technique is feasible for visualization of AM and prediction of residual or recurrent tumors after RF ablation of the liver.

摘要

本研究获得了机构审查委员会的批准并取得了知情同意。在对肝脏进行射频消融后,评估了使用清除功能受损的 ferucarbotran 进行磁共振成像以可视化肿瘤周围消融肝实质(消融边缘 [AM])的可行性。21 例肝细胞癌患者在 ferucarbotran 增强磁共振成像后 2 - 7 小时接受了射频消融。在 3 - 5 天后获取的未增强 T2*加权图像上,AM 表现为低信号边缘。AM 状态与残留或复发性肿瘤的发生率相关。该技术对于可视化 AM 以及预测肝脏射频消融后残留或复发性肿瘤是可行的。

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